{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T06:14:38Z","timestamp":1794204878976,"version":"4.8.0"},"reference-count":65,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2025,4,2]],"date-time":"2025-04-02T00:00:00Z","timestamp":1743552000000},"content-version":"unspecified","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001782","name":"The University of Melbourne","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001782","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["ID1177787"],"award-info":[{"award-number":["ID1177787"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["ID2008460"],"award-info":[{"award-number":["ID2008460"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["ID2019085"],"award-info":[{"award-number":["ID2019085"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019998","name":"Suicide Prevention Australia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100019998","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100022580","name":"William Buckland Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100022580","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,3,9]]},"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To understand the help-seeking experiences of young people from culturally and linguistically diverse (CALD) backgrounds who have experienced suicidal thoughts and behaviours (STB).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative study using semistructured interviews and reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>A specialist, youth-focused Hospital Outreach Post-suicidal Engagement (HOPE) aftercare service delivered by Orygen in North-West Melbourne, Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Eight young people aged 16\u201324 years (mean: 18.7\u00b13.1 years, 50% female) from various CALD backgrounds who had been discharged from the HOPE aftercare service within the past 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four themes were identified: (1) cultural taboos and generational differences create challenges in communicating with family; (2) isolation is a barrier to reaching out; (3) it\u2019s hard to disclose and discuss STB with clinicians and (4) not being taken seriously in clinical settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings highlight social, cultural and organisational barriers that shape the help-seeking journeys of young people from CALD backgrounds experiencing STB. Results suggest a need for culturally sensitive suicide prevention strategies, enhanced cultural competency in healthcare settings and efforts to improve mental health literacy within CALD communities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-093859","type":"journal-article","created":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T02:14:11Z","timestamp":1743646451000},"page":"e093859","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Help-seeking experiences of young people of culturally and\/or linguistically diverse (CALD) backgrounds following suicidal thoughts and behaviours in Melbourne, Australia: a qualitative approach"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5308-0559","authenticated-orcid":false,"given":"Gowri","family":"Rajaram","sequence":"first","affiliation":[{"name":"Orygen, Parkville, Victoria, Australia"},{"name":"The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry L","family":"Gibson","sequence":"additional","affiliation":[{"name":"University of Auckland, Auckland, New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dzenana","family":"Kartal","sequence":"additional","affiliation":[{"name":"The University of Melbourne Centre for Health Policy, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Lamblin","sequence":"additional","affiliation":[{"name":"Orygen, Parkville, Victoria, Australia"},{"name":"The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Richards","sequence":"additional","affiliation":[{"name":"Orygen, Parkville, Victoria, Australia"},{"name":"The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pemma","family":"Davies","sequence":"additional","affiliation":[{"name":"Orygen, Parkville, Victoria, Australia"},{"name":"The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina","family":"Witt","sequence":"additional","affiliation":[{"name":"Orygen, Parkville, Victoria, Australia"},{"name":"The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Robinson","sequence":"additional","affiliation":[{"name":"Orygen, Parkville, Victoria, Australia"},{"name":"The University of Melbourne, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,4,2]]},"reference":[{"key":"2025120619242284000_15.4.e093859.1","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1177\/00048674211009600","article-title":"Suicide prevention: Emergency departments are crucial for surveillance of self-harm and suicide-related behaviours","volume":"55","author":"Bird","year":"2021","journal-title":"Aust N Z J Psychiatry"},{"key":"2025120619242284000_15.4.e093859.2","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/j.auec.2023.01.003","article-title":"Characteristics of self-harm presentations to the emergency department of the Royal Melbourne Hospital, 2012-2019: Data from the Self-Harm Monitoring System for Victoria","volume":"26","author":"Witt","year":"2023","journal-title":"Australas Emerg Care"},{"key":"2025120619242284000_15.4.e093859.3","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1177\/00048674221082518","article-title":"Growth in emergency department self-harm or suicidal ideation presentations in young people: Comparing trends before and since the COVID-19 first wave in New South Wales, Australia","volume":"57","author":"Sara","year":"2023","journal-title":"Aust N Z J Psychiatry"},{"key":"2025120619242284000_15.4.e093859.4","unstructured":"Australian Institute of Health and Welfare . 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