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dc.contributor.author
Encina Zúñiga, Esteban  
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Rodante, Demián  
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Agrest, Martín  
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Tapia Muñoz, Thamara  
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Vidal Zamora, Isidora  
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Ardila Gómez, Sara Elena  
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Alvarado, Rubén  
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Leiderman, Eduardo A.  
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Reavley, Nicola  
dc.date.available
2023-12-27T09:53:23Z  
dc.date.issued
2023-12  
dc.identifier.citation
Encina Zúñiga, Esteban; Rodante, Demián; Agrest, Martín; Tapia Muñoz, Thamara; Vidal Zamora, Isidora; et al.; Development of mental health first-aid guidelines for suicide risk: a Delphi expert consensus study in Argentina and Chile; BioMed Central; Bmc Psychiatry; 23; 1; 12-2023; 1-15  
dc.identifier.issn
1471-244X  
dc.identifier.uri
http://hdl.handle.net/11336/221483  
dc.description.abstract
Background: Suicide continues to pose a significant global public health challenge and ranks as one of the leading causes of death worldwide. Given the prevalence of suicide risk in the community, there is a significant likelihood of encountering individuals who may be experiencing suicidal thoughts or plans, creating an opening for non-health professionals to offer support. This study aims to culturally adapt the original Australian Mental Health First Aid Guidelines for suicide risk to the Chilean and Argentine context. Methods: A two-round Delphi expert consensus study was conducted involving two panels, one comprising individuals with personal experience in suicide thoughts/attempts or caregiving for those with such experiences (n = 18), and the other consisting of professionals specialized in suicide assessment and support for individuals at risk (n = 25). They rated a total of 179 items mainly derived from guidelines developed by Australian experts and translated into Spanish (168), and new items included by the research team (11). The panel members were requested to assess each item utilizing a five-point Likert scale. During the second round, items that received moderate approval in the initial round were re-evaluated, and new items suggested by the local experts in the first round were also subjected to evaluation in the next round. Inclusion in the final guidelines required an 80% endorsement as “essential” or “important” from both panels. Results: Consensus of approval was reached for 189 statements. Among these, 139 statements were derived from the English-language guidelines, while 50 locally generated statements were accepted during the second round. A significant difference from the original guideline was identified concerning the local experts’ reluctance to discuss actions collaboratively with adolescents. Furthermore, the local experts proposed the inclusion of an entirely new section addressing suicide risk in older individuals, particularly focusing on suicide methods and warning signs. Conclusions: A Delphi expert consensus study was conducted to culturally adapt mental health first aid guidelines for assessing suicide risk in Chile and Argentina. This study involved professionals and individuals with lived experience. While many items were endorsed, some related to inquiring about suicide risk and autonomy, particularly for adolescents, were not. An additional section for older individuals was introduced. Future research should explore the implementation and impact of these adapted guidelines in training courses. This is vital for enhancing mental health support and implementing effective suicide prevention strategies in Chile and Argentina.  
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application/pdf  
dc.language.iso
eng  
dc.publisher
BioMed Central  
dc.rights
info:eu-repo/semantics/openAccess  
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https://creativecommons.org/licenses/by/2.5/ar/  
dc.subject
ARGENTINA  
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CHILE  
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CULTURAL ADAPTATION  
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DELPHI STUDY  
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MENTAL HEALTH FIRST AID (MHFA)  
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SUICIDE RISK  
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Políticas y Servicios de Salud  
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Ciencias de la Salud  
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CIENCIAS MÉDICAS Y DE LA SALUD  
dc.title
Development of mental health first-aid guidelines for suicide risk: a Delphi expert consensus study in Argentina and Chile  
dc.type
info:eu-repo/semantics/article  
dc.type
info:ar-repo/semantics/artículo  
dc.type
info:eu-repo/semantics/publishedVersion  
dc.date.updated
2023-12-26T13:45:47Z  
dc.journal.volume
23  
dc.journal.number
1  
dc.journal.pagination
1-15  
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Reino Unido  
dc.journal.ciudad
Londres  
dc.description.fil
Fil: Encina Zúñiga, Esteban. Universidad de Chile; Chile  
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Fil: Rodante, Demián. Universidad de Buenos Aires; Argentina  
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Fil: Agrest, Martín. Universidad de Buenos Aires. Facultad de Psicología; Argentina  
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Fil: Tapia Muñoz, Thamara. University College London; Estados Unidos  
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Fil: Vidal Zamora, Isidora. Universidad de Chile.; Chile  
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Fil: Ardila Gómez, Sara Elena. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Psicología. Instituto de Investigaciones; Argentina  
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Fil: Alvarado, Rubén. Universidad de Chile.; Chile  
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Fil: Leiderman, Eduardo A.. Universidad de Palermo. Facultad de Ciencias Sociales; Argentina  
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Fil: Reavley, Nicola. University of Melbourne; Australia  
dc.journal.title
Bmc Psychiatry  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-023-05417-0  
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1186/s12888-023-05417-0