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Overall, 217 students (55% female; <jats:italic>m<\/jats:italic><jats:sub>age<\/jats:sub>\u2009=\u200924.93\u2009years [18, 60]) enrolled in this study from 2020 to 2021. Participants' responses to suicidal statements, mental health literacy, generalized self\u2010efficacy, help\u2010seeking behavior, and overall utility of the program were collected at baseline, post\u2010MOOC (10\u2009weeks from baseline) and 12\u2010week follow\u2010up. The effect of time and location interaction was explored using a random\u2010effects regression model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Findings indicated significant improvement in participants' knowledge of positive mental health support strategies (ES\u2009=\u20090.42, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) and recognizing appropriate responses to suicidal statements (ES\u2009=\u20090.37, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001) at 10\u2010weeks, with further improvement at 12\u2009weeks follow\u2010up (ES\u2009=\u20090.47 and 0.46, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Students reported higher generalized self\u2010efficacy at the 12\u2010week follow\u2010up compared to baseline (ES\u2009=\u20090.19, <jats:italic>p\u2009=<\/jats:italic>\u20090.03) and an increased tendency to seek professional help for mental health issues (ES\u2009=\u20090.22, <jats:italic>p\u2009=<\/jats:italic>\u20090.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These findings provide preliminary evidence of the efficacy of the \u201cTalk\u2010to\u2010Me\u201d program in supporting \u200euniversity students across Australia to increase their suicide\u2010related knowledge and skills, \u200egeneral self\u2010efficacy, and overall mental fitness.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sltb.12978","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T12:40:39Z","timestamp":1690893639000},"page":"725-738","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Understanding the utility of \u201cTalk\u2010to\u2010Me\u201d an online suicide prevention program for Australian university students"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2825-7265","authenticated-orcid":false,"given":"Bahareh","family":"Afsharnejad","sequence":"first","affiliation":[{"name":"School of Allied Health, Faculty of Health Sciences Curtin University  Perth Western Australia Australia"},{"name":"Curtin Autism Research Group (CARG) Curtin University  Perth Western Australia Australia"},{"name":"enAble Institute Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Milbourn","sequence":"additional","affiliation":[{"name":"School of Allied Health, Faculty of Health Sciences Curtin University  Perth Western Australia Australia"},{"name":"Curtin Autism Research Group (CARG) Curtin University  Perth Western Australia Australia"},{"name":"enAble Institute Curtin University  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cherylee","family":"Brown","sequence":"additional","affiliation":[{"name":"School of Allied Health, Faculty of Health Science Australian Catholic University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rhonda","family":"Clifford","sequence":"additional","affiliation":[{"name":"School of Allied Health\/Social Work and Social Policy University of Western Australia  Perth Western Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kitty\u2010Rose","family":"Foley","sequence":"additional","affiliation":[{"name":"Faculty of Health Southern Cross University  Bilinga Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Logan","sequence":"additional","affiliation":[{"name":"School of Allied Health, Faculty of Health Science Australian Catholic University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Lund","sequence":"additional","affiliation":[{"name":"Faculty of Health Southern Cross University  Bilinga Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tawanda","family":"Machingura","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences &amp; 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