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Published in: Annals of General Psychiatry 1/2014

Open Access 01-12-2014 | Primary research

Quality of helping behaviours of members of the public towards a person with a mental illness: a descriptive analysis of data from an Australian national survey

Authors: Alyssia Rossetto, Anthony F Jorm, Nicola J Reavley

Published in: Annals of General Psychiatry | Issue 1/2014

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Abstract

Background

Courses such as Mental Health First Aid equip members of the public to perform appropriate helping behaviours towards people experiencing a mental illness or mental health crisis. However, studies investigating the general public’s knowledge and skills in relation to assisting a person with a mental illness are rare. This study assesses the quality of mental health first aid responses by members of the Australian public using data from a national survey.

Methods

Participants in a national survey of mental health literacy were assigned one of six vignettes (depression, depression with suicidal thoughts, early schizophrenia, chronic schizophrenia, social phobia or post-traumatic stress disorder) and asked an open-ended question about how they would help the character in the vignette. The 6,019 respondents were also asked if and how they had helped a person in real life with a similar problem. Responses to these questions were scored using a system based on an action plan developed from expert consensus guidelines on mental health first aid.

Results

The quality of responses overall was poor, with participants scoring an average of 2 out of 12. The most commonly reported actions for both questions were listening to the person, providing support and information and encouraging them to seek appropriate professional help. Actions such as assessing and assisting with crisis were rarely mentioned, even for the depression with suicidal thoughts vignette.

Conclusions

The quality of the Australian public’s mental health first aid knowledge and skills requires substantial improvement. Particular attention should be given to helping people recognise that anxiety disorders such as social phobia require professional help and to improving responses to a suicidal person.
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Literature
1.
go back to reference Burgess PM, Pirkis JE, Slade TN, Johnston AK, Meadows GN, Gunn JM: Service use for mental health problems: findings from the 2007 national survey of mental health and wellbeing. Aust NZ J Psychiatry. 2009, 43: 615-623. 10.1080/00048670902970858.CrossRef Burgess PM, Pirkis JE, Slade TN, Johnston AK, Meadows GN, Gunn JM: Service use for mental health problems: findings from the 2007 national survey of mental health and wellbeing. Aust NZ J Psychiatry. 2009, 43: 615-623. 10.1080/00048670902970858.CrossRef
2.
go back to reference Reavley NJ, Jorm AF: Recognition of mental disorders and beliefs about treatment and outcome: findings from an Australian national survey of mental health literacy and stigma. Aust NZ J Psychiatry. 2011, 45: 947-956. 10.3109/00048674.2011.621060.CrossRef Reavley NJ, Jorm AF: Recognition of mental disorders and beliefs about treatment and outcome: findings from an Australian national survey of mental health literacy and stigma. Aust NZ J Psychiatry. 2011, 45: 947-956. 10.3109/00048674.2011.621060.CrossRef
3.
go back to reference Riedel-Heller SG, Angermeyer MC, Matschinger H: What to do about mental disorder–help-seeking recommendations of the lay public. Acta Psychiatr Scand. 2001, 103: 220-225. 10.1034/j.1600-0447.2001.103003220.x.CrossRefPubMed Riedel-Heller SG, Angermeyer MC, Matschinger H: What to do about mental disorder–help-seeking recommendations of the lay public. Acta Psychiatr Scand. 2001, 103: 220-225. 10.1034/j.1600-0447.2001.103003220.x.CrossRefPubMed
4.
go back to reference Pescosolido BA, Boyer CA: Understanding the context and dynamic social processes of mental health treatment. A Handbook for the Study of Mental Health: Social Contexts, Theories and Systems. Edited by: Scheid TL, Brown TN. 2009, Cambridge, New York: Cambridge University Press, 420-438.CrossRef Pescosolido BA, Boyer CA: Understanding the context and dynamic social processes of mental health treatment. A Handbook for the Study of Mental Health: Social Contexts, Theories and Systems. Edited by: Scheid TL, Brown TN. 2009, Cambridge, New York: Cambridge University Press, 420-438.CrossRef
5.
go back to reference Griffiths KM, Crisp DA, Barney L, Reid R: Seeking help for depression from family and friends: a qualitative analysis of perceived advantages and disadvantages. BMC Psychiatry. 2011, 11: 196-207. 10.1186/1471-244X-11-196.PubMedCentralCrossRefPubMed Griffiths KM, Crisp DA, Barney L, Reid R: Seeking help for depression from family and friends: a qualitative analysis of perceived advantages and disadvantages. BMC Psychiatry. 2011, 11: 196-207. 10.1186/1471-244X-11-196.PubMedCentralCrossRefPubMed
6.
go back to reference Downs MF, Eisenberg D: Help seeking and treatment use among suicidal college students. J Am Coll Health. 2012, 60: 104-114. 10.1080/07448481.2011.619611.CrossRefPubMed Downs MF, Eisenberg D: Help seeking and treatment use among suicidal college students. J Am Coll Health. 2012, 60: 104-114. 10.1080/07448481.2011.619611.CrossRefPubMed
7.
go back to reference Pescosolido BA: Organizing the sociological landscape for the next decades of health and health care research: The Network Episode Model III-R as cartographic subfield guide. Handbook of the Sociology of Health, Illness and Healing: A Blueprint for the 21st Century. Edited by: Pescosolido BA, Martin JK, McLeod JD, Rogers A. 2011, New York: Springer, 39-66.CrossRef Pescosolido BA: Organizing the sociological landscape for the next decades of health and health care research: The Network Episode Model III-R as cartographic subfield guide. Handbook of the Sociology of Health, Illness and Healing: A Blueprint for the 21st Century. Edited by: Pescosolido BA, Martin JK, McLeod JD, Rogers A. 2011, New York: Springer, 39-66.CrossRef
8.
go back to reference Kitchener BA, Jorm AF, Kelly CM: Mental Health First Aid Manual. 2010, Orygen Youth Health Research Centre: Melbourne, 2 Kitchener BA, Jorm AF, Kelly CM: Mental Health First Aid Manual. 2010, Orygen Youth Health Research Centre: Melbourne, 2
9.
go back to reference Kelly CM, Mithen JM, Fischer JA, Kitchener BA, Jorm AF, Lowe A, Scanlan C: Youth mental health first aid: a description of the program and an initial evaluation. Int J Ment Health Syst. 2011, 5: 4-12. 10.1186/1752-4458-5-4.PubMedCentralCrossRefPubMed Kelly CM, Mithen JM, Fischer JA, Kitchener BA, Jorm AF, Lowe A, Scanlan C: Youth mental health first aid: a description of the program and an initial evaluation. Int J Ment Health Syst. 2011, 5: 4-12. 10.1186/1752-4458-5-4.PubMedCentralCrossRefPubMed
10.
go back to reference Kitchener BA, Jorm AF: Mental health first aid training for the public: evaluation of effects on knowledge, attitudes and helping behavior. BMC Psychiatry. 2002, 2: 10-16. 10.1186/1471-244X-2-10.PubMedCentralCrossRefPubMed Kitchener BA, Jorm AF: Mental health first aid training for the public: evaluation of effects on knowledge, attitudes and helping behavior. BMC Psychiatry. 2002, 2: 10-16. 10.1186/1471-244X-2-10.PubMedCentralCrossRefPubMed
11.
go back to reference Kitchener BA, Jorm AF: Mental health first aid: review of evaluation studies. Aust NZ J Psychiatry. 2006, 40: 6-8. 10.1080/j.1440-1614.2006.01735.x.CrossRef Kitchener BA, Jorm AF: Mental health first aid: review of evaluation studies. Aust NZ J Psychiatry. 2006, 40: 6-8. 10.1080/j.1440-1614.2006.01735.x.CrossRef
12.
go back to reference Kitchener BA, Jorm AF: Mental health first aid training in a workplace setting: a randomized controlled trial. BMC Psychiatry. 2004, 4: 23-28. 10.1186/1471-244X-4-23.PubMedCentralCrossRefPubMed Kitchener BA, Jorm AF: Mental health first aid training in a workplace setting: a randomized controlled trial. BMC Psychiatry. 2004, 4: 23-28. 10.1186/1471-244X-4-23.PubMedCentralCrossRefPubMed
13.
go back to reference Jorm AF, Kitchener BA, Mugford SK: Experiences in applying skills learned in a mental health first aid training course: a qualitative study of participants’ stories. BMC Psychiatry. 2005, 5: 43-53. 10.1186/1471-244X-5-43.PubMedCentralCrossRefPubMed Jorm AF, Kitchener BA, Mugford SK: Experiences in applying skills learned in a mental health first aid training course: a qualitative study of participants’ stories. BMC Psychiatry. 2005, 5: 43-53. 10.1186/1471-244X-5-43.PubMedCentralCrossRefPubMed
14.
go back to reference Jorm AF, Blewitt KA, Griffiths KM, Kitchener BA, Parslow RA: Mental health first aid responses of the public: results from an Australian national survey. BMC Psychiatry. 2005, 5: 9-10.1186/1471-244X-5-9.PubMedCentralCrossRefPubMed Jorm AF, Blewitt KA, Griffiths KM, Kitchener BA, Parslow RA: Mental health first aid responses of the public: results from an Australian national survey. BMC Psychiatry. 2005, 5: 9-10.1186/1471-244X-5-9.PubMedCentralCrossRefPubMed
15.
go back to reference Yap MBH, Jorm AF: Young people’s mental health first aid intentions and beliefs prospectively predict their actions: findings from an Australian national survey of youth. Psychiatry Res. 2012, 196: 315-319. 10.1016/j.psychres.2011.10.004.CrossRefPubMed Yap MBH, Jorm AF: Young people’s mental health first aid intentions and beliefs prospectively predict their actions: findings from an Australian national survey of youth. Psychiatry Res. 2012, 196: 315-319. 10.1016/j.psychres.2011.10.004.CrossRefPubMed
16.
go back to reference Jorm AF, Morgan AJ, Wright A: Interventions that are helpful for depression and anxiety in young people: a comparison of clinicians’ beliefs with those of youth and their parents. J Affect Disord. 2008, 111: 227-234. 10.1016/j.jad.2008.02.021.CrossRefPubMed Jorm AF, Morgan AJ, Wright A: Interventions that are helpful for depression and anxiety in young people: a comparison of clinicians’ beliefs with those of youth and their parents. J Affect Disord. 2008, 111: 227-234. 10.1016/j.jad.2008.02.021.CrossRefPubMed
17.
go back to reference Hu SS, Balluz L, Battaglia MP, Frankel MR: Improving public health surveillance using a dual-frame survey of landline and cell phone numbers. Am J Epidemiol. 2011, 173: 703-711. 10.1093/aje/kwq442.CrossRefPubMed Hu SS, Balluz L, Battaglia MP, Frankel MR: Improving public health surveillance using a dual-frame survey of landline and cell phone numbers. Am J Epidemiol. 2011, 173: 703-711. 10.1093/aje/kwq442.CrossRefPubMed
18.
go back to reference American Psychiatric Association: Diagnostic and statistical manual for mental disorders: Fourth edition (DSM-IV). 1994, Washington, DC: American Psychiatric Association American Psychiatric Association: Diagnostic and statistical manual for mental disorders: Fourth edition (DSM-IV). 1994, Washington, DC: American Psychiatric Association
19.
go back to reference World Health Organisation: The ICD-10 classification of mental and behavioural disorders: Diagnostic criteria for research. 1993, Geneva: World Health Organisation World Health Organisation: The ICD-10 classification of mental and behavioural disorders: Diagnostic criteria for research. 1993, Geneva: World Health Organisation
20.
go back to reference Langlands RL, Jorm AF, Kelly CM, Kitchener BA: First aid recommendations for psychosis: using the Delphi method to gain consensus between mental health consumers, carers, and clinicians. Schizophr Bull. 2008, 34: 435-443.PubMedCentralCrossRefPubMed Langlands RL, Jorm AF, Kelly CM, Kitchener BA: First aid recommendations for psychosis: using the Delphi method to gain consensus between mental health consumers, carers, and clinicians. Schizophr Bull. 2008, 34: 435-443.PubMedCentralCrossRefPubMed
21.
go back to reference Kelly CM, Jorm AF, Kitchener BA: Development of mental health first aid guidelines on how a member of the public can support a person affected by a traumatic event: a Delphi study. BMC Psychiatry. 2010, 10: 49-64. 10.1186/1471-244X-10-49.PubMedCentralCrossRefPubMed Kelly CM, Jorm AF, Kitchener BA: Development of mental health first aid guidelines on how a member of the public can support a person affected by a traumatic event: a Delphi study. BMC Psychiatry. 2010, 10: 49-64. 10.1186/1471-244X-10-49.PubMedCentralCrossRefPubMed
22.
go back to reference Kelly CM, Jorm AF, Kitchener BA, Langlands RL: Development of mental health first aid guidelines for suicidal ideation and behaviour: a Delphi study. BMC Psychiatry. 2008, 8: 1-10. 10.1186/1471-244X-8-1.CrossRef Kelly CM, Jorm AF, Kitchener BA, Langlands RL: Development of mental health first aid guidelines for suicidal ideation and behaviour: a Delphi study. BMC Psychiatry. 2008, 8: 1-10. 10.1186/1471-244X-8-1.CrossRef
23.
go back to reference Kelly CM, Jorm AF, Kitchener BA: Development of mental health first aid guidelines for panic attacks: a Delphi study. BMC Psychiatry. 2009, 9: 49-58. 10.1186/1471-244X-9-49.PubMedCentralCrossRefPubMed Kelly CM, Jorm AF, Kitchener BA: Development of mental health first aid guidelines for panic attacks: a Delphi study. BMC Psychiatry. 2009, 9: 49-58. 10.1186/1471-244X-9-49.PubMedCentralCrossRefPubMed
24.
go back to reference Kingston AH, Morgan AJ, Jorm AF, Hall K, Hart LM, Kelly CM, Lubman DI: Helping someone with problem drug use: a Delphi consensus study of consumers, carers, and clinicians. BMC Psychiatry. 2011, 11: 1-7. 10.1186/1471-244X-11-1.CrossRef Kingston AH, Morgan AJ, Jorm AF, Hall K, Hart LM, Kelly CM, Lubman DI: Helping someone with problem drug use: a Delphi consensus study of consumers, carers, and clinicians. BMC Psychiatry. 2011, 11: 1-7. 10.1186/1471-244X-11-1.CrossRef
25.
go back to reference Kingston A, Jorm A, Kitchener B, Hides L, Kelly C, Morgan A, Hart L, Lubman D: Helping someone with problem drinking: mental health first aid guidelines - a Delphi expert consensus study. BMC Psychiatry. 2009, 9: 79-87. 10.1186/1471-244X-9-79.PubMedCentralCrossRefPubMed Kingston A, Jorm A, Kitchener B, Hides L, Kelly C, Morgan A, Hart L, Lubman D: Helping someone with problem drinking: mental health first aid guidelines - a Delphi expert consensus study. BMC Psychiatry. 2009, 9: 79-87. 10.1186/1471-244X-9-79.PubMedCentralCrossRefPubMed
26.
go back to reference Fritz CO, Morris PE, Richler JJ: Effect size estimates: current use, calculations, and interpretation. J Exp Psychol Gen. 2012, 141: 2-18.CrossRefPubMed Fritz CO, Morris PE, Richler JJ: Effect size estimates: current use, calculations, and interpretation. J Exp Psychol Gen. 2012, 141: 2-18.CrossRefPubMed
27.
go back to reference Jorm AF, Morgan AJ, Wright A: First aid strategies that are helpful to young people developing a mental disorder: beliefs of health professionals compared to young people and parents. BMC Psychiatry. 2008, 8: 42-42. 10.1186/1471-244X-8-42.PubMedCentralCrossRefPubMed Jorm AF, Morgan AJ, Wright A: First aid strategies that are helpful to young people developing a mental disorder: beliefs of health professionals compared to young people and parents. BMC Psychiatry. 2008, 8: 42-42. 10.1186/1471-244X-8-42.PubMedCentralCrossRefPubMed
28.
go back to reference Gould MS, Marrocco FA, Kleinman M, Thomas JG, Mostkoff K, Cote J, Davies M: Evaluating iatrogenic risk of youth suicide screening programs: a randomized controlled trial. J Am Med Assoc. 2005, 293: 1635-1643. 10.1001/jama.293.13.1635.CrossRef Gould MS, Marrocco FA, Kleinman M, Thomas JG, Mostkoff K, Cote J, Davies M: Evaluating iatrogenic risk of youth suicide screening programs: a randomized controlled trial. J Am Med Assoc. 2005, 293: 1635-1643. 10.1001/jama.293.13.1635.CrossRef
29.
go back to reference Reavley NJ, Jorm AF: Stigmatizing attitudes towards people with mental disorders: findings from an Australian National Survey of Mental Health Literacy and Stigma. Aust NZ J Psychiatry. 2011, 45: 1086-1093. 10.3109/00048674.2011.621061.CrossRef Reavley NJ, Jorm AF: Stigmatizing attitudes towards people with mental disorders: findings from an Australian National Survey of Mental Health Literacy and Stigma. Aust NZ J Psychiatry. 2011, 45: 1086-1093. 10.3109/00048674.2011.621061.CrossRef
30.
go back to reference Ajzen I, Madden TJ: Prediction of goal-directed behavior: attitudes, intentions, and perceived behavioral control. J Exp Soc Psychol. 1986, 22: 453-474. 10.1016/0022-1031(86)90045-4.CrossRef Ajzen I, Madden TJ: Prediction of goal-directed behavior: attitudes, intentions, and perceived behavioral control. J Exp Soc Psychol. 1986, 22: 453-474. 10.1016/0022-1031(86)90045-4.CrossRef
31.
go back to reference Boydell KM, Volpe T, Gladstone BM, Statsiulis E, Addington J: Youth at ultra high risk for psychosis: using the revised network episode model to examine pathways to mental health care. Early Interv Psychiatry. 2013, 7: 170-186. 10.1111/j.1751-7893.2012.00350.x.CrossRefPubMed Boydell KM, Volpe T, Gladstone BM, Statsiulis E, Addington J: Youth at ultra high risk for psychosis: using the revised network episode model to examine pathways to mental health care. Early Interv Psychiatry. 2013, 7: 170-186. 10.1111/j.1751-7893.2012.00350.x.CrossRefPubMed
32.
go back to reference Pescosolido BA, Gardiner CB, Lubell KM: How people get into mental health services: stories of choice, coercion and “muddling through” from “first timers”. Soc Sci Med. 1998, 46: 275-286. 10.1016/S0277-9536(97)00160-3.CrossRefPubMed Pescosolido BA, Gardiner CB, Lubell KM: How people get into mental health services: stories of choice, coercion and “muddling through” from “first timers”. Soc Sci Med. 1998, 46: 275-286. 10.1016/S0277-9536(97)00160-3.CrossRefPubMed
33.
go back to reference Yap MBH, Wright A, Jorm AF: First aid actions taken by young people for mental health problems in a close friend or family member: findings from an Australian national survey of youth. Psychiatry Res. 2011, 188: 123-128. 10.1016/j.psychres.2011.01.014.CrossRefPubMed Yap MBH, Wright A, Jorm AF: First aid actions taken by young people for mental health problems in a close friend or family member: findings from an Australian national survey of youth. Psychiatry Res. 2011, 188: 123-128. 10.1016/j.psychres.2011.01.014.CrossRefPubMed
34.
go back to reference Armitage CJ, Conner M: Efficacy of the theory of planned behaviour: a meta-analytic review. Br J Soc Psychol. 2001, 40: 471-499. 10.1348/014466601164939.CrossRefPubMed Armitage CJ, Conner M: Efficacy of the theory of planned behaviour: a meta-analytic review. Br J Soc Psychol. 2001, 40: 471-499. 10.1348/014466601164939.CrossRefPubMed
35.
go back to reference Jorm AF, Kitchener BA: Noting a landmark achievement: mental health first Aid training reaches 1% of Australian adults. Aust NZ J Psychiatry. 2011, 45: 808-813. 10.3109/00048674.2011.594785.CrossRef Jorm AF, Kitchener BA: Noting a landmark achievement: mental health first Aid training reaches 1% of Australian adults. Aust NZ J Psychiatry. 2011, 45: 808-813. 10.3109/00048674.2011.594785.CrossRef
Metadata
Title
Quality of helping behaviours of members of the public towards a person with a mental illness: a descriptive analysis of data from an Australian national survey
Authors
Alyssia Rossetto
Anthony F Jorm
Nicola J Reavley
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Annals of General Psychiatry / Issue 1/2014
Electronic ISSN: 1744-859X
DOI
https://doi.org/10.1186/1744-859X-13-2

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