Skip to main content
Top
Published in: International Journal of Mental Health Systems 1/2019

Open Access 01-12-2019 | Suicide | Research

Australian R U OK?Day campaign: improving helping beliefs, intentions and behaviours

Authors: Anna M. Ross, Bridget Bassilios

Published in: International Journal of Mental Health Systems | Issue 1/2019

Login to get access

Abstract

Background

Suicide is a major public health concern and has been recognised as a public health priority. R U OK?Day aims to prevent suicide by encouraging and empowering Australians to reach out to friends and family who might be experiencing personal difficulties. This study aims to update the evaluation of the public awareness campaign ‘R U OK?Day’ that was conducted using 2014 data.

Methods

Data from 2013 participants were collected via an online survey following the R U OK?Day campaign implemented in 2017. Outcome measures included campaign awareness and participation, past 12-month help-seeking, helping beliefs, helping intentions and helping behaviours. Data were analysed using z-tests, Chi square and regression analyses in SPSS.

Results

Both campaign awareness and participation have increased since 2014, from 66% and 19% to 78% and 32%. Campaign exposure was associated with stronger beliefs in the importance and the ease of asking “Are you okay?”, and increased the likelihood of intentions to use recommended helping actions by two to three times compared to those not exposed to the campaign. Participants who were exposed to the R U OK?Day campaign were up to six times more likely to reach out to someone who might be experiencing personal difficulties compared to those not exposed to the campaign. Interestingly, those who had sought help from a mental health professional in the past 12 months were more likely to be aware of, and participate in, the campaign, suggesting people experiencing mental health issues recognise the value of seeking—and giving—social support.

Conclusions

The R U OK?Day campaign continues to be relevant and effective in spreading key messages about the importance of reaching out to others and empowering members of the community to have conversations about life problems. The campaign’s impact is increasing over time through increased campaign awareness and participation, and improving helping beliefs, intentions and behaviours. Ongoing monitoring and evaluation of the campaign’s impact is vital and may inform potential changes needed to further enhance its impact.
Literature
1.
go back to reference World Health Organisation (WHO). Preventing suicide: a global imperative. Geneva: World Health Organisation; 2014. World Health Organisation (WHO). Preventing suicide: a global imperative. Geneva: World Health Organisation; 2014.
2.
go back to reference Australian Bureau of Statistics (ABS). Causes of death, Australia 2017. 2018. Contract No.: 3303.0. Australian Bureau of Statistics (ABS). Causes of death, Australia 2017. 2018. Contract No.: 3303.0.
3.
go back to reference Australian Government Department of Health. The Fifth National Mental Health and Suicide Prevention Plan. Canberra: Australian Government Department of Health; 2017. Australian Government Department of Health. The Fifth National Mental Health and Suicide Prevention Plan. Canberra: Australian Government Department of Health; 2017.
4.
go back to reference Dumesnil H, Verger P. Public awareness campaigns about depression and suicide: a review. Psychiatr Serv. 2009;60(9):1203–13.CrossRef Dumesnil H, Verger P. Public awareness campaigns about depression and suicide: a review. Psychiatr Serv. 2009;60(9):1203–13.CrossRef
5.
go back to reference Pirkis J, Rossetto A, Nicholas A, Ftanou M, Robinson J, Reavley N. Suicide prevention media campaigns: a systematic literature review. Health Commun. 2017;34(4):402–14.CrossRef Pirkis J, Rossetto A, Nicholas A, Ftanou M, Robinson J, Reavley N. Suicide prevention media campaigns: a systematic literature review. Health Commun. 2017;34(4):402–14.CrossRef
6.
go back to reference Fountoulakis KN, Gonda X, Rihmer Z. Suicide prevention programs through community intervention. J Affect Disord. 2011;130(1–2):10–6.CrossRef Fountoulakis KN, Gonda X, Rihmer Z. Suicide prevention programs through community intervention. J Affect Disord. 2011;130(1–2):10–6.CrossRef
7.
go back to reference Klimes-Dougan B, Wright N, Klingbeil DA. Suicide prevention public service announcements impact help-seeking attitudes: the message makes a difference. Front Psychiatry. 2016;7:124.CrossRef Klimes-Dougan B, Wright N, Klingbeil DA. Suicide prevention public service announcements impact help-seeking attitudes: the message makes a difference. Front Psychiatry. 2016;7:124.CrossRef
8.
go back to reference Wright A, McGorry PD, Harris MG, Jorm AF, Pennell K. Development and evaluation of a youth mental health community awareness campaign—the compass strategy. BMC Public Health. 2006;6(1):215.CrossRef Wright A, McGorry PD, Harris MG, Jorm AF, Pennell K. Development and evaluation of a youth mental health community awareness campaign—the compass strategy. BMC Public Health. 2006;6(1):215.CrossRef
9.
go back to reference Robinson M, Braybrook D, Robertson S. “Talk” about male suicide? Learning from community programmes. Ment Health Rev J. 2013;18(3):115–27.CrossRef Robinson M, Braybrook D, Robertson S. “Talk” about male suicide? Learning from community programmes. Ment Health Rev J. 2013;18(3):115–27.CrossRef
10.
go back to reference Robinson M, Braybrook D, Robertson S. Influencing public awareness to prevent male suicide. J Public Ment Health. 2014;13(1):40–50.CrossRef Robinson M, Braybrook D, Robertson S. Influencing public awareness to prevent male suicide. J Public Ment Health. 2014;13(1):40–50.CrossRef
11.
go back to reference Oliver RJ, Spilsbury JC, Osiecki SS, Denihan WM, Zureick JL, Friedman S. Brief report: preliminary results of a suicide awareness mass media campaign in Cuyahoga County, Ohio. Suicide Life Threat Behav. 2008;38(2):245–9.CrossRef Oliver RJ, Spilsbury JC, Osiecki SS, Denihan WM, Zureick JL, Friedman S. Brief report: preliminary results of a suicide awareness mass media campaign in Cuyahoga County, Ohio. Suicide Life Threat Behav. 2008;38(2):245–9.CrossRef
12.
go back to reference Jenner E, Jenner LW, Matthews-Sterling M, Butts JK, Williams TE. Awareness effects of a youth suicide prevention media campaign in Louisiana. Suicide Life Threat Behav. 2010;40(4):394–406.CrossRef Jenner E, Jenner LW, Matthews-Sterling M, Butts JK, Williams TE. Awareness effects of a youth suicide prevention media campaign in Louisiana. Suicide Life Threat Behav. 2010;40(4):394–406.CrossRef
13.
go back to reference Bossarte RM, Karras E, Lu N, Tu X, Stephens B, Draper J, et al. Associations between the Department of Veterans Affairs’ suicide prevention campaign and calls to related crisis lines. Public Health Rep. 2014;129(6):516–25.CrossRef Bossarte RM, Karras E, Lu N, Tu X, Stephens B, Draper J, et al. Associations between the Department of Veterans Affairs’ suicide prevention campaign and calls to related crisis lines. Public Health Rep. 2014;129(6):516–25.CrossRef
14.
go back to reference Matsubayashi T, Ueda M, Sawada Y. The effect of public awareness campaigns on suicides: evidence from Nagoya, Japan. J Affect Disord. 2014;152:526–9.CrossRef Matsubayashi T, Ueda M, Sawada Y. The effect of public awareness campaigns on suicides: evidence from Nagoya, Japan. J Affect Disord. 2014;152:526–9.CrossRef
15.
go back to reference Hegerl U, Althaus D, Schmidtke A, Niklewski G. The alliance against depression: 2-year evaluation of a community-based intervention to reduce suicidality. Psychol Med. 2006;36(9):1225–33.CrossRef Hegerl U, Althaus D, Schmidtke A, Niklewski G. The alliance against depression: 2-year evaluation of a community-based intervention to reduce suicidality. Psychol Med. 2006;36(9):1225–33.CrossRef
16.
go back to reference Aseltine RH, James A, Schilling EA, Glanovsky J. Evaluating the SOS suicide prevention program: a replication and extension. BMC Public Health. 2007;7(1):161.CrossRef Aseltine RH, James A, Schilling EA, Glanovsky J. Evaluating the SOS suicide prevention program: a replication and extension. BMC Public Health. 2007;7(1):161.CrossRef
17.
go back to reference Klimes-Dougan B, Yuan C, Lee S, Houri AK. Suicide prevention with adolescents: considering potential benefits and untoward effects of public service announcements. Crisis. 2009;30(3):128–35.CrossRef Klimes-Dougan B, Yuan C, Lee S, Houri AK. Suicide prevention with adolescents: considering potential benefits and untoward effects of public service announcements. Crisis. 2009;30(3):128–35.CrossRef
20.
go back to reference Ono Y, Sakai A, Otsuka K, Uda H, Oyama H, Ishizuka N, et al. Effectiveness of a multimodal community intervention program to prevent suicide and suicide attempts: a quasi-experimental study. PLoS ONE. 2013;8(10):e74902.CrossRef Ono Y, Sakai A, Otsuka K, Uda H, Oyama H, Ishizuka N, et al. Effectiveness of a multimodal community intervention program to prevent suicide and suicide attempts: a quasi-experimental study. PLoS ONE. 2013;8(10):e74902.CrossRef
21.
go back to reference Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite SR, Selby EA, Joiner TE Jr. The interpersonal theory of suicide. Psychol Rev. 2010;117(2):575.CrossRef Van Orden KA, Witte TK, Cukrowicz KC, Braithwaite SR, Selby EA, Joiner TE Jr. The interpersonal theory of suicide. Psychol Rev. 2010;117(2):575.CrossRef
22.
go back to reference Kleiman EM, Liu RT. Social support as a protective factor in suicide: findings from two nationally representative samples. J Affect Disord. 2013;150(2):540–5.CrossRef Kleiman EM, Liu RT. Social support as a protective factor in suicide: findings from two nationally representative samples. J Affect Disord. 2013;150(2):540–5.CrossRef
23.
go back to reference Calear AL, Batterham PJ, Christensen H. Predictors of help-seeking for suicidal ideation in the community: risks and opportunities for public suicide prevention campaigns. Psychiatry Res. 2014;219(3):525–30.CrossRef Calear AL, Batterham PJ, Christensen H. Predictors of help-seeking for suicidal ideation in the community: risks and opportunities for public suicide prevention campaigns. Psychiatry Res. 2014;219(3):525–30.CrossRef
24.
go back to reference Rudd MD, Goulding JM, Carlisle CJ. Stigma and suicide warning signs. Arch Suicide Res. 2013;17(3):313–8.CrossRef Rudd MD, Goulding JM, Carlisle CJ. Stigma and suicide warning signs. Arch Suicide Res. 2013;17(3):313–8.CrossRef
25.
go back to reference Hjelmeland H, Knizek BL. The general public’s views on suicide and suicide prevention, and their perception of participating in a study on attitudes towards suicide. Arch Suicide Res. 2004;8(4):345–59.CrossRef Hjelmeland H, Knizek BL. The general public’s views on suicide and suicide prevention, and their perception of participating in a study on attitudes towards suicide. Arch Suicide Res. 2004;8(4):345–59.CrossRef
26.
go back to reference Hom MA, Stanley IH, Joiner TE Jr. Evaluating factors and interventions that influence help-seeking and mental health service utilization among suicidal individuals: a review of the literature. Clin Psychol Rev. 2015;40:28–39.CrossRef Hom MA, Stanley IH, Joiner TE Jr. Evaluating factors and interventions that influence help-seeking and mental health service utilization among suicidal individuals: a review of the literature. Clin Psychol Rev. 2015;40:28–39.CrossRef
27.
go back to reference Calear AL, Batterham PJ. Suicidal ideation disclosure: patterns, correlates and outcome. Psychiatry Res. 2019;278:1–6.CrossRef Calear AL, Batterham PJ. Suicidal ideation disclosure: patterns, correlates and outcome. Psychiatry Res. 2019;278:1–6.CrossRef
28.
go back to reference World Health Organisation (WHO). Preventing suicide: a community engagement toolkit. Geneva: World Health Organisation; 2018. Report No.: CC BY-NC-SA 3.0 IGO. World Health Organisation (WHO). Preventing suicide: a community engagement toolkit. Geneva: World Health Organisation; 2018. Report No.: CC BY-NC-SA 3.0 IGO.
29.
go back to reference Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, et al. Suicide prevention strategies: a systematic review. JAMA. 2005;294(16):2064–74.CrossRef Mann JJ, Apter A, Bertolote J, Beautrais A, Currier D, Haas A, et al. Suicide prevention strategies: a systematic review. JAMA. 2005;294(16):2064–74.CrossRef
30.
go back to reference Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, Sarchiapone M, et al. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry. 2016;3(7):646–59.CrossRef Zalsman G, Hawton K, Wasserman D, van Heeringen K, Arensman E, Sarchiapone M, et al. Suicide prevention strategies revisited: 10-year systematic review. Lancet Psychiatry. 2016;3(7):646–59.CrossRef
32.
go back to reference Mok K, Donovan R, Hocking B, Maher B, Lewis R, Pirkis J. Stimulating community action for suicide prevention: findings on the effectiveness of the Australian RU OK? Campaign. Int J Ment Health Promot. 2016;18(4):213–21.CrossRef Mok K, Donovan R, Hocking B, Maher B, Lewis R, Pirkis J. Stimulating community action for suicide prevention: findings on the effectiveness of the Australian RU OK? Campaign. Int J Ment Health Promot. 2016;18(4):213–21.CrossRef
35.
go back to reference Ross AM, Kelly CM, Jorm AF. Re-development of mental health first aid guidelines for suicidal ideation and behaviour: a Delphi study. BMC Psychiatry. 2014;14(1):241.CrossRef Ross AM, Kelly CM, Jorm AF. Re-development of mental health first aid guidelines for suicidal ideation and behaviour: a Delphi study. BMC Psychiatry. 2014;14(1):241.CrossRef
36.
go back to reference Mental Health First Aid Australia. Suicidal thoughts and behaviours: first aid guidelines (revised 2014). Melbourne: Mental Health First Aid Australia; 2014. Mental Health First Aid Australia. Suicidal thoughts and behaviours: first aid guidelines (revised 2014). Melbourne: Mental Health First Aid Australia; 2014.
37.
go back to reference McHugh ML. The Chi square test of independence. Biochemia medica. 2013;23(2):143–9.CrossRef McHugh ML. The Chi square test of independence. Biochemia medica. 2013;23(2):143–9.CrossRef
40.
go back to reference Goldsmith DJ, Dun SA. Sex differences and similarities in the communication of social support. J Soc Pers Relat. 1997;14(3):317–37.CrossRef Goldsmith DJ, Dun SA. Sex differences and similarities in the communication of social support. J Soc Pers Relat. 1997;14(3):317–37.CrossRef
41.
go back to reference Trobst KK, Collins RL, Embree JM. The role of emotion in social support provision: gender, empathy and expressions of distress. J Soc Pers Relat. 1994;11(1):45–62.CrossRef Trobst KK, Collins RL, Embree JM. The role of emotion in social support provision: gender, empathy and expressions of distress. J Soc Pers Relat. 1994;11(1):45–62.CrossRef
42.
go back to reference Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211.CrossRef Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211.CrossRef
Metadata
Title
Australian R U OK?Day campaign: improving helping beliefs, intentions and behaviours
Authors
Anna M. Ross
Bridget Bassilios
Publication date
01-12-2019
Publisher
BioMed Central
Keywords
Suicide
Suicide
Published in
International Journal of Mental Health Systems / Issue 1/2019
Electronic ISSN: 1752-4458
DOI
https://doi.org/10.1186/s13033-019-0317-4

Other articles of this Issue 1/2019

International Journal of Mental Health Systems 1/2019 Go to the issue