SUICIDE in RURAL & REMOTE AREAS of AUSTRALIA - Living is for ...

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Suicide in rural and remote areas of Australia 71 1. Overview of suicide prevention programs, services and activities in rural areas Table 18 below lists 24 suicide prevention programs and services in rural areas of Australia: 11 programs target rural population in general; 5 target specifi cally farmers; and 8 target the Indigenous population. The Table shows the name of each intervention, a brief description of the services offered, and the mode of the intervention. The majority of interventions offer face-to-face or telephone counselling (n= 13), while a smaller amount offer online resources (n= 4) or training and community capacity building (n= 7). 2. Evidenced suicide prevention interventions in rural areas Our search results indicate that few suicide prevention interventions for populations living in rural areas of Australia provided an evaluation of their outcomes. The activities and interventions with published evaluations of their outcomes are: • The Family WellBeing program (FWB) (although this was more focused on community empowerment and connectedness than suicidal behaviours); and, • Building Bridges: Learning from the Experts (Building Bridges). The main characteristics of these interventions, including the results of their evaluation, will be discussed below. First, we present studies which have analysed the effects of controlling access to means, which is considered to be one of the most effective universal strategies to reduce suicide rates (Mann et al, 2005). Second, we will then move to other strategies specifi cally designed for suicide prevention in rural areas. • Restricting access to means (e.g., fi rearms); • The primary mental health-care model in rural Tasmania; • Rural Mental Health Support line; • Community Connections Program; • The Sustainable Farm Families (SFF) project (although this was more focused on mental illness, rather than suicidal behaviours); • The Shoalhaven Aboriginal Suicide Prevention Program (SASPP); GriffithBook FINAL 20/09.indd 71 15/11/12 4:28 PM
72 Suicide in rural and remote areas of Australia Table 18. Suicide prevention programs, services and activities available for rural populations Name Description Mode of intervention Initiatives for rural population in general Australians Creating Rural Online Support Systems (ACROSSnet) An online resource which aims to help members of rural and remote communities access information, education and support regarding suicide and its prevention Internet CRANA Bush Crisis Line and Support Services Beyondblue Lifeline Australia Centrelink Confi dential 24-hour Support Line Phone offering psychological support for rural health practitioners and their families. Provides self-help tools, information and resources about depression (available via the internet and “don’t beat around the bush” buses visiting rural areas) and telephone counselling. 24-hour crisis counselling for those in rural areas, staffed by psychologists with rural and remote experience. Provides fi nancial and support services that enhance the wellbeing of farming families and rural communities. Telephone Internet Telephone Face-to-face Telephone Telephone Face-to-face Mensline Australia 24 hour professional counselling service for men in rural areas. Telephone Mensheds Australia Support group specialising in the needs of men, their health and Face-to-face well being, and their communities in rural areas. Rural Alive & Well Provides counselling and support groups. Aims to reduce the stigma associated with mental illness, and suicidal behaviours for men and families seeking help. Face-to-face Eheadspace E-hub: e-mental Health Research & Development Online counselling for young people aged 12 and 25 years as part of Drought Reform Measures in Western Australia Development and evaluation of websites that deliver psychoeducation and psychological interventions for common mental health problems, as well as clinical and consumer networking. Provides links to mental health resources available for persons in rural areas. Internet Internet GriffithBook FINAL 20/09.indd 72 15/11/12 4:28 PM
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Australia’s rural localities face
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2 Suicide in rural and remote areas
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Introduction The burden of suicide
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10 Suicide in rural and remote area
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