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It defines distress and key concepts such as cultural safety and community engagement for Indigenous participants. The protocol outlines step-by-step researcher actions for immediate response, referral pathways, early interview cessation follow-up, documentation, team notification, and ongoing evaluation. It emphasizes respect, collaboration, trauma-informed care, and confidential support resources.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/distress-protocol-project-participant-support-procedures/270587/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/distress-protocol-project-participant-support-procedures/270587.png","ImageObject",300,407,{"name":92,"@type":93},"Quinn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-23","2026-09-15",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",13,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"How does the researcher identify that a participant is distressed?","Question",{"text":113,"@type":114},"The researcher monitors visible distress (e.g., crying or noticeable behaviour changes), withdrawal or disengagement, and expressions of fear, anxiety, sadness, or discomfort with specific topics. The researcher also responds if distress is expressed directly to the researcher or another participant.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What are the immediate steps when a participant becomes distressed?",{"text":118,"@type":114},"The researcher acknowledges the participant’s upset and asks them to confirm their capacity to continue. If triggered, the researcher offers a break and reminds the participant the interview can cease; if the participant can continue, the researcher may avoid the triggering subject and may ask whether support has been previously sought or how to access support.",{"name":120,"@type":111,"acceptedAnswer":121},"What happens if the interview ends early or stops normally?",{"text":122,"@type":114},"If the interview ends early, the researcher ceases the interview and follows up by email to check the participant is no longer distressed, and may offer listed support services as appropriate. If the interview ends normally, the researcher asks how the participant feels and follows up later that day or the next morning.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},270587,1789456048,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":52},962075114765,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","Distress Protocol\nProject Title: [include project title]\nHREC Reference Number:  [ethics reference number H2xxxx, if known]\nResearchers: [list the Principal Investigator and all researchers involved in the project]\nBackground:\nThis protocol outlines procedures for addressing distress experienced by participants, researchers, and/or community members involved in research projects. For background, the researcher/s conducting the interviews is [name], who has experience [outline relevant experience].\nPurpose:\n• To provide a clear and accessible framework for identifying and responding to distress arising from research participation or engagement.\n• To ensure the well-being and respect of all individuals involved in the research process.\n• To promote culturally safe support services and resources [if applicable].\nDefinitions:\n• Distress: A range of negative emotional and psychological reactions, including but not limited to; anxiety, fear, sadness, anger, grief, and trauma.\n• Indigenous Peoples: People who identify as Aboriginal and/or Torres Strait Islander, this is also referred to as Indigenous peoples.\n• Cultural Safety: The underpinning tenet of cultural safety is that each person should receive care, a service, or be part of a process that considers their unique identities and experiences. In Aboriginal and Torres Strait Islander research this needs to include the following principles of: Self-determination;  Participation in decision making;  Respect for and protection of culture; and Equity and non-discrimination.\n• Community Engagement: Meaningful and ongoing consultation and collaboration with Indigenous participants throughout the research process.\u0005\n1. How will the risk be identified by the researcher?\nThe researcher will note if the participant:\nIs visibly upset or distressed (e.g., crying, teary, or any other noticeable change in behaviour ranging from relaxed to uncomfortable).\nWithdrawn or disengaged\nExpresses fear, anxiety, sadness or comfortability with a particular subject matter.\u0005\nIf the participant expresses distress directly to the researcher or other participant and so on.\n2. Distress Response:\na) Immediate action:\nVerbally acknowledge that the participant appears upset and ask them to confirm their capacity to continue.\nIf the participant confirms they are triggered/upset, the researcher will offer to take a break from the interview.\nIf the participant confirms they would like a break, the researcher will also remind the participant the interview can also cease.\nIf the participant confirms their capacity to continue, the researcher will offer to not discuss the particular triggering subject.\nIf appropriate (i.e., if the participant is clear about what has triggered them), the researcher may ask if the participant has previously sought support/knows how to seek support should they need. \u0005\nb) Referrals:\nRefer participants to appropriate community-based support services, mental health professionals, or crisis support lines.\n3. What will the researcher do if the interview is ended early?\nThe researcher will cease the interview and will follow up with the participant via email to check they are no longer distressed. The research may also offer the below support services (as appropriate).\nLifeline (13 11 14) – 24 hour crisis support and suicide prevention services.\n1800RESPECT – domestic, family or sexual violence.\nGriefline (1300 845 745) – support for anyone who is grieving. \u0005\n4. What will the researcher do if the interview stops at the normal stage?\nIn the case that the interview proceeds as normal, the researcher will:\nAsk the participant at the end of the interview how they are feeling.\nFollow up with the participant later that day/following morning.\u0005\n5. How will the research team be notified?\nThe research team will be notified after the interview by email of the occurrence. If the risk appears twice or more, the research team will revise the interview approach. \u0005\n6. Documentation:\nDocument all instances of d","cbCaig2U5sIwZFXP","https://ap.wps.com/l/cbCaig2U5sIwZFXP","docx",882196,"English","# Background\n# Purpose\n# Definitions\n## Distress Identification\n## Distress Response\n### Immediate action\n### Referrals\n## Interview End Procedures\n### Interview ended early\n### Interview stops at normal stage\n## Research Team Notification\n## Documentation\n## Ongoing Evaluation and Review\n# Important Considerations\n# Key Principles\n# Further Information","[{\"question\":\"How does the researcher identify that a participant is distressed?\",\"answer\":\"The researcher monitors visible distress (e.g., crying or noticeable behaviour changes), withdrawal or disengagement, and expressions of fear, anxiety, sadness, or discomfort with specific topics. The researcher also responds if distress is expressed directly to the researcher or another participant.\"},{\"question\":\"What are the immediate steps when a participant becomes distressed?\",\"answer\":\"The researcher acknowledges the participant’s upset and asks them to confirm their capacity to continue. If triggered, the researcher offers a break and reminds the participant the interview can cease; if the participant can continue, the researcher may avoid the triggering subject and may ask whether support has been previously sought or how to access support.\"},{\"question\":\"What happens if the interview ends early or stops normally?\",\"answer\":\"If the interview ends early, the researcher ceases the interview and follows up by email to check the participant is no longer distressed, and may offer listed support services as appropriate. If the interview ends normally, the researcher asks how the participant feels and follows up later that day or the next morning.\"}]","Distress Protocol - Project Participant Support Procedures | DOCX"]