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      A Longitudinal Assessment of Two Suicide Prevention Training Programs for the Construction Industry

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          Abstract

          As part of a suite of early intervention training and support services, Mates in Construction (MATES) provide two general awareness programs to promote mental health and suicide awareness and encourage help-offering and help-seeking in construction workers. General awareness training (GAT) is a one-hour session delivered to all construction workers on large to medium worksites, while MATES awareness training (MAT) maintains similar content but is of shorter duration and delivered informally to small workplaces. This study aimed to compare the effectiveness of the two programs using a before, after and follow-up design. Construction workers undertaking MAT or GAT training completed a short survey before and after their training and again at follow-up. Linear mixed-effect modelling indicated that GAT and MAT training provided similar results in improving suicide awareness and help-seeking intentions. Some variables showed a significant increase from pre-intervention to the three-month follow-up, indicating the long-term impact of some aspects of the training. The findings demonstrating the effectiveness of MAT training have important implications for MATES, as the training can be delivered to much smaller workplaces, making the program more widely available to the construction industry.

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          Suicide by occupation: systematic review and meta-analysis.

          Previous research has shown that those employed in certain occupations, such as doctors and farmers, have an elevated risk of suicide, yet little research has sought to synthesise these findings across working-age populations.
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            MATES in Construction: Impact of a Multimodal, Community-Based Program for Suicide Prevention in the Construction Industry

            A large-scale workplace-based suicide prevention and early intervention program was delivered to over 9,000 construction workers on building sites across Queensland. Intervention components included universal General Awareness Training (GAT; general mental health with a focus on suicide prevention); gatekeeper training provided to construction worker volunteer ‘Connectors’; Suicide First Aid (ASIST) training offered to key workers; outreach support provided by trained and supervised MIC staff; state-wide suicide prevention hotline; case management service; and postvention support provided in the event of a suicide. Findings from over 7,000 workers (April 2008 to November 2010) are reported, indicating strong construction industry support, with 67% building sites and employers approached agreeing to participate in MIC. GAT participants demonstrated significantly increased suicide prevention awareness compared with a comparison group. Connector training participants rated MIC as helpful and effective, felt prepared to intervene with a suicidal person, and knew where to seek help for a suicidal individual following the training. Workers engaged positively with the after-hours crisis support phone line and case management. MIC provided postvention support to 10 non-MIC sites and sites engaged with MIC, but not yet MIC-compliant. Current findings support the potential effectiveness and social validity of MIC for preventing suicide in construction workers.
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              Suicide in selected occupations in Queensland: evidence from the State suicide register.

              Prior research has suggested an association between suicide and certain occupations. The aim of the present study was to report on suicide rates in selected occupations in Queensland (QLD). Suicide mortality data from the QLD Suicide Register and population data from the Australian Bureau of Statistics were obtained for the period 1990-2006. Suicide rates were calculated for each occupational group and compared to rates within the general population (15-64 year age group) and the employed population of QLD. There was significantly higher risk of suicide for male subjects in the agricultural, transport and construction sectors of QLD. High suicide rates were also found in female nurses, artists, agricultural workers and cleaners, while education professionals (of both genders) appeared at lower risk. The significantly higher suicide rates for employees of the agriculture, construction, and transport industries indicate a need for further research into the occupation-specific conditions and individual or other social-environmental factors that may accentuate suicide risk within these professions. Use of higher quality occupational data is also warranted in future studies.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                28 January 2020
                February 2020
                : 17
                : 3
                : 803
                Affiliations
                [1 ]Australian Institute for Suicide Research and Prevention, School of Psychology, Griffith University, Brisbane 4122, Australia; n.caton@ 123456griffith.edu.au (N.C.); k.kolves@ 123456griffith.edu.au (K.K.)
                [2 ]MATES in Construction, Lvl 1/35 Astor Terrace, Spring Hill QLD 4004, Australia; jorgen@ 123456micqld.org.au
                Author notes
                [* ]Correspondence: victoria.ross@ 123456griffith.edu.au ; Tel.: +61-7-373-53-381
                Author information
                https://orcid.org/0000-0003-2656-4915
                https://orcid.org/0000-0002-1638-8981
                Article
                ijerph-17-00803
                10.3390/ijerph17030803
                7038090
                32012888
                c2e7e6ff-3c20-4420-af8f-721201309408
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 17 December 2019
                : 24 January 2020
                Categories
                Article

                Public health
                suicide prevention,construction workers,training,evaluation
                Public health
                suicide prevention, construction workers, training, evaluation

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