Items that were identical to other items, not relevant to a general population, ambiguous or rarely endorsed in the studies reporting them were then excluded from the item pool.
Whether the PTSD symptoms endorsed in the studies to date are primarily a function of ICU-related events or instead are influenced by other traumatic exposures is a crucial question, but one that (in part due to the limitations of current research) cannot be answered.
In addition, concerns about legal/regulatory sanctions constitute a frequently reported barrier to opioid prescribing [ 5- 7, 9, 10], but were infrequently endorsed in the current study.
While the advice in these booklets is generally consistent with the advice in the guidelines, they included a number of pieces of advice that were not endorsed in the current study.
Despite health professionals' previously expressed concern about the inclusion of questions about end-of-life issues in the booklet, these questions were endorsed in the pilot study and were felt to be of particular benefit by both patients and participating doctors.
Many first aid actions endorsed in the current studies were not endorsed in previous international Delphi studies, conducted on problem drinking and problem drug use in non-Indigenous people, highlighting the need for culturally specific first aid strategies to be employed when assisting Aboriginal or Torres Strait Islander people.
For example beliefs about whether depression symptoms are a normal part of life were endorsed in studies including participants who were recruited following self-diagnosis of depression, a diagnosis in the medical records and those identified by screening or diagnostic interview.
While the international Delphi studies endorsed statements about police involvement, the Aboriginal and Torres Strait Islander experts appeared to be more reluctant; only items that specifically focused on police as a last resort were endorsed in the current studies.
