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首页> 外文期刊>BMC Psychiatry >Re-development of mental health first aid guidelines for supporting Aboriginal and Torres Strait Islanders who are engaging in non-suicidal self-injury
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Re-development of mental health first aid guidelines for supporting Aboriginal and Torres Strait Islanders who are engaging in non-suicidal self-injury

机译：重新制定心理健康急救指南，以支持从事非自杀式自残的原住民和托雷斯海峡岛民

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Background Non-suicidal self-injury (NSSI) disproportionally affects Indigenous Australians. Friends, family and frontline workers (for example, teachers, youth workers) are often best positioned to provide initial assistance if someone is engaging in NSSI. Culturally appropriate expert consensus guidelines on how to provide mental health first aid to Australian Aboriginal and Torres Strait Islanders who are engaging in NSSI were developed in 2009. This study describes the re-development of these guidelines to ensure they contain the most current recommended helping actions. Methods The Delphi consensus method was used to elicit consensus on potential helping statements to be included in the guidelines. These statements describe helping actions that Indigenous community members and non-Indigenous frontline workers can take, and information they should have, to help someone who is engaging in NSSI. The statements were sourced from systematic searches of peer-reviewed literature, grey literature, books, websites and online materials, and existing NSSI courses. A panel was formed, comprising 26 Aboriginal and Torres Strait Islanders with expertise in NSSI. The panellists were presented with the helping statements via online questionnaires and were encouraged to suggest re-wording of statements and any additional helping statements that were not included in the original questionnaire. Statements were only accepted for inclusion in the guidelines if they were endorsed by ≥90% of panellists as essential or important. Results From a total of 185 statements shown to the expert panel, 115 were endorsed as helping statements to be included in the re-developed guidelines. Conclusions A panel of Aboriginal and Torres Strait Islander people with expertise in NSSI were able to reach consensus on appropriate strategies for providing mental health first aid to an Aboriginal and Torres Strait Islander engaging in NSSI. The re-development of the guidelines has resulted in more comprehensive guidance than the earlier version. The re-developed guidelines will form the basis of an Aboriginal mental health first aid short course on NSSI for Indigenous community members and non-Indigenous frontline workers that will be evaluated in an upcoming trial.
机译：背景非自杀性自残（NSSI）严重影响了澳大利亚土著居民。如果有人参与NSSI，则朋友，家庭和一线工人（例如，老师，青年工人）通常最有能力提供初步帮助。关于如何向从事NSSI的澳大利亚原住民和托雷斯海峡岛民提供心理健康急救的文化上适当的专家共识准则于2009年制定。本研究描述了这些准则的重新制定，以确保它们包含最新建议的帮助措施。方法使用Delphi共识方法在指南中包含对潜在帮助声明的共识。这些声明描述了土著社区成员和非土著前线工作者可以采取的帮助行动，以及他们应该获得的信息，以帮助从事NSSI的人员。这些声明来自对同行评审文献，灰色文献，书籍，网站和在线材料以及现有NSSI课程的系统搜索。组成了一个小组，由26名具有NSSI专业知识的原住民和托雷斯海峡岛民组成。小组成员通过在线调查表获得了帮助声明，并鼓励他们建议重新措辞声明以及原始调查表中未包括的其他任何帮助声明。仅当≥90％的小组成员认可声明为必不可少或重要的声明时，这些声明才被接受包含在指南中。结果专家小组共收到185份声明，其中115份被认为是帮助声明，将包含在重新制定的指南中。结论在NSSI方面具有专长的土著和托雷斯海峡岛民小组成员能够就为从事NSSI的土著和托雷斯海峡岛民提供心理健康急救的适当策略达成共识。与以前的版本相比，对指南的重新开发导致了更全面的指南。重新制定的指南将构成针对土著社区成员和非土著前线工人的NSSI原住民心理健康急救短期课程的基础，该课程将在即将进行的试验中进行评估。

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