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RUOK?

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RUOK?
NameRUOK?
TypeNonprofit campaign
Founded2009
FounderGavin Larkin
HeadquartersSydney, New South Wales
Area servedAustralia, international
FocusSuicide prevention, mental health awareness

RUOK?

RUOK? is an Australian suicide prevention campaign established to prompt conversations about mental health and encourage people to check in with others. The initiative emphasizes asking a simple question to foster support networks among communities such as families, workplaces, and schools, drawing engagement from public figures, corporations, and civic institutions. RUOK? has become associated with a national awareness day and is linked to broader efforts in suicide prevention, crisis intervention, and community resilience.

Background and Origin

RUOK? was founded by Gavin Larkin in 2009 following the suicide of his father, inspired by grassroots advocacy and community responses to bereavement. The campaign emerged in Sydney, New South Wales, and quickly aligned with organizations such as Lifeline Australia, Beyond Blue, and the Black Dog Institute to integrate clinical and peer-support approaches. Early involvement included outreach to municipal councils like the City of Sydney and engagement with federal and state actors including the New South Wales Ministry of Health and the Australian Department of Health. Prominent supporters and endorsers over time have included figures from the arts and sports sectors such as the Australian Football League, Cricket Australia, the Australian Council for the Arts, and media organizations including the Australian Broadcasting Corporation and Nine Entertainment.

Campaign Description and Objectives

RUOK? aims to reduce suicide and self-harm by encouraging timely intervention through conversation, with objectives that include increasing help-seeking, decreasing stigma, and promoting connection among vulnerable groups. The campaign protocol recommends asking, listening, encouraging action, and checking in—principles that align with best practices advocated by WHO, the World Federation for Mental Health, and suicide prevention frameworks used by organizations like the Centers for Disease Control and Prevention and the National Suicide Prevention Lifeline. RUOK? positions itself alongside peer-support models endorsed by academics from institutions such as the University of Sydney, University of Melbourne, Monash University, and the University of Queensland.

Activities and Events

RUOK? coordinates an annual RUOK? Day featuring promotional materials, training resources, and community events timed with partners including schools like Sydney Grammar School and institutions such as the Australian Defence Force and tertiary providers like the University of New South Wales. Activities extend to workplace toolkits adopted by corporations such as Telstra, Qantas, Westpac, ANZ, Commonwealth Bank, and BHP, and to sporting events involving the Australian Football League, Rugby Australia, and Football Australia. The campaign offers digital resources distributed via platforms including Facebook, Twitter, Instagram, YouTube, and LinkedIn, and collaborates with media outlets like The Sydney Morning Herald, The Age, The Australian, SBS, and News Corp Australia to amplify messaging.

Impact and Effectiveness

Evaluations of RUOK? cite increased public awareness measured by surveys conducted with partners including the Australian Bureau of Statistics and research centers at Flinders University and Deakin University. The campaign’s influence is evident in corporate mental health policies at organisations such as PwC, KPMG, Deloitte, Ernst & Young, and the Australian Medical Association, and in school wellbeing programs aligned with frameworks from the Australian Institute of Health and Welfare. Independent reviews reference connections to crisis services like Lifeline, Headspace, and Kids Helpline, and to clinical research from UNSW Medicine, the Black Dog Institute, and the Murdoch Children’s Research Institute. Policy uptake has been noted in initiatives by the Australian Senate Select Committee on Mental Health and in state-level strategies by Victoria, Queensland, and Western Australia.

Criticism and Controversies

Critiques of RUOK? address concerns over oversimplification, reliance on lay intervention, and potential mismatches with clinical pathways highlighted by academics from the University of Melbourne, University of Adelaide, and the University of Western Australia. Some mental health professionals associated with the Royal Australian and New Zealand College of Psychiatrists, the Australian Psychological Society, and independent clinicians have argued for clearer links to evidence-based treatment such as cognitive behavioral therapy and dialectical behavior therapy frameworks. Debates have occurred in media platforms including ABC’s Four Corners and investigative pieces in The Guardian and The Sydney Morning Herald concerning governance, measurement of outcomes, and the balance between awareness campaigns and resourcing for crisis services like Beyond Blue and Lifeline.

Partnerships and Funding

RUOK? collaborates with a wide network of partners spanning civil society, academia, and industry, including Beyond Blue, Lifeline Australia, Black Dog Institute, Headspace, St Vincent’s Hospital, and the Minderoo Foundation. Corporate sponsors have included Telstra, QBE Insurance, Optus, Macquarie Group, and AMP, while philanthropic support has come from foundations such as the Ian Potter Foundation and the Myer Foundation. Government funding and in-kind support have been provided by state health departments in New South Wales, Victoria, and Queensland, and by federal initiatives linked to the Department of Health and Aged Care and parliamentary inquiries on mental health. Training and evaluation partnerships involve universities such as the Australian National University, Griffith University, and Curtin University.

International Adoption and Adaptations

Elements of the RUOK? model have been adapted internationally by organisations and campaigns that emphasize peer conversation, including initiatives in New Zealand, the United Kingdom, Canada, and the United States, with cross-references to organizations such as Samaritans, CALM, Mind, Suicide Prevention UK, Canadian Mental Health Association, and the National Suicide Prevention Lifeline. Adaptations have been discussed in policy fora including the World Health Organization and at conferences hosted by the International Association for Suicide Prevention, and have informed workplace mental health standards promoted by the International Labour Organization and ISO mental health guidelines. Regional adaptations have engaged local institutions such as Te Whatu Ora in New Zealand, NHS trusts in England, provincial health authorities in Canada, and state health departments in the United States.

Category:Mental health organizations in Australia