制定心理健康急救指南,应对自杀风险:德尔菲专家在阿根廷和智利的共识研究
Esteban Encina-Zúñiga1,2, Demián Rodante3,4, Martín Agrest5,6
1Escuela de Salud Pública, Facultad de Medicina, Universidad de Chile, Santiago, Chile. esteban2@uchile.cl.
BMC psychiatry
|December 11, 2023
概括
这项研究适应了智利和阿根廷关于自杀风险的心理健康急救指南. 当地专家强调了针对老年人的新指导,并表示不愿与青少年讨论自杀问题.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 跨文化适应 跨文化适应
背景情况:
- 自杀是全球主要的公共卫生问题,需要社区支持.
- 非医疗专业人员可以在帮助有自杀念头的人方面发挥作用.
- 心理健康指南的文化适应对于有效的干预至关重要.
研究的目的:
- 对智利和阿根廷的自杀风险进行澳大利亚心理健康急救指南的文化调整.
- 确保指导方针在智利和阿根廷的背景下具有相关性和有效性.
- 通过本地化心理健康急救,改善自杀预防策略.
主要方法:
- 采用了两轮的德尔菲专家共识研究.
- 组建了两个小组:具有实践经验的个人 (n=18) 和自杀预防专业人士 (n=25).
- 179个项目在五分利克特级别上进行了评分,需要80%的认可才能被纳入.
主要成果:
- 在189个声明上达成共识,其中139个是从原始指南中改编的,50个是新的本地项目.
- 当地专家不愿意建议与青少年就自杀问题进行合作讨论.
- 建议并接受了关于老年人自杀风险的新部分.
结论:
- 为智利和阿根廷制定了文化适应的心理健康急救指南,用于自杀风险.
- 关于青少年自杀讨论和对老年人的具体指导的需要,出现了关键的差异.
- 建议对实施和评估这些适应指南进行进一步的研究,以有效预防自杀.
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