Fiona Shand
Dados Biográficos
| ID | 6515033 |
|---|---|
| NOME | Fiona Shand |
| PRENOMES | Fiona |
| SOBRENOME | Shand |
| ASSINATURA | SHAND F |
| AFILIAÇÕES | Black Dog Institute |
| ORCID | 0000-0001-6765-228X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 18 |
| TOTAL DE CITAÇÕES | 1 |
| TOTAL COMO AUTOR | 18 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2017 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 1 |
Exploring Parent Support Needs During and After Adolescent Suicide Crisis Emergency Department Visits
Randomised controlled trial of a web‐based mental health, self‐harm and suicide gatekeeper resource for parents and caregivers
BACKGROUND: Parents and caregivers play key roles in recognising early signs of mental distress and facilitating access to support, yet often lack the confidence and knowledge to respond effectively. Gatekeeper training programs can improve skills, but few are specifically designed for parents. The aim of the current study was to assess the effectiveness of the Recognise, Respond and Support - A Parent's Guide to Youth Mental Health resource in i…
Conceptualising and co-designing an Aboriginal and Torres Strait Islander systems approach to suicide prevention through Aboriginal participation action research
Previous suicide prevention research has privileged Western worldviews and approaches. However, Aboriginal and Torres Strait Islander suicide requires different approaches. This paper outlines the co-design process of an Aboriginal and Torres Strait Islander systems approach to suicide prevention, using Aboriginal Participatory Action Research (APAR). It conceptualises the requirements for this systems approach, drawing on Indigenous Knowledge sy…
Exploring the unique and cumulative effects of individual-level and social determinants on suicidal ideation trajectories during health and environmental crises – a longitudinal study of Australians
There is a paucity of research that has examined how significant health, social, and environmental crises impact suicidal ideation, particularly where these events co-occur and have potentially synergistic adverse effects. The aim of this study was to identify the unique and cumulative contributions of mental health, social, and environmental risks on 12-month trajectories of suicidal ideation. A community-based sample of 1928 Australians (aged ≥…
How Do Young Women Perceive Adult Responses to the Disclosure of Their Self-Harm and What Is the Impact of That Perception
Rates of self-harm amongst young women are rising. However, only half of individuals disclose self-harm, and when they do, they may be met with responses that can be harmful or helpful to recovery. The aim of the current study is to understand how young women perceive adult (e.g., parents, health professionals) responses to their self-harm disclosures, and the impact these responses have on them. Semi-structured interviews were conducted with you…
Navigating Crisis
Rates of emergency department (ED) presentations for suicide crisis (thoughts, feelings, plans and behaviours) in adolescents are increasing. Parents play a key role in supporting adolescents during and after the ED presentation, however little is known about parental experiences in the ED. Interviews with 20 parents from across Australia were undertaken to help understand this experience. A reflexive thematic analysis was conducted, resulting in…
Improving assessment and management of suicide risk among people who inject drugs
Co‐Creation in Research
BACKGROUND: Applied research using co-creation methods is rarely described or evaluated in detail. Practical evidence of co-creation processes and collaboration effectiveness is needed to better understand its complex and dynamic nature. METHODS: Using a case study design and survey method, we assessed processes of co-implementation and co-evaluation grounded in our own experiences from the Co-Creating Safe Spaces project. We examine these in the…
Exploring Sociodemographic Correlates of Suicide Stigma in Australia
The risk of suicidal behaviour in Australia varies by age, sex, sexual preference and Indigenous status. Suicide stigma is known to affect suicide rates and help-seeking for suicidal crises. The aim of this study was to investigate the sociodemographic correlates of suicide stigma to assist in prevention efforts. We surveyed community members and individuals who had attended specific emergency departments for suicidal crisis. The respondents were…
Parents of Adolescents Who Experience Suicidal Phenomena—A Scoping Review of Their Experience
High prevalence rates of self-harm and suicide in adolescence provide unique challenges for parents. The aim of this scoping review was to explore key gaps in our understanding of the current scientific literature on the experience of parents who have adolescent children experiencing suicide crisis or self-harm. Four academic databases were searched using three broad concepts: self-harming behaviour or suicidal crisis; adolescents or young people…
Understanding Emergency Department Healthcare Professionals' Perspectives of Caring for Individuals in Suicidal Crisis
Help seekers regularly present to Emergency Departments (EDs) when in suicidal crisis for intervention to ensure their immediate safety, which may assist in reducing future attempts. The emergency health workforce have unique insights that can inform suicide prevention efforts during this critical junction in an individual's experience with suicide. This paper explores the treatment and care delivery experiences of 54 health professionals working…
A Sustained, Productive, Constructive Relationship with Someone Who Can Help”—A Qualitative Exploration of the Experiences of Help Seekers and Support Persons Using the Emergency Department during a S…
For Australians experiencing a suicide crisis, the emergency department (ED) is the recommended point of contact for intervention and to ensure personal safety. However, negative ED experiences can deter individuals from returning, thus impacting future suicide risk. In order to improve the ED environment for individuals in suicidal crisis, an in-depth understanding of this experience is needed. In-depth semi-structured interviews with 17 help se…
A Qualitative Analysis of Motivators to Participation in Suicide-Focused Research from a Community-Based Australian Sample
Suicide prevention strategies internationally appear to be falling short of making a meaningful impact on global suicide deaths. Increasing the rates of general community participation in suicide research may improve knowledge generalisability as it relates to suicidal behaviour and leads to new suicide prevention approaches. This study aims to explore the motivations of a community-based sample to participate in suicide research. A subsample of …
Short report
A randomised controlled trial of a relationship‐focussed mobile phone application for improving adolescents’ mental health
BACKGROUND: This study evaluated the acceptability and effectiveness of a relationship-focussed mobile phone application (WeClick) for improving depressive symptoms and other mental health outcomes in adolescents. METHODS: A randomised controlled trial involving 193 youth (M age: 14.82, SD: 0.94, 86.5% female) from Australia was conducted. Youth were recruited via the Internet and randomly allocated to the intervention or a 4-week wait list contr…
Road to resilience
Tensions in perspectives on suicide prevention between men who have attempted suicide and their support networks
BACKGROUND: Men generally have higher rates of suicide, despite fewer overt indicators of risk. Differences in presentation and response suggest a need to better understand why suicide prevention is less effective for men. OBJECTIVE: To explore the views of at-risk men, friends and family about the tensions inherent in suicide prevention and to consider how prevention may be improved. DESIGN: Secondary analysis of qualitative interview and focus …
Advocacy and luck
High quality mental healthcare after a suicide attempt is a key strategy for preventing subsequent suicide attempts and deaths, yet little is known about how people navigate the healthcare system following a suicide attempt. This paper focuses on the stories told by 20 people who had attempted suicide. Five themes emerged: fitting into the healthcare system; need for advocacy; consistent care; lucky to find help; and, small kindnesses. Positive a…
Advocacy and luck
High quality mental healthcare after a suicide attempt is a key strategy for preventing subsequent suicide attempts and deaths, yet little is known about how people navigate the healthcare system following a suicide attempt. This paper focuses on the stories told by 20 people who had attempted suicide. Five themes emerged: fitting into the healthcare system; need for advocacy; consistent care; lucky to find help; and, small kindnesses. Positive a…
Advocacy and luck
High quality mental healthcare after a suicide attempt is a key strategy for preventing subsequent suicide attempts and deaths, yet little is known about how people navigate the healthcare system following a suicide attempt. This paper focuses on the stories told by 20 people who had attempted suicide. Five themes emerged: fitting into the healthcare system; need for advocacy; consistent care; lucky to find help; and, small kindnesses. Positive a…
Road to resilience
Tensions in perspectives on suicide prevention between men who have attempted suicide and their support networks
BACKGROUND: Men generally have higher rates of suicide, despite fewer overt indicators of risk. Differences in presentation and response suggest a need to better understand why suicide prevention is less effective for men. OBJECTIVE: To explore the views of at-risk men, friends and family about the tensions inherent in suicide prevention and to consider how prevention may be improved. DESIGN: Secondary analysis of qualitative interview and focus …
Short report
A randomised controlled trial of a relationship‐focussed mobile phone application for improving adolescents’ mental health
BACKGROUND: This study evaluated the acceptability and effectiveness of a relationship-focussed mobile phone application (WeClick) for improving depressive symptoms and other mental health outcomes in adolescents. METHODS: A randomised controlled trial involving 193 youth (M age: 14.82, SD: 0.94, 86.5% female) from Australia was conducted. Youth were recruited via the Internet and randomly allocated to the intervention or a 4-week wait list contr…
A Sustained, Productive, Constructive Relationship with Someone Who Can Help”—A Qualitative Exploration of the Experiences of Help Seekers and Support Persons Using the Emergency Department during a S…
For Australians experiencing a suicide crisis, the emergency department (ED) is the recommended point of contact for intervention and to ensure personal safety. However, negative ED experiences can deter individuals from returning, thus impacting future suicide risk. In order to improve the ED environment for individuals in suicidal crisis, an in-depth understanding of this experience is needed. In-depth semi-structured interviews with 17 help se…
A Qualitative Analysis of Motivators to Participation in Suicide-Focused Research from a Community-Based Australian Sample
Suicide prevention strategies internationally appear to be falling short of making a meaningful impact on global suicide deaths. Increasing the rates of general community participation in suicide research may improve knowledge generalisability as it relates to suicidal behaviour and leads to new suicide prevention approaches. This study aims to explore the motivations of a community-based sample to participate in suicide research. A subsample of …
Understanding Emergency Department Healthcare Professionals' Perspectives of Caring for Individuals in Suicidal Crisis
Help seekers regularly present to Emergency Departments (EDs) when in suicidal crisis for intervention to ensure their immediate safety, which may assist in reducing future attempts. The emergency health workforce have unique insights that can inform suicide prevention efforts during this critical junction in an individual's experience with suicide. This paper explores the treatment and care delivery experiences of 54 health professionals working…
Exploring Sociodemographic Correlates of Suicide Stigma in Australia
The risk of suicidal behaviour in Australia varies by age, sex, sexual preference and Indigenous status. Suicide stigma is known to affect suicide rates and help-seeking for suicidal crises. The aim of this study was to investigate the sociodemographic correlates of suicide stigma to assist in prevention efforts. We surveyed community members and individuals who had attended specific emergency departments for suicidal crisis. The respondents were…
Parents of Adolescents Who Experience Suicidal Phenomena—A Scoping Review of Their Experience
High prevalence rates of self-harm and suicide in adolescence provide unique challenges for parents. The aim of this scoping review was to explore key gaps in our understanding of the current scientific literature on the experience of parents who have adolescent children experiencing suicide crisis or self-harm. Four academic databases were searched using three broad concepts: self-harming behaviour or suicidal crisis; adolescents or young people…
Improving assessment and management of suicide risk among people who inject drugs
Co‐Creation in Research
BACKGROUND: Applied research using co-creation methods is rarely described or evaluated in detail. Practical evidence of co-creation processes and collaboration effectiveness is needed to better understand its complex and dynamic nature. METHODS: Using a case study design and survey method, we assessed processes of co-implementation and co-evaluation grounded in our own experiences from the Co-Creating Safe Spaces project. We examine these in the…
How Do Young Women Perceive Adult Responses to the Disclosure of Their Self-Harm and What Is the Impact of That Perception
Rates of self-harm amongst young women are rising. However, only half of individuals disclose self-harm, and when they do, they may be met with responses that can be harmful or helpful to recovery. The aim of the current study is to understand how young women perceive adult (e.g., parents, health professionals) responses to their self-harm disclosures, and the impact these responses have on them. Semi-structured interviews were conducted with you…
Navigating Crisis
Rates of emergency department (ED) presentations for suicide crisis (thoughts, feelings, plans and behaviours) in adolescents are increasing. Parents play a key role in supporting adolescents during and after the ED presentation, however little is known about parental experiences in the ED. Interviews with 20 parents from across Australia were undertaken to help understand this experience. A reflexive thematic analysis was conducted, resulting in…
Exploring Parent Support Needs During and After Adolescent Suicide Crisis Emergency Department Visits
Randomised controlled trial of a web‐based mental health, self‐harm and suicide gatekeeper resource for parents and caregivers
BACKGROUND: Parents and caregivers play key roles in recognising early signs of mental distress and facilitating access to support, yet often lack the confidence and knowledge to respond effectively. Gatekeeper training programs can improve skills, but few are specifically designed for parents. The aim of the current study was to assess the effectiveness of the Recognise, Respond and Support - A Parent's Guide to Youth Mental Health resource in i…
Conceptualising and co-designing an Aboriginal and Torres Strait Islander systems approach to suicide prevention through Aboriginal participation action research
Previous suicide prevention research has privileged Western worldviews and approaches. However, Aboriginal and Torres Strait Islander suicide requires different approaches. This paper outlines the co-design process of an Aboriginal and Torres Strait Islander systems approach to suicide prevention, using Aboriginal Participatory Action Research (APAR). It conceptualises the requirements for this systems approach, drawing on Indigenous Knowledge sy…
Exploring the unique and cumulative effects of individual-level and social determinants on suicidal ideation trajectories during health and environmental crises – a longitudinal study of Australians
There is a paucity of research that has examined how significant health, social, and environmental crises impact suicidal ideation, particularly where these events co-occur and have potentially synergistic adverse effects. The aim of this study was to identify the unique and cumulative contributions of mental health, social, and environmental risks on 12-month trajectories of suicidal ideation. A community-based sample of 1928 Australians (aged ≥…
Suicide and Self-Harm Studies (14 obras) · Psychology (12 obras) · Medicine (11 obras) · Poison control (10 obras) · Suicide prevention (10 obras) · Medical emergency (8 obras) · Psychiatry (8 obras) · Qualitative research (7 obras) · Mental Health Treatment and Access (6 obras) · Sociology (6 obras)