PDF(Pubmed)
Abstract：
BACKGROUND: More than 50% of people who die by suicide have not been in contact with formal mental health services. The rate of people who fly \'under the radar\' of mental health services is higher among men than women, indicating a need to improve engagement strategies targeted towards men who experience suicidal thoughts and/or behaviours. In Australia, a range of mental health support services exist, designed specifically for men, yet, a substantial proportion of men do not use these services. The aim of this study is to evaluate whether a brief online video-based messaging intervention is an effective approach for encouraging men with suicidal thoughts and/or behaviours to engage with existing support services.
METHODS: Informed by a literature review, surveys, and consultation with men with a lived experience of suicidal thoughts and/or behaviours, we designed five video-based messages that will be used in this five-arm randomised controlled trial. A total of 380 (76 per arm) men aged 18 years or older with suicidal thoughts who are not currently accessing formal mental health services will be recruited online and randomly assigned to watch one of the five web-based video messages. After viewing the video, men will be presented with information about four existing Australian support services, along with links to these services. The primary outcome will be help-seeking, operationalised as a click on any one of the four support service links, immediately after viewing the video. Secondary outcomes include immediate self-reported help-seeking intentions in addition to self-reported use of the support services during a 1-week follow-up period. We will also use the Discrete Choice Experiment methodology to determine what aspects of support services (e.g. low cost, short appointment wait times) are most valued by this group of men.
CONCLUSIONS: This study is the first to evaluate the effectiveness of a brief web-based video messaging intervention for promoting engagement with existing support services among men with suicidal thoughts who are not currently receiving formal help. If found to be effective, this would represent a scalable, cost-effective approach to promote help-seeking for this at-risk population. Limitations and strengths of this study design are discussed.
METHODS: Informed by a literature review, surveys, and consultation with men with a lived experience of suicidal thoughts and/or behaviours, we designed five video-based messages that will be used in this five-arm randomised controlled trial. A total of 380 (76 per arm) men aged 18 years or older with suicidal thoughts who are not currently accessing formal mental health services will be recruited online and randomly assigned to watch one of the five web-based video messages. After viewing the video, men will be presented with information about four existing Australian support services, along with links to these services. The primary outcome will be help-seeking, operationalised as a click on any one of the four support service links, immediately after viewing the video. Secondary outcomes include immediate self-reported help-seeking intentions in addition to self-reported use of the support services during a 1-week follow-up period. We will also use the Discrete Choice Experiment methodology to determine what aspects of support services (e.g. low cost, short appointment wait times) are most valued by this group of men.
CONCLUSIONS: This study is the first to evaluate the effectiveness of a brief web-based video messaging intervention for promoting engagement with existing support services among men with suicidal thoughts who are not currently receiving formal help. If found to be effective, this would represent a scalable, cost-effective approach to promote help-seeking for this at-risk population. Limitations and strengths of this study design are discussed.
摘要：
背景：超过50％的死于自杀的人没有接触过正规的精神卫生服务。在心理健康服务的雷达下飞行的人数在男性中高于女性，表明需要改进针对有自杀念头和/或行为的男性的参与策略。在澳大利亚,存在一系列心理健康支持服务，专为男性设计，然而，相当比例的男性不使用这些服务。这项研究的目的是评估简短的基于在线视频的消息传递干预是否是鼓励有自杀念头和/或行为的男性参与现有支持服务的有效方法。
方法：经文献综述，调查,并咨询有自杀念头和/或行为的男性，我们设计了5条基于视频的信息,将用于这项五组随机对照试验.将在线招募380名（每臂76名）有自杀念头的18岁或以上男性，他们目前尚未获得正式的心理健康服务，并随机分配观看五个基于网络的视频消息之一。看完视频后,将向男性提供有关四个现有澳大利亚支持服务的信息，以及与这些服务的链接。主要结果将是寻求帮助，操作为点击四个支持服务链接中的任何一个，看完视频后立即次要结果包括在1周的随访期内，除了自我报告使用支持服务外，还立即自我报告寻求帮助的意图。我们还将使用离散选择实验方法来确定支持服务的哪些方面(例如，低成本、短预约等待时间)是这群人最看重的。
结论：这项研究首次评估了简短的基于网络的视频消息传递干预措施的有效性，以促进目前没有接受正式帮助的有自杀念头的男性参与现有支持服务。如果发现有效，这将代表一个可扩展的，以具有成本效益的方式促进为这种高危人群寻求帮助。讨论了本研究设计的局限性和优势。
方法：经文献综述，调查,并咨询有自杀念头和/或行为的男性，我们设计了5条基于视频的信息,将用于这项五组随机对照试验.将在线招募380名（每臂76名）有自杀念头的18岁或以上男性，他们目前尚未获得正式的心理健康服务，并随机分配观看五个基于网络的视频消息之一。看完视频后,将向男性提供有关四个现有澳大利亚支持服务的信息，以及与这些服务的链接。主要结果将是寻求帮助，操作为点击四个支持服务链接中的任何一个，看完视频后立即次要结果包括在1周的随访期内，除了自我报告使用支持服务外，还立即自我报告寻求帮助的意图。我们还将使用离散选择实验方法来确定支持服务的哪些方面(例如，低成本、短预约等待时间)是这群人最看重的。
结论：这项研究首次评估了简短的基于网络的视频消息传递干预措施的有效性，以促进目前没有接受正式帮助的有自杀念头的男性参与现有支持服务。如果发现有效，这将代表一个可扩展的，以具有成本效益的方式促进为这种高危人群寻求帮助。讨论了本研究设计的局限性和优势。
