PMID- 37526381 OWN - NLM STAT- Publisher LR - 20231009 IS - 1943-278X (Electronic) IS - 0363-0234 (Linking) VI - 53 IP - 5 DP - 2023 Oct TI - Understanding the utility of "Talk-to-Me" an online suicide prevention program for Australian university students. PG - 725-738 LID - 10.1111/sltb.12978 [doi] AB - BACKGROUND: Australian university students are at risk of experiencing poor mental health, being vulnerable to self-harm and suicidal ideation. AIM: "Talk-to-Me" is a suicide ideation prevention Massive open online course (MOOC) previously showing it can support Western Australian university students' knowledge of identifying and responding to suicide ideation in themselves and others. METHODS: A multi-site one-group pre-test/post-test design with a 12-week follow-up explored the efficacy of "Talk-to-Me" for university students Australia-wide, evaluating the influence of COVID-19 and location. Overall, 217 students (55% female; m(age) = 24.93 years [18, 60]) enrolled in this study from 2020 to 2021. Participants' responses to suicidal statements, mental health literacy, generalized self-efficacy, help-seeking behavior, and overall utility of the program were collected at baseline, post-MOOC (10 weeks from baseline) and 12-week follow-up. The effect of time and location interaction was explored using a random-effects regression model. RESULTS: Findings indicated significant improvement in participants' knowledge of positive mental health support strategies (ES = 0.42, p < 0.001) and recognizing appropriate responses to suicidal statements (ES = 0.37, p < 0.001) at 10-weeks, with further improvement at 12 weeks follow-up (ES = 0.47 and 0.46, p < 0.001). Students reported higher generalized self-efficacy at the 12-week follow-up compared to baseline (ES = 0.19, p = 0.03) and an increased tendency to seek professional help for mental health issues (ES = 0.22, p = 0.02). CONCLUSION: These findings provide preliminary evidence of the efficacy of the "Talk-to-Me" program in supporting ‎university students across Australia to increase their suicide-related knowledge and skills, ‎general self-efficacy, and overall mental fitness. CI - (c) 2023 The Authors. Suicide and Life-Threatening Behavior published by Wiley Periodicals LLC on behalf of American Association of Suicidology. FAU - Afsharnejad, Bahareh AU - Afsharnejad B AUID- ORCID: 0000-0003-2825-7265 AD - School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, Western Australia, Australia. AD - enAble Institute, Curtin University, Perth, Western Australia, Australia. FAU - Milbourn, Ben AU - Milbourn B AD - School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, Western Australia, Australia. AD - enAble Institute, Curtin University, Perth, Western Australia, Australia. FAU - Brown, Cherylee AU - Brown C AD - School of Allied Health, Faculty of Health Science, Australian Catholic University, Melbourne, Victoria, Australia. FAU - Clifford, Rhonda AU - Clifford R AD - School of Allied Health/Social Work and Social Policy, University of Western Australia, Perth, Western Australia, Australia. FAU - Foley, Kitty-Rose AU - Foley KR AD - Faculty of Health, Southern Cross University, Bilinga, Queensland, Australia. FAU - Logan, Alexandra AU - Logan A AD - School of Allied Health, Faculty of Health Science, Australian Catholic University, Melbourne, Victoria, Australia. FAU - Lund, Stephan AU - Lund S AD - Faculty of Health, Southern Cross University, Bilinga, Queensland, Australia. FAU - Machingura, Tawanda AU - Machingura T AD - Faculty of Health Sciences & Medicine, Bond University, Robina, Queensland, Australia. FAU - McAuliffe, Tomomi AU - McAuliffe T AD - School of Health and Rehabilitation Sciences, The University of Queensland, Saint Lucia, Queensland, Australia. FAU - Mozolic-Staunton, Beth AU - Mozolic-Staunton B AD - Faculty of Health Sciences & Medicine, Bond University, Robina, Queensland, Australia. FAU - Sharp, Nicole AU - Sharp N AD - School of Health Sciences, Western Sydney University, Sydney, New South Wales, Australia. FAU - Hayden-Evans, Maya AU - Hayden-Evans M AD - School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, Western Australia, Australia. FAU - Baker Young, Ellie AU - Baker Young E AD - School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, Western Australia, Australia. FAU - Black, Melissa AU - Black M AD - Department of Women's and Children's Health, Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden. FAU - Zimmermann, Frank AU - Zimmermann F AD - School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia. AD - Klinikum Aschaffenburg Hospital for Child and Adolescent Psychiatry and Psychotherapy, Aschaffenburg, Germany. FAU - Kacic, Viktor AU - Kacic V AD - School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia. AD - Klinikum Aschaffenburg Hospital for Child and Adolescent Psychiatry and Psychotherapy, Aschaffenburg, Germany. FAU - Bolte, Sven AU - Bolte S AD - School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, Western Australia, Australia. AD - Department of Women's and Children's Health, Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden. AD - Child and Adolescent Psychiatry, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden. FAU - Girdler, Sonya AU - Girdler S AD - School of Allied Health, Faculty of Health Sciences, Curtin University, Perth, Western Australia, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, Western Australia, Australia. AD - enAble Institute, Curtin University, Perth, Western Australia, Australia. AD - Faculty of Health, Southern Cross University, Bilinga, Queensland, Australia. AD - Department of Women's and Children's Health, Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden. LA - eng GR - ‎57511161‎/Deutscher Akademischer Austauschdienst/ GR - ‎33212‎/Healthway‎/ GR - Australian New Zealand Allied Health Professional Educator organisation (ANZAHPE)‎/ PT - Journal Article DEP - 20230801 PL - England TA - Suicide Life Threat Behav JT - Suicide & life-threatening behavior JID - 7608054 SB - IM OTO - NOTNLM OT - Mass Open Online Course (MOOC) OT - mental health education OT - suicide prevention program OT - university students EDAT- 2023/08/01 13:10 MHDA- 2023/08/01 13:10 CRDT- 2023/08/01 08:43 PHST- 2023/07/09 00:00 [revised] PHST- 2022/05/20 00:00 [received] PHST- 2023/07/11 00:00 [accepted] PHST- 2023/08/01 13:10 [pubmed] PHST- 2023/08/01 13:10 [medline] PHST- 2023/08/01 08:43 [entrez] AID - 10.1111/sltb.12978 [doi] PST - ppublish SO - Suicide Life Threat Behav. 2023 Oct;53(5):725-738. doi: 10.1111/sltb.12978. Epub 2023 Aug 1.