以世界咖啡館模式探討自殺防治策略之跨縣市應用

Exploring the Cross-County Application of National Suicide Prevention Strategy Through the World Café Model

台灣自殺死亡率過去十年雖呈現下降趨勢，然而各縣市仍需精進現況策略以持續提升自殺防治成效。本研究旨在應用世界咖啡館模式探討防治策略，凝聚縣市相關人員共識以策進作為。來自22縣市的61位參與者分為四小組、三回合，各組於組長引導下討論三項議題：通報數據與自殺防治、關懷訪視與再自殺預防、燒炭自殺防治之因地制宜策略，並設計10題量表調查滿意度。經逐字稿分析發現關懷訪視服務之實務面與制度面為成員關注的主題；討論重點包括數據分析、訪員教育訓練、關懷訪視流程規範與新制（如跨專業共訪）、跨縣市訪視成果檢視等，成員整體滿意度高於80%。本研究成果提供了通報訪視制度與實務規範之改進措施與新興研究模式之實證參考。

The suicide rate in Taiwan has been decreasing in the past decade. However, the local governments need to promote up-to-date suicide prevention strategies in order to enhance prevention effectiveness. The study aims to facilitate communications across multidisciplinary personnel and to form better local strategies of suicide prevention through the world café model. All the 61 participants who were divided into four small groups came from the 22 counties in Taiwan. They were arranged to discuss the following three issues over three rounds of sessions: high-risk report statistics in suicide prevention, aftercare visit and re-attempt prevention, and the charcoal burning strategies that tailored to the need of local governments. A satisfaction survey with a 10-item self-invented scale was administered after the discussion through the online survey system. Qualitative content analysis revealed that the main topics of discussion were related to the practice and policy sides of aftercare visit regulations, which included issues of suicide data analysis, education and training, aftercare visit procedures and new policy (i.e., cross-professionally mutual visit), and cross-county effectiveness comparisons. The satisfaction rate was consistently over 80% in every item of the questionnaire. The evidence-based findings of this novel study provided the reference for future discussions of a better practice regulation and aftercare policy.