对澳大利亚国家预防自杀战略资助的156个地方项目的审查:概述和经验教训

Alan Headey, J. Pirkis, Bronwen Merner, A. VandenHeuvel, P. Mitchell, J. Robinson, J. Parham, P. Burgess
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引用次数: 28

摘要

摘要本文概述了澳大利亚国家自杀预防战略(NSPS)资助的156个地方自杀预防项目,并描述了从项目进展和最终报告的内容分析中得出的经验教训。分析的目的是通过强调有希望的过程和影响,最大限度地提高澳大利亚自杀预防活动的收益,并尽量减少不成功因素的重复。这些项目针对11个群体(最常见的是年轻人、土著人和托雷斯海峡岛民以及农村/偏远地区的人);发生在各种情况下(以社区为基础的项目特别受欢迎);采用了不同的方法(对卫生/社区专业人员或护理人员进行培训和支持,同时采取旨在增进福祉和建立复原力的公共卫生干预措施)。某些过程预示着项目的成功,包括:理解上下文因素;调查参与者的需求;利用可靠的证据;制定多方面的战略;获得利益相关者的支持;雇佣有能力的员工。这些项目改善了人们对自杀风险和保护因素、社会联系和心理健康知识的了解,并减少了抑郁症的症状。项目的可持续性受到短期资金的限制。这些发现将在国家安全战略进入新的筹资阶段的背景下进行讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A review of 156 local projects funded under Australia’s National Suicide Prevention Strategy: Overview and lessons learned
Abstract This paper presents an overview of 156 local suicide prevention projects funded under Australia’s National Suicide Prevention Strategy (NSPS), and describes lessons elicited from a content analysis of the projects’ progress and final reports. The purpose of the analysis was to maximise gains in Australian suicide prevention activities by highlighting promising processes and impacts and minimise repetition of less successful elements. The projects targeted 11 groups (with the most common being young people, Aboriginal and Torres Strait Islander people and people in rural/remote areas); occurred in various settings (with community-based projects being particularly popular); and employed different approaches (with training and support for health/community professionals or carers being favoured, along with public health interventions aimed at enhancing well-being and building resilience). Certain processes augured well for project success, including: understanding contextual factors; investigating participants’ needs; drawing on sound evidence; developing multi-faceted strategies; garnering stakeholder support; and employing capable staff. The projects achieved improvements in knowledge about risk and protective factors for suicide, social connectedness and mental health literacy, and reductions in depressive symptomatology. Projects’ sustainability was constrained by their short-term funding. These findings are discussed in the context of the NSPS entering a new funding phase.
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