Cultural adaptation of the mental health first aid guidelines for assisting a person at risk of suicide in Brazil: a Delphi expert consensus study

Abstract Background Suicide is a major public health concern in Brazil, with nearly 115,000 Brazilians dying by suicide in 2010–2019. As support for individuals at risk of suicide may come from the community, particularly family and friends, it is fundamental that evidence-based programs or resource...

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Main Authors: Simone Scotti Requena, Amanda Vidotto Cerqueira, Thais Alves Assumpção, Carlos Henrique Mesquita Peres, Alexandre Andrade Loch, Nicola J. Reavley
Format: Article
Language:English
Published: BMC 2022-06-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-022-04042-7
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author Simone Scotti Requena
Amanda Vidotto Cerqueira
Thais Alves Assumpção
Carlos Henrique Mesquita Peres
Alexandre Andrade Loch
Nicola J. Reavley
author_facet Simone Scotti Requena
Amanda Vidotto Cerqueira
Thais Alves Assumpção
Carlos Henrique Mesquita Peres
Alexandre Andrade Loch
Nicola J. Reavley
author_sort Simone Scotti Requena
collection DOAJ
description Abstract Background Suicide is a major public health concern in Brazil, with nearly 115,000 Brazilians dying by suicide in 2010–2019. As support for individuals at risk of suicide may come from the community, particularly family and friends, it is fundamental that evidence-based programs or resources to improve such support are in place when needed. This study aimed to culturally adapt the mental health first aid guidelines for assisting a person at risk of suicide used in English-speaking countries for Brazil. Methods A Delphi expert consensus study was conducted among a diverse range of Brazilian health professionals and individuals with lived experience of suicide (n = 60). A total of 161 items from the mental health first aid questionnaire used in English-speaking countries were translated and used in the Brazilian questionnaire. Participants were asked to rate the appropriateness of those items to the Brazilian culture and to recommend any new items when appropriate. Results Data were collected over two survey rounds. Consensus was achieved on 145 items. While 123 out of 161 items were adopted from the English guidelines, 22 new endorsed items were created from the expert panel comments. Conclusions Even though there were similarities among the Brazilian and English-language guidelines, the adapted guidelines incorporated actions that were specific to the Brazilian culture, such as new items emphasising the role of family and friends. Further research is warranted on dissemination and uptake of the guidelines in Brazil as well as research into incorporation of the guidelines into Mental Health First Aid (MHFA) training for Brazil.
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spelling doaj.art-4d9bee5c643f424595a016ff34963b062022-12-22T03:29:47ZengBMCBMC Psychiatry1471-244X2022-06-012211810.1186/s12888-022-04042-7Cultural adaptation of the mental health first aid guidelines for assisting a person at risk of suicide in Brazil: a Delphi expert consensus studySimone Scotti Requena0Amanda Vidotto Cerqueira1Thais Alves Assumpção2Carlos Henrique Mesquita Peres3Alexandre Andrade Loch4Nicola J. Reavley5Centre for Mental Health, Melbourne School of Population and Global Health, The University of MelbourneLaboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São PauloLaboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São PauloLaboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São PauloLaboratorio de Neurociencias (LIM 27), Instituto de Psiquiatria, Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de São PauloCentre for Mental Health, Melbourne School of Population and Global Health, The University of MelbourneAbstract Background Suicide is a major public health concern in Brazil, with nearly 115,000 Brazilians dying by suicide in 2010–2019. As support for individuals at risk of suicide may come from the community, particularly family and friends, it is fundamental that evidence-based programs or resources to improve such support are in place when needed. This study aimed to culturally adapt the mental health first aid guidelines for assisting a person at risk of suicide used in English-speaking countries for Brazil. Methods A Delphi expert consensus study was conducted among a diverse range of Brazilian health professionals and individuals with lived experience of suicide (n = 60). A total of 161 items from the mental health first aid questionnaire used in English-speaking countries were translated and used in the Brazilian questionnaire. Participants were asked to rate the appropriateness of those items to the Brazilian culture and to recommend any new items when appropriate. Results Data were collected over two survey rounds. Consensus was achieved on 145 items. While 123 out of 161 items were adopted from the English guidelines, 22 new endorsed items were created from the expert panel comments. Conclusions Even though there were similarities among the Brazilian and English-language guidelines, the adapted guidelines incorporated actions that were specific to the Brazilian culture, such as new items emphasising the role of family and friends. Further research is warranted on dissemination and uptake of the guidelines in Brazil as well as research into incorporation of the guidelines into Mental Health First Aid (MHFA) training for Brazil.https://doi.org/10.1186/s12888-022-04042-7SuicideMental health first aidCultural adaptationDelphi studyBrazil
spellingShingle Simone Scotti Requena
Amanda Vidotto Cerqueira
Thais Alves Assumpção
Carlos Henrique Mesquita Peres
Alexandre Andrade Loch
Nicola J. Reavley
Cultural adaptation of the mental health first aid guidelines for assisting a person at risk of suicide in Brazil: a Delphi expert consensus study
BMC Psychiatry
Suicide
Mental health first aid
Cultural adaptation
Delphi study
Brazil
title Cultural adaptation of the mental health first aid guidelines for assisting a person at risk of suicide in Brazil: a Delphi expert consensus study
title_full Cultural adaptation of the mental health first aid guidelines for assisting a person at risk of suicide in Brazil: a Delphi expert consensus study
title_fullStr Cultural adaptation of the mental health first aid guidelines for assisting a person at risk of suicide in Brazil: a Delphi expert consensus study
title_full_unstemmed Cultural adaptation of the mental health first aid guidelines for assisting a person at risk of suicide in Brazil: a Delphi expert consensus study
title_short Cultural adaptation of the mental health first aid guidelines for assisting a person at risk of suicide in Brazil: a Delphi expert consensus study
title_sort cultural adaptation of the mental health first aid guidelines for assisting a person at risk of suicide in brazil a delphi expert consensus study
topic Suicide
Mental health first aid
Cultural adaptation
Delphi study
Brazil
url https://doi.org/10.1186/s12888-022-04042-7
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