Importance of Messages for a Suicide Prevention Media Campaign

Crisis ◽  
2018 ◽  
Vol 39 (6) ◽  
pp. 438-450 ◽  
Author(s):  
Angela Nicholas ◽  
Alyssia Rossetto ◽  
Anthony Jorm ◽  
Jane Pirkis ◽  
Nicola Reavley
Keyword(s):  
Lived Experience ◽  
Suicide Prevention ◽  
Delphi Study ◽  
Online Survey ◽  
Family Members ◽  
Population Level ◽  
Survey Method ◽  
Media Campaign ◽  
Prevention Messages ◽  
Prevention Campaign

Abstract. Background: A suicide prevention media campaign aimed at family members and friends may be one useful population-level suicide prevention strategy for Australia. However, currently there is limited evidence of what messages would be acceptable and appropriate for inclusion. Aims: This expert consensus study aimed to identify messages that experts with lived experience of suicide risk and suicide prevention professionals believed were most important to include in such a suicide prevention campaign. Method: Using an online survey method, 127 participants with lived experience (lived experience group) and 33 suicide prevention professionals (suicide prevention professionals group) rated 55 statements, drawn from an earlier Delphi study, from very low priority to very high priority for inclusion in a suicide prevention campaign. Results: There was significant agreement within and between the two participant groups on the most highly rated messages for inclusion. The mostly highly rated messages were that family members or friends should ask directly about suicidal thoughts and intentions, listen to responses without judgment, and tell the person at risk that they care and want to help. Limitations: We restricted ratings to just one round and may therefore have limited the level of consensus achieved. Use of a predefined set of suicide prevention messages might also have prevented us from identifying other important messages. Lived experience participants were drawn from one source and this might bias their responses through exposure to common suicide prevention messages that influence their points of view. Conclusion: There is substantial agreement between professionals and people with lived experience on the most important messages to include in a suicide prevention campaign. These most highly rated messages could be adopted in a suicide prevention media campaign.

scholarly journals Can a social media intervention improve online communication about suicide? A feasibility study examining the acceptability and potential impact of the #chatsafe campaign

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253278
Author(s):  
Louise La Sala ◽  
Zoe Teh ◽  
Michelle Lamblin ◽  
Gowri Rajaram ◽  
Simon Rice ◽  
...  
Keyword(s):  
Social Media ◽  
Young People ◽  
Suicide Prevention ◽  
Self Efficacy ◽  
Online Communication ◽  
Media Campaign ◽  
Post Intervention ◽  
Prevention Campaign ◽  
Willingness To Intervene ◽  
Potential Impact

There is a need for effective and youth-friendly approaches to suicide prevention, and social media presents a unique opportunity to reach young people. Although there is some evidence to support the delivery of population-wide suicide prevention campaigns, little is known about their capacity to change behaviour, particularly among young people and in the context of social media. Even less is known about the safety and feasibility of using social media for the purpose of suicide prevention. Based on the #chatsafe guidelines, this study examines the acceptability, safety and feasibility of a co-designed social media campaign. It also examines its impact on young people’s willingness to intervene against suicide and their perceived self-efficacy, confidence and safety when communicating on social media platforms about suicide. A sample of 189 young people aged 16–25 years completed three questionnaires across a 20-week period (4 weeks pre-intervention, immediately post-intervention, and at 4-week follow up). The intervention took the form of a 12-week social media campaign delivered to participants via direct message. Participants reported finding the intervention acceptable and they also reported improvements in their willingness to intervene against suicide, and their perceived self-efficacy, confidence and safety when communicating on social media about suicide. Findings from this study present a promising picture for the acceptability and potential impact of a universal suicide prevention campaign delivered through social media, and suggest that it can be safe to utilize social media for the purpose of suicide prevention.

scholarly journals Identification of Research Priorities For Suicide Prevention In Nepal: A Delphi Study

2021 ◽  
Author(s):  
Elisha Joshi ◽  
Santosh Bhatta ◽  
Sunil Kumar Joshi ◽  
Julie Mytton
Keyword(s):  
Lived Experience ◽  
Suicide Prevention ◽  
Delphi Study ◽  
Research Priorities ◽  
Expert Consensus ◽  
Psychiatric Nurses ◽  
Health Concern ◽  
Consensus Method ◽  
Significant Public Health ◽  
Research Questions

Abstract Background: Suicide is a significant public health concern in Nepal and there is a need for an evidence-based suicide prevention programme to facilitate stakeholders working towards suicide prevention in Nepal. Collaborative research between stakeholders focussing on shared priorities can help to prevent and control suicide. Hence, we aimed to develop a consensus list of research priorities for suicide prevention in Nepal. Methods: The Delphi expert consensus method was used to elicit the prioritized research questions for suicide prevention in Nepal. Participants comprised suicide prevention experts (psychologists, psychiatrists, psychiatric nurses, researchers and advocates) and people with lived experience. Three rounds of Delphi were conducted; round 1: constituted one to one interview involving open-ended questions used to generate research questions; round 2: ranking of the research questions using a 5-point Likert scale, and round 3: re-ranking of research questions in light of individual and group responses.Results: 42 participants participated in round 1 followed by 38 in round 2 and 39 in round 3. 522 research questions were generated through round 1 which were grouped together and reduced to 33 research questions sent for ranking in round 2. Using a cut off of at least 70% of the panel ranking questions as ‘very important’ or ‘important’, 22 questions were retained. These research questions were sent for re-rating in round 3 generating a final list of prioritized research questions.Conclusions: This is the first expert consensus study to identify the top research priorities for suicide prevention in Nepal and used experts in suicide prevention and those with lived experience. A consensus was reached regarding the research needed to improve suicide data quality, assess the burden and identify factors associated with suicide. A priority-driven approach to suicide prevention research may ensure that the research endeavour provides the most useful information for those whose day-t- day work involves trying to prevent suicide.

scholarly journals Acceptability, Safety, and Resonance of the Pilot Digital Suicide Prevention Campaign “Better Off With You”: Qualitative Study (Preprint)

2020 ◽  
Author(s):  
Elise Rose Carrotte ◽  
Marianne Webb ◽  
Anna Flego ◽  
Bonnie Vincent ◽  
Jack Heath ◽  
...  
Keyword(s):  
Focus Groups ◽  
Lived Experience ◽  
Suicide Prevention ◽  
Help Seeking ◽  
Peer To Peer ◽  
Interpersonal Theory ◽  
User Testing ◽  
Perceived Burdensomeness ◽  
Suicidal Thoughts ◽  
Prevention Campaign

BACKGROUND The Interpersonal Theory of Suicide posits that there are three key elements of suicidal behavior: perceived burdensomeness, thwarted belongingness, and the acquired capability for suicide. The digital campaign <i>Better Off With You</i> was developed to directly challenge the idea of perceived burdensomeness among people who are contemplating suicide in 2 communities within Australia. OBJECTIVE The aim of this study is to explore the needs and preferences of people with lived experience of suicidal thoughts and actions to inform the development of <i>Better Off With You.</i> METHODS This study involved a series of focus groups that aimed to discuss campaign messaging, scope, and approach. People with lived experience of suicidal thoughts and actions attended the focus groups. After the completion of initial focus groups, the results informed the creation of campaign collateral by creative agencies. Early versions of the campaign collateral were then presented in the user testing sessions. Transcriptions were analyzed via thematic analysis. RESULTS In total, 13 participants attended the focus groups and 14 attended the user testing sessions. The following three overarching themes were presented: <i>acceptability</i>, <i>safety</i>, and <i>resonance</i>. Participants believed that suicide is a serious and ongoing issue in their communities and welcomed a localized suicide prevention focus via peer-to-peer storytelling. The idea of perceived burdensomeness required clarification but was perceived as acceptable and relevant. Participants seemed drawn toward peer narratives that they perceived to be authentic, genuine, and believable as given by real people with lived experience. Campaign messaging needs to be clear and empathetic while directly talking about suicide. Participants did not anticipate any significant negative or harmful impact from any campaign videos and highlighted the importance of providing appropriate help-seeking information. CONCLUSIONS This iterative study provided important insights and knowledge about peer-to-peer storytelling in suicide prevention campaigns. Future campaigns should involve simple messaging, be validating and empathetic, and consider including a lived experience perspective.

scholarly journals A Qualitative Analysis of Motivators to Participation in Suicide-Focused Research from a Community-Based Australian Sample

2021 ◽  
Vol 18 (9) ◽  
pp. 4705
Author(s):  
Demee Rheinberger ◽  
Fiona Shand ◽  
Katherine Mok ◽  
Lauren McGillivray ◽  
Myfanwy Maple ◽  
...  
Keyword(s):  
Lived Experience ◽  
Suicide Prevention ◽  
Online Survey ◽  
Community Based ◽  
Personal Benefit ◽  
Australian Sample ◽  
Systemic Problems ◽  
Motivation To Participate ◽  
The Impact ◽  
General Community

Suicide prevention strategies internationally appear to be falling short of making a meaningful impact on global suicide deaths. Increasing the rates of general community participation in suicide research may improve knowledge generalisability as it relates to suicidal behaviour and leads to new suicide prevention approaches. This study aims to explore the motivations of a community-based sample to participate in suicide research. A subsample of the Australian general population took part in an online survey which is part of a multilevel suicide prevention trial. The survey concluded with an optional open-text question asking about peoples’ motivations for participating in the study; 532 participants left a response to this question. These responses were qualitatively analysed using Thematic Network Analysis. Motivations to participate in suicide research were represented by four global themes: altruism, solve systemic problems, lived experience, and personal benefit. Of these themes, three were focused on the benefit of others, while only the final theme articulated motivation to participate that was self-focused. The impact of suicide is felt throughout the wider community. This new understanding of the motivations of community-based samples to participate in suicide research should be used to increase participation rates and reach people who would not normally contribute their voice to suicide research.

scholarly journals Consensus on tasks to be included in a return to work assessment for a UK firefighter following an injury: an online Delphi study

2021 ◽  
Author(s):  
Liam Noll ◽  
Adrian Mallows ◽  
Jason Moran
Keyword(s):  
Occupational Health ◽  
Return To Work ◽  
Delphi Study ◽  
Online Survey ◽  
Consensus Meeting ◽  
Total Distance ◽  
Portable Pump ◽  
Work Assessment ◽  
Health Managers

Abstract Objective The aim was to provide a consensus tasks needed to be included in a return to work assessment for operational firefighters. Methods A two round online Delphi study was conducted with twenty-four participants including firefighters, service fitness advisers and occupational health managers. A consensus was set at 70% agreement. In round one, participants completed an online survey relating to tasks to be included during a return to work assessment for firefighters following an injury. Round two was an online consensus meeting to discuss the tasks where consensus was not achieved. Results A consensus was reached for ten of the thirteen tasks, including the number of repetitions required when lifting a light portable pump and climbing a ladder. A consensus was reached for the total distance equipment which should be carried. This included carrying a ladder, a hose and a light portable pump. Conclusions This study has provided a consensus for tasks to be included when assessing a firefighter for return to work. Further research is needed to understand how to use this assessment optimally

scholarly journals Critical incidents in anorexia nervosa: perspectives of those with a lived experience

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Jenni Leppanen ◽  
Lara Tosunlar ◽  
Rachael Blackburn ◽  
Steven Williams ◽  
Kate Tchanturia ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Lived Experience ◽  
Life Events ◽  
Emotional Processing ◽  
Positive Emotions ◽  
Online Survey ◽  
Disease Model ◽  
Positive Outcomes ◽  
Critical Events ◽  
Social Emotional

Abstract Background Although social-emotional difficulties are believed play a key role in anorexia nervosa (AN), there is uncertainty regarding what these difficulties might look like. Previous research has largely focused on a “disease model” of social-emotional processing in AN with little attention paid to positive emotions and experiences. Therefore, the aim of the present study was to obtain a fuller picture of critical life events as identified by those with lived AN experience. Methods Thirty-four participants aged 16–48 with current or past AN completed an online survey describing self-defined positive and difficult critical events. Thematic analysis was used to assess patterns in participants narrative responses. Results Two major themes were identified in the descriptions of positive critical events: Moments of celebration and Unexpected positive outcomes. These major themes revealed increased external focus and some corrective experiences that challenged the participants pre-existing expectations leading to new positive outcomes. Difficult events clustered into life events that were identified as Eating disorder (ED) related and Non-ED related and included the dimensions of relational conflict and feeling unsupported. Discussion The findings suggest that although negative emotionality was identified in the accounts of those with lived experience of AN capacity for “big-picture” thinking with and explicit focus on others was also identified. Moreover, an openness to corrective experiences that worked to challenge negative expectations was evident for some participants. Together these findings have scope as targets for further clinical research and treatment interventions.

scholarly journals Short report: Autistic parents’ views and experiences of talking about autism with their autistic children

Autism ◽  
2021 ◽  
pp. 136236132098131
Author(s):  
Laura Crane ◽  
Lok Man Lui ◽  
Jade Davies ◽  
Elizabeth Pellicano
Keyword(s):  
Lived Experience ◽  
Online Survey ◽  
Negative Impact ◽  
Professional Support ◽  
Short Report ◽  
Negative Consequences ◽  
Autistic Children ◽  
Personal Experiences ◽  
Current Sample ◽  
Experiential Expertise

Little is known about how parents talk about autism with their autistic children, particularly among families in which both a parent and child are autistic. Using an online survey, we gathered quantitative and qualitative data from 34 autistic parents (most of whom had told their children about their diagnosis) to address this knowledge gap. There was considerable overlap between the views and experiences of the autistic parents in this study and the largely non-autistic parent samples in previous research. Specifically, parents emphasised the importance of being open and honest about the diagnosis, disclosing the diagnosis as early as possible, individualising discussions to children’s needs and framing the diagnosis positively. There were, however, areas in which the views and experiences of the current sample differed from previous research on non-autistic samples. First, our sample of autistic parents outlined the benefits of their own experiential expertise, which they felt resulted in heightened understanding and empathy with their children. Second, our sample tended not to express concerns about disclosure potentially having a negative impact. Finally, our participants did not express a want or need for professional support with disclosure. Instead, they reported feeling well equipped to support their children using their own knowledge and lived experience. Lay abstract Previous research examining how parents talk about autism with their children has tended to focus on parents who are not autistic themselves. We collected information on this topic from 34 autistic parents of autistic children (most of whom had told their children about their diagnosis). We found similarities, but also differences, between the views and experiences of autistic parents in this research and those reported in previous research (in studies of largely non-autistic parents). Similarities include the following: it is important to be open and honest about the diagnosis; the diagnosis should be introduced/discussed as early as possible; discussions should be tailored to each individual child’s needs; and we should not overlook the challenges associated with autism, but it is important to focus on positive aspects too. Differences include the following: autistic parents used personal experiences in conversations about autism, which was felt to result in increased understanding and empathy with their children; autistic parents overwhelmingly focused on more positive aspects of an autism diagnosis; our sample did not express concerns that discussions could have negative consequences too (e.g. making children more anxious); and autistic parents did not want or need professional support to talk about autism with their children (instead, they felt confident in using their own knowledge/experiences to guide discussions).

Trading Freedoms for Protection: Gender and Localised Protection in Libya

2021 ◽  
pp. 1-23
Author(s):  
Outi Donovan
Keyword(s):  
Lived Experience ◽  
Family Members ◽  
Local Ownership ◽  
Post Intervention ◽  
Governance Capacity

Abstract Much has been written on the 2011 intervention in Libya and its implications to the R2P principle, but we know less about the lived experience of protection in a context where the post-intervention responsibility for protecting civilians was quickly transferred to the interim authorities who had limited governance capacity. This has resulted in ‘localised protection’ where militias, tribal elders, and family members constitute the main actors providing protection to their respective communities. Although this is in line with the growing emphasis on local ownership underwriting UN and donor discourse, a troubling upshot of the localised protection is that it often disempowers, and at times subjects the protected to further insecurity and violence. The aim of this analysis is to explore this dynamic of protection and insecurity. I draw on feminist theorising of the masculine protection logic and argue that civilians in Libya negotiate multiple, gendered protection bargains that often produce perverse outcomes, by subjecting the ‘protected’ to renewed or increased insecurities, rather than reducing them.

Abstract MP12: Comparing Effectiveness of Mass Media Campaigns vs. Price Reductions Targeting Fruit and Vegetable Intake on US Cvd Mortality and Race Disparities

Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Jonathan Pearson-Stuttard ◽  
Piotr Bandosz ◽  
Colin D Rehm ◽  
Ashkan Afshin ◽  
Jose Penalvo ◽  
...  
Keyword(s):  
Mass Media ◽  
Population Level ◽  
Effect Sizes ◽  
Price Reduction ◽  
Mass Media Campaign ◽  
Media Campaign ◽  
Fruit And Vegetable ◽  
Race Disparities ◽  
The Us ◽  
Cvd Mortality

Introduction: Cardiovascular disease (CVD) accounts for over 800,000 US deaths annually, with substantial disparities by race. Poor diet is a leading CVD risk factor, including low intake of fruit and vegetable (F&V). Few data exist regarding the potential population level impact and effect on race disparities of policies aimed at increasing F&V intake. Aim: To estimate CVD mortality reductions, including by race, potentially achievable by price reduction and mass media campaign interventions in the US population up to 2030. Methods: We developed a US IMPACT Food Policy Model to compare three contrasting policies targeting F&V intake: A - a national mass media campaign (MMC); B and C - a universal F&V price reduction of 10 and 30% respectively. The MMC assumed unequal coverage by age, gender and race, and duration of either 1 or 15 years. Data sources included the National Vital Statistics System, SEER single year population estimates, the US Bureau 2012 National Population projections and NHANES. We used US population and CVD projections to 2030, F&V mortality effect sizes and best evidence effect sizes for each policy. We modelled cumulative deaths prevented or postponed and life years gained (LYG) by age, gender, race and CVD subtype from 2015 to 2030. Results were tested in a probabilistic sensitivity analysis using Monte Carlo simulation. Results: Scenario A (MMC) could result in 27,000 (95% CI: 21,000-33,000) to 85,000 (83,000-89,000) fewer deaths dependent upon media campaign duration (from 1 to 15 years), gaining up to 1,280,000 LYGs (1,250,000-1,320,000) by 2030. Approximately 62% of deaths prevented would be CHD; and 53% would be in men, with 20% being saved in year 1. Scenario B (10% price decrease) could prevent approximately 90,000 deaths (71,000-114,000) and gain 1,450,000 LYGs (1,180,000-1,740,000) by 2030. Scenario C (30% price decrease) could prevent some 270,000 deaths (215,000-338,000) by 2030, representing a 3.9% reduction in expected CVD mortality. Price reduction policies would have equitable effects in non-hispanic whites vs. blacks. In comparison, a MMC would be ~ 35% less effective in preventing CVD deaths in non-Hispanic blacks. Conclusions: Price reduction policies (10 or 30%) and a nationwide MMC would each effectively reduce US CVD mortality. A 30% price reduction policy would save most lives and do so most equitably. Deaths prevented via a MMC might reduce substantially after year 1 and also increase disparities. These results inform potential fiscal and population level strategies to reduce CVD mortality in the US.

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