Contextualisation of the safeTALK™ Suicide Prevention Program: A Descriptive Qualitative Study

Area of Science:

• Global Mental Health
• Public Health Interventions
• Cultural Psychiatry

Background:

• Suicide prevention programs show success but cultural factors influence risk and protective elements.
• Adolescent suicide is a complex issue requiring culturally tailored interventions.
• Existing programs need adaptation to diverse cultural contexts.

Purpose of the Study:

• To culturally contextualize the LivingWorks safeTALK™ suicide prevention program for secondary school students in Nepal.
• To adapt evidence-based suicide prevention strategies for the Nepalese context.
• To explore community needs and perspectives for adolescent suicide prevention in Nepal.

Main Methods:

• Qualitative descriptive study using focus groups informed by the Socio-Ecological Model.
• Community-Based Participatory Research (CBPR) principles guided the adaptation process.
• Hybrid content analysis of data from adolescents, teachers, parents, healthcare providers, and policymakers.

Main Results:

• High need for adolescent suicide prevention in Nepal, influenced by cultural and socioeconomic factors.
• Significant stigma surrounding suicide hinders help-seeking behaviors.
• Recommended modifications included translation and integration of Nepalese cultural practices into the safeTALK™ program.

Conclusions:

• Culturally appropriate suicide prevention programs are essential for at-risk adolescents in Nepal.
• Further research is needed to develop and implement effective, localized interventions.
• Community engagement through CBPR is vital for successful program adaptation and implementation.