Clinical Report: Identifying Essential Domains in Suicide Postvention: A Delphi Study Conducted in Chile
Overview
This study identifies core domains for suicide postvention in Chile through expert consensus. The findings aim to inform a recommendation guide and training program for healthcare professionals, addressing a critical gap in postvention support.
Background
Suicide is a significant public health issue, with a substantial number of individuals affected by suicide deaths each year. Effective postvention strategies are essential for mitigating the risk of subsequent suicidal behavior among those exposed to suicide. However, there is a lack of standardized protocols and training frameworks, particularly in low- and middle-income countries like Chile.
Data Highlights
Core Domains
Description
1
Impact of suicide and foundations of postvention
2
Preparedness and immediate response, including safe communication
3
Ongoing response, accompaniment, and recovery
4
Postvention in specific settings (education, workplace, health services)
5
Long-term follow-up and prevention
Key Findings
Consensus was reached on five core domains essential for suicide postvention.
The Delphi panel included 28 experts from various backgrounds, achieving 89% retention across two rounds.
Participants emphasized the need for early accompaniment within days post-suicide.
Integration of survivor testimonies was highlighted as crucial for effective postvention.
Concise online training modules are necessary to accommodate the time constraints of public health professionals.
Clinical Implications
Healthcare professionals should be aware of the identified core domains to enhance their postvention practices. Implementing structured support and training can improve responses to individuals and communities affected by suicide, ultimately contributing to suicide prevention efforts.
Conclusion
The study provides a foundational framework for suicide postvention in Chile, which can be adapted to other contexts. This consensus on core domains is a significant step towards improving postvention support and training for healthcare professionals.
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