评估澳大利亚农村和偏远地区的社区自杀预防计划:一个范围审查
Andreia Schineanu1, Jodie Brabin1, Suzanne McLaren2
1School of Nursing, Paramedicine and Health Sciences, Charles Sturt University, Wagga Wagga, NSW 2678, Australia.
澳大利亚农村的社区自杀预防计划显示,持续影响的证据有限. 需要更严格的评估来评估长期有效性,并解决自杀的复杂社会决定因素.
科学领域:
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
- 农村卫生 农村卫生
背景情况:
- 澳大利亚农村和偏远地区的自杀率较高,原因是心理健康的获取有限,社会隔离和经济挑战.
- 这些差异不成比例地影响男性,青年和土著人口.
- 基于社区的计划旨在通过提高认识和支持来减轻这些问题.
研究的目的:
- 评估澳大利亚农村和偏远地区基于社区的自杀预防计划的影响和结果.
- 识别基于证据的实践,知识差距和未来的研究机会.
主要方法:
- 根据PRISMA-ScR框架 (2018年) 的范围审查.
- 从澳大利亚,新西兰和太平洋地区搜索了关键数据库和灰色文献 (2014-2024年).
- 专注于涉及农民,青年,土著人口和LGBTQIA+社区的研究;使用专题分析进行分析.
主要成果:
- 包括11项研究 (2866名参与者);大多数干预持续了18-24个月.
- 干预的重点是教育和提高认识,与风险人群的直接接触有限.
- 自我报告的知识/技能增长并没有转化为对验证措施的统计学显著改善;土著参与者表现出高基线痛苦.
结论:
- 由于资金和人员问题,后续评估存在重大差距,阻碍了对持续实施的评估.
- 对社区自杀预防计划的严格评估是罕见的,这限制了知识获取和识别财务效率低下.
- 短期,孤立的干预措施可能不足以解决自杀的多面性质,受社会决定因素的影响.
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