The present article reports on a study of the attitudes and behaviour of young people towards help-seeking during times of emotional distress and, in particular, when contemplating suicide. Twent-one young people aged between 16 and 24 years, as well as six parents and 14 youth service providers who lived in 'Subcity', a metropolitan community, were interviewed about their understandings of youth suicide and effective interventions. Nearly all the young people, service providers and parents identified a range of barriers that impede or prevent young people from asking for help when they need it most, including issues related to trust and confidentiality, parental support and fear, stigma and perceived loss of esteem. Implications for social work practice include an emphasis on developing parenting skills and community development related to education about suicide and the provision of appropriate support services.

Background Falls among older people are a major global health concern. This process evaluation investigates the experience of participants aged 60+ in a yoga program aimed at preventing falls which transitioned from studio-based classes to online classes in response to COVID-19 restrictions. We sought to understand how the Successful AGEing (SAGE) yoga program functioned in both settings and as a hybrid program, and to explain why it worked well for most participants. Methods Realist process evaluation was used to explore the factors that facilitated a successful transition for most participants, and to consider why it did not work for a minority. This approach develops program theories that describe which mechanisms an intervention is (or is not) activating, and how this is mediated by context to generate process outcomes. Data included interviews with participants (n = 21) and yoga instructors (n = 3), self-report feedback forms (n = 46), observation of classes and routine process measures. Results Factors that facilitated a successful transition for most participants included the quality of yoga instruction, the program format and inherent characteristics of yoga. Gains in transitioning online included continuity and greater convenience. Losses included perceived reduction in the effectiveness of yoga instruction. There were greater challenges for people struggling with pain and in disadvantageous home environments. We identified six program theories configured around 16 mechanisms: 1. It’s worth the effort and 2. In expert hands (these had the same mechanisms: value expectancy, therapeutic alliance and achievement/mastery), 3. A communal experience (these mechanisms were shared experience, social connection, social comparison and peer checking), 4. Putting yoga within reach (accessibility, convenience, gratitude), 5. Building yoga habits (purposeful structure, momentum, accountability and continuity), and 6. Yoga’s special properties (embodiment and mindfulness). Conclusions This study showed that online delivery of a yoga program for people aged 60+ retained much of the value of a face-to-face program for the majority of participants, and increased the value for some. The structured, communal nature of an organised group program delivered by a skilled instructor, together with yoga’s intrinsic focus on mindfulness, facilitated continued engagement and perceived health benefits, despite the change in delivery mode.

Introduction: Alcohol-related violence is a significant and growing problem in Australia and overseas, however there is no up to date information regarding the self-reported experiences of hospital emergency department (ED) workers in Australia. Methods: Ninety-one ED staff in two major hospitals in the Illawarra region of New South Wales completed a short survey designed to measure the amount and causes of violence experienced by staff and canvas possible solutions. Results: Eighty participants reported being verbally abused at least once a month, and 39 reported this as a daily occurrence. Twenty-three staff had experienced physical assault at least once a month. Alcohol was the most commonly listed factor contributing to the violence and aggression (n = 71). Seventy-one staff felt that alcohol-related violence had increased since they had begun working in the ED. There was some confusion at one hospital regarding policies and procedures around alcohol-related violence. Staff suggestions for how to manage alcoholrelated violence included the provision of more security staff and better training. Conclusions: Alcohol-related violence continues to be a significant issue for ED workers and further investigation of policies and procedures around alcohol-related violence in the ED is warranted.