Towards development of guidelines for harnessing implementation science for suicide prevention: an international Delphi expert consensus study
Objectives Suicide research and prevention are complex. Many practical, methodological and ethical challenges must be overcome to implement effective suicide prevention interventions. Implementation science can offer insights into what works, why and in what context. Yet, there are limited real-worl...
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2025-05-01
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| author | Naohiro Yonemoto Thomas Niederkrotenthaler Allison Crawford Ulrich Hegerl Rakhi Dandona Ella Arensman Kairi Kõlves Michael Phillips Lakshmi Vijayakumar Gregory Armstrong Lauren White Annette Erlangsen Paul Siu Fai Yip Mark Sinyor Ping Qin Emmanuel Nii-Boye Quarshie Nikhil Jain Sadhvi Krishnamoorthy Isabel Zbukvic Fiona Shand Mohsen Rezaeian Merike Sisask Victoria Ross Sharna Mathieu Nathaniel Pollock Andras Szekely Ashley Nemiro Lennart Reifels Hayley Purdon Jillian Francis Jacinta Hawgood Alexandr Kasal Allison M. Gustavson Anna Baran Chez Curnow Daniel Reidenberg Daria Biechowska Caroline Mae Ramirez Jorgen Gullestrup Katherine McGill Kylie King Loraine Barnaby Marlena Sokół-Szawłowska Maryke Van Zyl Piotr Toczyski Ricardo Gusmão Samah Jabr Sarah Spafford Tae-Yeon Hwang Vita Poštuvan Yutaka Motohashi |
| author_facet | Naohiro Yonemoto Thomas Niederkrotenthaler Allison Crawford Ulrich Hegerl Rakhi Dandona Ella Arensman Kairi Kõlves Michael Phillips Lakshmi Vijayakumar Gregory Armstrong Lauren White Annette Erlangsen Paul Siu Fai Yip Mark Sinyor Ping Qin Emmanuel Nii-Boye Quarshie Nikhil Jain Sadhvi Krishnamoorthy Isabel Zbukvic Fiona Shand Mohsen Rezaeian Merike Sisask Victoria Ross Sharna Mathieu Nathaniel Pollock Andras Szekely Ashley Nemiro Lennart Reifels Hayley Purdon Jillian Francis Jacinta Hawgood Alexandr Kasal Allison M. Gustavson Anna Baran Chez Curnow Daniel Reidenberg Daria Biechowska Caroline Mae Ramirez Jorgen Gullestrup Katherine McGill Kylie King Loraine Barnaby Marlena Sokół-Szawłowska Maryke Van Zyl Piotr Toczyski Ricardo Gusmão Samah Jabr Sarah Spafford Tae-Yeon Hwang Vita Poštuvan Yutaka Motohashi |
| author_sort | Naohiro Yonemoto |
| collection | DOAJ |
| description | Objectives Suicide research and prevention are complex. Many practical, methodological and ethical challenges must be overcome to implement effective suicide prevention interventions. Implementation science can offer insights into what works, why and in what context. Yet, there are limited real-world examples of the application of implementation science in suicide prevention. This study aimed to identify approaches to employ principles of implementation science to tackle important challenges in suicide prevention.Methods A questionnaire about promoting implementation science for suicide prevention was developed through thematic analysis of stakeholder narratives. Statements were categorised into six domains: research priorities, practical considerations, approach to intervention design and delivery, lived experience engagement, dissemination and the way forward. The questionnaire (n=52 statements—round 1; n=44 statements—round 2; n=9 statements—round 3) was administered electronically to a panel (n=62—round 1, n=48—round 2; n=45—round 3) of international experts (suicide researchers, leaders, project team members, lived experience advocates). Statements were rated on a Likert scale based on an understanding of importance and priority of each item. Statements endorsed by at least 85% of the panel would be included in the final guidelines.Results Eighty-two of the 90 statements were endorsed. Recommendations included broadening research inquiries to understand overall programme impact; accounting for resources in the translation of evidence into practice; embedding implementation science in intervention delivery and design; meaningfully engaging lived experience; considering channels for dissemination of implementation-related findings and focusing on next steps needed to routinely harness the strengths of implementation science in suicide prevention research, practice and training.Conclusion An interdisciplinary panel of suicide prevention experts reached a consensus on optimal strategies for using implementation science to enhance the effectiveness of policies and programmes aimed at reducing suicide. |
| format | Article |
| id | doaj-art-276d3e657a6c434a8447ed2e5055c9dc |
| institution | OA Journals |
| issn | 2753-4294 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-276d3e657a6c434a8447ed2e5055c9dc2025-08-20T02:38:28ZengBMJ Publishing GroupBMJ Public Health2753-42942025-05-013110.1136/bmjph-2024-001206Towards development of guidelines for harnessing implementation science for suicide prevention: an international Delphi expert consensus studyNaohiro Yonemoto0Thomas Niederkrotenthaler1Allison Crawford2Ulrich Hegerl3Rakhi Dandona4Ella Arensman5Kairi Kõlves6Michael Phillips7Lakshmi Vijayakumar8Gregory Armstrong9Lauren White10Annette Erlangsen11Paul Siu Fai Yip12Mark Sinyor13Ping Qin14Emmanuel Nii-Boye Quarshie15Nikhil Jain16Sadhvi Krishnamoorthy17Isabel Zbukvic18Fiona Shand19Mohsen Rezaeian20Merike Sisask21Victoria Ross22Sharna Mathieu23Nathaniel Pollock24Andras Szekely25Ashley Nemiro26Lennart Reifels27Hayley Purdon28Jillian Francis29Jacinta Hawgood30Alexandr Kasal31Allison M. Gustavson32Anna Baran33Chez Curnow34Daniel Reidenberg35Daria Biechowska36Caroline Mae Ramirez37Jorgen Gullestrup38Katherine McGill39Kylie King40Loraine Barnaby41Marlena Sokół-Szawłowska42Maryke Van Zyl43Piotr Toczyski44Ricardo Gusmão45Samah Jabr46Sarah Spafford47Tae-Yeon Hwang48Vita Poštuvan49Yutaka Motohashi50School of Medicine, University of Toyama, Toyama City, JapanCentre for Public Health, Medical University of Vienna, Wien, Austria9-8-8, Suicide Crisis Helpline, Centre for Addiction and Mental Health, Toronto, Ontario, CanadaDepartment of Psychiatry, Psychosomatics and Psychotherapy, Goethe-Universität Frankfurt am Main, Frankfurt am Main, GermanyPublic Health Foundation of India, New Delhi, IndiaAustralian Institute for Suicide Research and Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, School of Applied Psychology, Griffith University, Brisbane, Queensland, AustraliaAustralian Institute for Suicide Research and Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, School of Applied Psychology, Griffith University, Brisbane, Queensland, AustraliaShanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaDepartment of Psychiatry, The Voluntary Health Services Hospital, Chennai, Tamil Nadu, IndiaCentre for Mental Health and Community Wellbeing, The University of Melbourne, Melbourne, Victoria, AustraliaSchool of Social Work, University of Washington, Seattle, Washington, USACentre for Mental Health Research, National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australian Capital Territory, AustraliaHong Kong Jockey Club Centre for Suicide Research and Prevention, The University of Hong Kong, Hong Kong, Hong KongDepartment of Psychiatry, Sunnybrook Health Sciences Centre, Toronto, Ontario, CanadaNational Center for Suicide Research and Prevention, Institute of Clinical Medicine, University of Oslo, Oslo, NorwayDepartment of Psychology, University of Ghana, Accra, Ghana2 Cambridge Eye Research Centre, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UKAustralian Institute for Suicide Research and Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, School of Applied Psychology, Griffith University, Brisbane, Queensland, AustraliaOrygen, Melbourne, Victoria, AustraliaBlack Dog Institute, University of New South Wales, Sydney, New South Wales, AustraliaDepartment of Epidemiology and Biostatistics, School of Health, Occupational Environment Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, The Islamic Republic of IranSchool of Governance, Law and Society (SOGOLAS), Estonian Centre of Excellence for Well-Being Sciences (EstWell), Tallinn University, Tallinn, EstoniaAustralian Institute for Suicide Research and Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, School of Applied Psychology, Griffith University, Brisbane, Queensland, AustraliaAustralian Institute for Suicide Research and Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, School of Applied Psychology, Griffith University, Brisbane, Queensland, AustraliaMemorial University, St John`s, Newfoundland and Labrador, CanadaVégeken Egészséglélektani Alapítvány, Budapest, HungaryIndependent Mental Health and Psychosocial Support Expert, Bergen, NorwayCentre for Mental Health and Community Wellbeing, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, AustraliaSchool of Health and Medicine, University of New England, Armidale, New South Wales, AustraliaSchool of Health Sciences, The University of Melbourne, Melbourne, Victoria, AustraliaAustralian Institute for Suicide Research and Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, School of Applied Psychology, Griffith University, Brisbane, Queensland, AustraliaNational Institute of Mental Health, Klecany, Czech RepublicVeterans Affairs Health Services Research and Development, Center for Care Delivery and Outcomes Research, Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USALinnaeus University, Kalmar-Växjö, SwedenMental Health and Alcohol and Other Drugs, Country South Australia, Nuriootpa, South Australia, AustraliaNational Council for Suicide Prevention, Minneapolis, Minnesota, USAFaculty of Psychology in Sopot, SWPS University of Social Sciences and Humanities, Warsaw, PolandNational Centre for Mental Health, Department of Health, Manilla, PhilippinesSchool of Public Health, Deakin University, Geelong, Victoria, AustraliaHunter New England Local Health District, New Lambton, New South Wales, AustraliaSchool of Psychological Sciences, Monash University, Clayton, Victoria, AustraliaHealth Services Authority, Grand Cayman, Cayman IslandsInstitute of Psychiatry and Neurology, Warsaw, PolandSan Francisco Veterans Health Administration, San Francisco, California, USAMaria Grzegorzewska University, Warsaw, PolandMental Health Literacy, Wellbeing, Depression and Suicide Prevention Lab, EPIUnit, Institute of Public Health, University of Porto (ISPUP), Porto, PortugalMental Health Unit, Ministry of Health, Gaza city, State of PalestineSuicide Prevention Lab, College of Education, University of Oregon, Eugene, Oregon, USAKorea Foundation for Suicide Prevention, Ministry of Health and Welfare, Seoul, The Republic of KoreaSlovene Centre for Suicide Research, Andrej Marusic Institute, University of Primorska, Koper, SloveniaNational Centre for Neurology and Psychiatry, Tokyo, JapanObjectives Suicide research and prevention are complex. Many practical, methodological and ethical challenges must be overcome to implement effective suicide prevention interventions. Implementation science can offer insights into what works, why and in what context. Yet, there are limited real-world examples of the application of implementation science in suicide prevention. This study aimed to identify approaches to employ principles of implementation science to tackle important challenges in suicide prevention.Methods A questionnaire about promoting implementation science for suicide prevention was developed through thematic analysis of stakeholder narratives. Statements were categorised into six domains: research priorities, practical considerations, approach to intervention design and delivery, lived experience engagement, dissemination and the way forward. The questionnaire (n=52 statements—round 1; n=44 statements—round 2; n=9 statements—round 3) was administered electronically to a panel (n=62—round 1, n=48—round 2; n=45—round 3) of international experts (suicide researchers, leaders, project team members, lived experience advocates). Statements were rated on a Likert scale based on an understanding of importance and priority of each item. Statements endorsed by at least 85% of the panel would be included in the final guidelines.Results Eighty-two of the 90 statements were endorsed. Recommendations included broadening research inquiries to understand overall programme impact; accounting for resources in the translation of evidence into practice; embedding implementation science in intervention delivery and design; meaningfully engaging lived experience; considering channels for dissemination of implementation-related findings and focusing on next steps needed to routinely harness the strengths of implementation science in suicide prevention research, practice and training.Conclusion An interdisciplinary panel of suicide prevention experts reached a consensus on optimal strategies for using implementation science to enhance the effectiveness of policies and programmes aimed at reducing suicide.https://bmjpublichealth.bmj.com/content/3/1/e001206.full |
| spellingShingle | Naohiro Yonemoto Thomas Niederkrotenthaler Allison Crawford Ulrich Hegerl Rakhi Dandona Ella Arensman Kairi Kõlves Michael Phillips Lakshmi Vijayakumar Gregory Armstrong Lauren White Annette Erlangsen Paul Siu Fai Yip Mark Sinyor Ping Qin Emmanuel Nii-Boye Quarshie Nikhil Jain Sadhvi Krishnamoorthy Isabel Zbukvic Fiona Shand Mohsen Rezaeian Merike Sisask Victoria Ross Sharna Mathieu Nathaniel Pollock Andras Szekely Ashley Nemiro Lennart Reifels Hayley Purdon Jillian Francis Jacinta Hawgood Alexandr Kasal Allison M. Gustavson Anna Baran Chez Curnow Daniel Reidenberg Daria Biechowska Caroline Mae Ramirez Jorgen Gullestrup Katherine McGill Kylie King Loraine Barnaby Marlena Sokół-Szawłowska Maryke Van Zyl Piotr Toczyski Ricardo Gusmão Samah Jabr Sarah Spafford Tae-Yeon Hwang Vita Poštuvan Yutaka Motohashi Towards development of guidelines for harnessing implementation science for suicide prevention: an international Delphi expert consensus study BMJ Public Health |
| title | Towards development of guidelines for harnessing implementation science for suicide prevention: an international Delphi expert consensus study |
| title_full | Towards development of guidelines for harnessing implementation science for suicide prevention: an international Delphi expert consensus study |
| title_fullStr | Towards development of guidelines for harnessing implementation science for suicide prevention: an international Delphi expert consensus study |
| title_full_unstemmed | Towards development of guidelines for harnessing implementation science for suicide prevention: an international Delphi expert consensus study |
| title_short | Towards development of guidelines for harnessing implementation science for suicide prevention: an international Delphi expert consensus study |
| title_sort | towards development of guidelines for harnessing implementation science for suicide prevention an international delphi expert consensus study |
| url | https://bmjpublichealth.bmj.com/content/3/1/e001206.full |
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