Suicide Awareness and Prevention in the South Asian Community
We appreciate your participation in this survey, which will be valuable in guiding our efforts in creating effective social media content and community presentations for suicide awareness and prevention within the South Asian community in Georgia. Please fill out the form below with as much information as you arecomfortable providing. Your responses will remain anonymous and confidential.
Demographic Information (Optional)
Age Group:
*
Under 18
18-25
26-35
36-45
46-55
56-65
66 and above
Gender Identity (Optional):
Male
Female
Non-binary/Third gender
Prefer not to say
Country of Origin in South Asia (optional):
India
Pakistan
Bangladesh
Sri Lanka
Nepal
Bhutan
Maldives
Afghanistan
Other
Length of Residence in the United States (optional):
My entire life
Less than 1 year
1-5 years
6-10 years
11-20 years
More than 20 years
Awareness and Knowledge
How familiar are you with the issue of suicide in your community?
*
Not at All
1
2
3
4
Extremely
5
1 is Not at All, 5 is Extremely
On a scale from 1 to 5, how would you rate your level of knowledge about the causes of suicide?
*
Very low
1
2
3
4
Very high
5
1 is Very low, 5 is Very high
Please share your primary sources of information around the topic of suicide? Select all that apply.
*
Print Media (Newspapers, Magazines, etc.)
Social Media (Instagram, X, TikTok, Facebook, etc.)
Broadcast media (TV, radio, podcasts, streaming)
Community Centers
Materials at your doctor’s office
Other
What are some things about suicide/suicidal ideation that you may want to know more about?
*
Personal Experience
Have you or someone you know been affected by suicide?
*
No
Yes
Community Impact
In your opinion, how significantly is the South Asian community in the U.S. affected by suicide?
*
Not at all
1
2
3
4
Extremely
5
1 is Not at all, 5 is Extremely
What do you think are the major causes of suicide in the South Asian community?
*
Prevention and Support
What kind of programs do you think would be effective in the South Asian community to prevent suicide or educate people?
*
Are you aware of any existing suicide prevention, support or resources that serve your community?
*
Yes
No
If you answered yes to the above question, please list the resources
Would you be interested in educational programs about suicide prevention?
*
Yes
No
What would you like to learn more about when it comes to suicide?
*
Any additional comments or feedback you would like to share?
Consent
Do you consent to your responses being used anonymously for research and program development purposes?
*
Yes
No
Would you like to be contacted for additional inputs or to discuss any ideas you may have related to this topic?
*
Yes
No
Submit
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