Abstract

BackgroundWhen a person is in severe distress, people in their social network can potentially take action to reduce the person’s suicide risk. The present study used data from a community survey to examine whether people who had received training in how to assist a person at risk of suicide had higher quality intentions and actions to provide support.MethodsA national telephone survey was carried out with 3002 Australian adults on attitudes and intentions toward helping someone in severe distress or at risk of suicide as well as actions taken. Participants were asked about their intentions to assist a hypothetical person in a vignette and about any actions they took to assist a family member or friend in distress over the previous 12 months. Participants were also asked whether they had received professional training, Mental Health First Aid training or other training in how to assist a person at risk of suicide.ResultsResponses covered ten intentions/actions that were recommended in guidelines for the public on how to support a suicidal person and 5 that were recommended against in the guidelines. Scales were created to measure positive and negative intentions to act and positive and negative actions taken. All three types of training were associated with greater positive intentions and actions, and with lesser negative intentions. These associations were largely due to a greater willingness of those trained to talk openly about suicide with a person in distress.ConclusionsTraining in how to support a person at risk of suicide is associated with better quality of support. Such training merits wider dissemination in the community.

Highlights

  • When a person is in severe distress, people in their social network can potentially take action to reduce the person’s suicide risk

  • Psychological autopsy studies show that less than half of people who die by suicide are in contact with primary care services in the month before their death, and the rate of contact is even lower for specialist mental health care [1, 2]

  • The findings show that training in how to help a suicidal person is associated with increased intentions to act in ways recommended by guidelines for the public, and decreased intentions to act in ways recommended against by the guidelines

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Summary

Introduction

When a person is in severe distress, people in their social network can potentially take action to reduce the person’s suicide risk. And colleagues [7] recruited 22 professionals, 10 people who had been suicidal in the past and 6 carers of people who had been suicidal in the past and presented them with 114 statements about how to assist someone who is thinking about suicide These statements were sourced through a systematic search of both professional and lay literature. The panelists rated 436 statements and endorsed 164 which were used to form updated guidelines These guidelines provide a standard for improving the support that members of the public provide to suicidal persons in their social network

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