北台灣某大學學生接受心理健康促進與自殺防治守門人課程之效益研究

Effectiveness of mental health and suicide prevention course in northern Taiwan

目標：本研究欲調查北部某校大學生參與16週自殺防治守門人課程後之(1)學期中心理困擾及自殺風險程度變化；以及(2)自殺防治守門人知能改變及其他成效。方法：受試者為通識課程修課學生，該課程主要教授心理健康促進與自殺防治守門人知能，學期中以線上問卷進行資料收集，包括人口學資料與心理社會評估、自殺認知量表、復原力及興盛感評估、學習與生活自評量表等，以成對樣本T檢定進行分析。結果：於159位受試者中，近三成個案整體自殺風險偏高，學生於自殺認知、復原力因應、興盛感及生活自評量表皆有顯著成效；而在近一週自殺意念變項顯著下降，其餘如心理困擾程度、學習困擾自評兩者未有顯著影響。結論：本研究發現16週的自殺防治守門人教育課程可顯著改善受試者的自殺認知、復原力、興盛感、生活自評與近一週自殺意念的表現，且對於心理困擾評估之五個面向無影響，研究結果可提供國內大學設計心理健康促進與自殺防治守門人訓練時之參考。

Objectives: This study investigated 1) changes in mental distress and suicide risk levels among participants of a 16-week suicide prevention course and 2) the effectiveness of the suicide prevention course. Methods: A total of 159 undergraduate students enrolled in a mental health promotion and suicide prevention course in northern Taiwan were enrolled. Online questionnaires were used to collect data on participant demographics and psychosocial status. The questionnaire was based on a suicide perception scale, a sense of resilience scale, a sense of thriving scale, and self-rated academic and life situation scales. A paired sample t-test was conducted. Results: Among the 159 participants, 30.2% were at high risk of suicide. The course had significant effects on suicide perception, resilience and coping, sense of thriving, and self-rated life situation. Additionally, suicidal ideation distress significantly decreased after the program. However, no significant changes in mental distress levels or self-rated academic scores were observed. Conclusions: The 16-week suicide prevention course led to improvements in knowledge, sense of resilience, sense of thriving, lifestyle adjustments, and suicidal ideation. No effects on the five variables of the mental distress assessment were observed. These findings aid universities in Taiwan in designing mental health and suicide prevention courses.