scholarly journals Efficacy of mentoring skills in Indian Air Force suicide prevention training: Challenges and opportunities

2020 ◽  
Vol 63 ◽  
pp. 71-76
Author(s):  
B Thomas ◽  
S Chaturvedula
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Qualitative Analysis ◽  
Ab Initio ◽  
Suicide Prevention ◽  
Air Force ◽  
Prevention Program ◽  
Mental Health Promotion ◽  
Prevention Training ◽  
Suicide Prevention Training

Introduction: Mental health promotion and suicide prevention are important initiatives of Indian Air Force (IAF) for its personnel. Institute of Aerospace Medicine (IAM), Bengaluru, has been conducting suicide prevention training programs for the IAF personnel since 1997. More than a 100 programs have been completed. In-time identification of the vulnerable, empowerment of instructors, provision of information about suicide prevention and improvement of approach toward the ab initio who are at risk are the focus of the suicide prevention program (SPP). This paper aims at assessing the efficacy of the mentoring skills imparted during the suicide prevention training in successfully identifying and providing support to the vulnerable ab initio cadets in the training establishments of IAF. Material and Methods: Mentors (n = 34) who are instructors in the training establishments in IAF and who have completed SPP conducted by IAM participated in the study. A feedback tool which was to assess the usefulness of the SPP in terms of the extended use of mentoring skills in their work, problems faced in the identification of the vulnerable persons, challenges faced in their mentoring activities were administered. Qualitative analysis was carried out and compiled. Results: Qualitative analysis brought out certain important issues regarding the challenges faced by the mentors and their competency in effectively dealing with the challenges. The results provide support in improving the existing SPPs and the role of mentors in mental health promotion in IAF. Conclusion: Suicide prevention program being conducted at IAM (IAF) was found to be beneficial to the mentors. It also addressed some of the professional and personal challenges faced by them. The findings of the study has brought out important take home messages for refining the program in the future.

I CARE: Development and Evaluation of a Campus Gatekeeper Training Program for Mental Health Promotion and Suicide Prevention

2018 ◽  
Vol 33 (2) ◽  
pp. 107-130 ◽  
Author(s):  
Marian Reiff ◽  
Meeta Kumar ◽  
Batsirai Bvunzawabaya ◽  
Soumya Madabhushi ◽  
Alaina Spiegel ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Training Program ◽  
Suicide Prevention ◽  
Mental Health Promotion ◽  
Gatekeeper Training ◽  
Care Development

scholarly journals Cost-effectiveness of a mindfulness-based mental health promotion program: economic evaluation of a nonrandomized controlled trial with propensity score matching

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Gerhard Müller ◽  
Manuela Pfinder ◽  
Christian Schmahl ◽  
Martin Bohus ◽  
Lisa Lyssenko
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Promotion ◽  
Cost Effectiveness ◽  
Usual Care ◽  
Prevention Program ◽  
Controlled Trial ◽  
Cost Effective ◽  
Mental Health Promotion ◽  
Health Promotion Programs

Abstract Background Mental health promotion programs have been shown to reduce the burden associated with mental distress and prevent the onset of mental disorders, but evidence of cost-effectiveness is scarce. Objective To evaluate the cost-effectiveness of a mindfulness-based mental health prevention program provided by health coaches in a multi-site field setting in Germany. Methods The single-study based economic evaluation was conducted as part of a nonrandomized controlled trial, comparing the effects of a group-based prevention program to usual care based on propensity score matching. Participants (N = 1166) were recruited via a large statutory health insurance fund. Health outcome was assessed with the Hospital Anxiety and Depression Scale (HADS). Cost outcomes were actually incurred costs compiled from the health insurance’ records. Incremental cost-effectiveness ratios (ICER) were analyzed from a societal and a health care perspective for a 12-month time horizon with sampling uncertainty being handled using nonparametric bootstrapping. A cost-effectiveness acceptability curve was graphed to determine the probability of cost-effectiveness at different willingness-to-pay ceiling ratios. Results From a societal perspective, prevention was cost-effective compared to usual-care by providing larger effects of 1.97 units on the HADS (95% CI [1.14, 2.81], p < 0.001) at lower mean incremental total costs of €-57 (95% CI [− 634, 480], p = 0.84), yielding an ICER of €-29 (savings) per unit improvement. From a health care perspective, the incremental health benefits were achieved at additional direct costs of €181 for prevention participants (95% CI [40, 318], p = 0.01) with an ICER of €91 per unit improvement on the HADS. Willingness-to-pay for the prevention program to achieve a 95% probability of being cost-effective compared to usual-care, was estimated at €225 per unit improvement on the HADS score from a societal, and €191 from a health care perspective respectively. Sensitivity analyses suggested differential cost-effect-ratios depending on the initial distress of participants. Limitations Due to the complexity of the field trial, it was not feasible to randomize participants and offer an active control condition. This limitation was met by applying a rigorous matching procedure. Conclusions Our results indicate that universal mental health promotion programs in community settings might be a cost-effective strategy to enhance well-being. Differences between the societal and health care perspective underline the call for joint funding in the dissemination of preventive services. Trial registration German Clinical Trials Registration ID: DRKS00006216 (2014/06/11, retrospective registration).

Mental health promotion as suicide prevention

2004 ◽  
Vol 4 (s1) ◽  
pp. S235-S236 ◽  
Author(s):  
Naoki Watanabe ◽  
Yuka Takenoshita ◽  
Manabu Taguchi ◽  
Hirofumi Oyama ◽  
Tomoe Sakashita
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Suicide Prevention ◽  
Mental Health Promotion

scholarly journals Student pharmacists and mental health nurses training together in suicide prevention: an evaluation of interprofessional education

2021 ◽  
Vol 29 (Supplement_1) ◽  
pp. i13-i14
Author(s):  
H C Gorton ◽  
R Elliott ◽  
I Noonan
Keyword(s):  
Mental Health ◽  
Suicide Prevention ◽  
Interprofessional Education ◽  
Pharmacy Students ◽  
Longitudinal Impact ◽  
Mental Health Nurses ◽  
Professional Groups ◽  
Before And After ◽  
Prevention Training ◽  
Suicide Prevention Training

Abstract Introduction Suicide prevention is a Government priority and affects every sector of society.(1) The role of mental health nurses (MHN) in suicide prevention is more obvious than that of pharmacists. However, the requirement for suicide prevention training in community pharmacy staff has been incentivized in England through its inclusion in the Pharmacy Quality Scheme. (2) There is no standardized requirement for suicide prevention training in the MPharm degree so we curated an interprofessional education (IPE) session involving pharmacy and MHN students in order to learn about suicide prevention in a mutually beneficial way. Aim We aimed to evaluate the IPE session to understand the attitudes towards suicide and preparedness to help someone thinking about or planning suicide of both sets of students. We aimed to compare any changes in attitude before and after the session both within and between pharmacy students and MHN students. Methods We delivered two IPE sessions on suicide, 3.5 hours in length. Students attended one session. This was compulsory for pharmacy students and optional for MHN students. We evaluated the session through a duplicated, anonymous online survey, via the Qualtrics® platform, at the start and end of the session. Students were informed that this was an optional evaluation. They self-assigned a code that we used to link their answers. We invited students to answer a series of questions to assess their attitudes and preparedness to suicide prevention. We summarised these data using descriptive statistics related to individual statements and composite scores. We used Independent-samples median test and Wilcoxon-Signed Rank Tests to compare data distributions between professional groups before the session, between groups after the session and then to understand change within subject groups, using paired data only. Results 104 students completed the initial survey of which 46% (n=48) were pharmacy students. MHN students reported being more prepared to respond to suicide (median:14, IQR 12–15) than pharmacy students (median: 8, IQR 6–10). Prior to the session, there were no statistically significant differences in responses to the attitude questions between MHN and pharmacy students, barring one question (‘I don’t feel comfortable assessing someone for suicide risk’). A statistically significant increase in preparedness was reported both pharmacy students (p&lt;0.005) and MHN students (p&lt;0.005), following the session (n=76 in paired analysis). MHN students (median: 15, IQR 15–17) continued to report higher levels of preparedness than pharmacy students (median=13, IQR: 10–15). Conclusion We present an innovative session in suicide awareness involving two professional groups. MHN self-reported higher levels of preparedness in suicide prevention than pharmacy students both before and after the session but an improvement was seen in both groups. These results indicate that IPE between MHN and pharmacy students could improve preparedness relating to suicide. More work is needed to explore the optimal content of training and longitudinal impact of training involving more students, as well as understanding if self-reported preparedness translates to professional behaviour, all of which are limitations of the current study References 1. HM Government H. Preventing suicide in England: Third progress report on the cross-government outcomes strategy to save lives. London: HM Government; 2017. 2. NHS Business Service Authority. Drug Tariff; 2020 [cited 07 Oct 2020]. Available at: https://www.nhsbsa.nhs.uk/pharmacies-gp-practices-and-appliance-contractors/drug-tariff

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