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Table 1 Items with notable differences on the endorsement ratings between the Chinese expert panel and the English-language expert panel

From: Development of Chinese mental health first aid guidelines for psychosis: a Delphi expert consensus study

Items

Rating

Professional

Lived experience

Chinese

English-language

Chinese

English-language

Section 1. Recognizing and acknowledging that someone may be developing psychosis

 The first aider should be aware that psychosis is not contagious.

97%

74%

 The first aider should be aware that psychosis is not an intellectual disability.

97%

78%

Section 2. Approaching the person

 The first aider should approach the person face-to-face, if possible.

90%

78%

88%

75%

Section 3. Communication (in a non-crisis situation)

 The first aider should avoid using psychiatric terms when talking to the person.

100%

74%

97%

75%

Section 5. Communication difficulties

 If appropriate and feasible, the first aider should check with others who know the person for advice on the best way to communicate with them.

100%

74%

Section 6. Being supportive

 The first aider should not tell the person to get their act together.

58%

83%

 The first aider should try to determine whether the person has a supportive social network and if they do, the first aider should encourage them to use these supports.

100%

74%

Section 8. Encouraging professional help (in a non-crisis situation)

 When encouraging the person to seek professional help, the first aider should focus on particular symptoms that are concerning the person and how treatment may help.

87%

70%

97%

75%

 The first aider should provide the person with a range of options for seeking professional help.

97%

75%

Section 10. Hallucination and delusion (in a non-crisis situation)

 If the person is experiencing paranoia, the first aider should give the person simple directions, if needed, e.g. “sit down, and let’s talk about it”.

97%

78%

  1. Note. items with notable differences are those which were rejected by one panel but endorsed by the other, and with a difference of ≥10% on the endorsement ratings