Youth Perspectives on Barriers and Opportunities for the Development of a Peer Support Model to Promote Mental Health and Prevent Suicide

Libon, Jackie; Alganion, Jarlo; Hilario, Carla

doi:10.1177/01939459221115695

Cited by 6 publications

(4 citation statements)

References 32 publications

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“…Using co-design workshops with young people to inform the development of peer support for suicide prevention, Libon et al [ 8 ] identified the benefits of including youths in designing and implementing peer support. Throughout discussions in this study, participants suggested working with app users to develop content that is appropriate and appealing.…”

Section: Discussionmentioning

confidence: 99%

“…Digital tools such as smartphone apps are one option for facilitating suicide prevention among young people [ 8 ] given that around 96% of young people aged 16-24 years in the United Kingdom own smartphones [ 9 ]. Evidence is emerging from systematic reviews that digital tools, such as self-guided smartphone apps or web-based therapy, can be immediately effective in reducing suicidal ideation, particularly those that directly target suicide, and that the effects are comparable to face-to-face interventions [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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Developing Suicide Prevention Tools in the Context of Digital Peer Support: Qualitative Analysis of a Workshop With Multidisciplinary Stakeholders

Cliffe,

Gore-Rodney,

Linton

et al. 2023

JMIR Form Res

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Background Suicide is the fourth leading cause of death among young people aged 15-29 years worldwide and suicide rates are increasing. Suicide prevention strategies can be effective but young people face barriers to accessing them. Providing support digitally can facilitate access, but this can also pose risks if there is inappropriate or harmful content. Collaborative approaches are key for developing digital suicide prevention tools to ensure support is appropriate and helpful for young people. Tellmi (previously MeeToo) is a premoderated UK-based peer-support app where people aged 11-25 years can anonymously discuss issues ranging from worries to life challenges. It has procedures to support high-risk users, nevertheless, Tellmi is interested in improving the support they provide to users with more acute mental health needs, such as young people struggling with suicide and self-harm ideation. Further research into the best ways of providing such support for this population is necessary. Objective The aim of this study is to explore the key considerations for developing and delivering digital suicide prevention tools for young people aged 18-25 years from a multidisciplinary perspective, including the views of young people, practitioners, and academics. Methods A full-day, in-person workshop was conducted with mental health academics (n=3) and mental health practitioners (n=2) with expertise in suicide prevention, young people with lived experience of suicidal ideation (n=4), and a computer scientist (n=1) and technical staff from the Tellmi app (n=6). Tellmi technical staff presented 14 possible evidence-based adaptations for the app as a basis for the discussions. A range of methods were used to evaluate them, including questionnaires to rate the ideas, annotating printouts of the ideas with post-it notes, and group discussions. A reflexive thematic analysis was performed on the qualitative data to explore key considerations for designing digital suicide prevention tools in the context of peer support. Results Participants discussed the needs of both those receiving and providing support, noting several key considerations for developing and delivering digital support for high-risk young people. In total, four themes were developed: (1) the aims of the app must be clear and consistent, (2) there are unique considerations for supporting high-risk users: (subtheme) customization helps tailor support to high-risk users, (3) “progress” is a broad and multifaceted concept, and (4) considering the roles of those providing support: (subtheme) expertise required to support app users and (subtheme) mitigating the impact of the role on supporters. Conclusions This study outlined suggestions that may be beneficial for developing digital suicide prevention tools for young people. Suggestions included apps being customizable, transparent, accessible, visually appealing, and working with users to develop content and language. Future research should further explore this with a diverse group of young people and clinicians.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Developing Suicide Prevention Tools in the Context of Digital Peer Support: Qualitative Analysis of a Workshop With Multidisciplinary Stakeholders

Cliffe,

Gore-Rodney,

Linton

et al. 2023

JMIR Form Res

View full text Add to dashboard Cite

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“…Additionally, a lack of knowledge about available resources and how to access them poses a significant obstacle and is where gatekeeper programs could come in handy. Moreover, a lack of trust in mental health professionals or discomfort in discussing personal problems with them hinders help-seeking efforts (42,43,(59)(60)(61)(62). A panel of experts participated in a Delphi survey included in this review, which aimed to explore the efficacy of suicide prevention programs.…”

Section: Help Seeking Methodsmentioning

confidence: 99%

“…The findings indicated an inverse correlation between the prevalence of suicide and the frequency of using these medications, but this effect was observed mainly among male adolescents (41). While hospitalization is considered a reliable means of ensuring the safety of adolescents, both staff and patients have negative experiences (42)(43)(44), particularly in the emergency department, according to surveys and interviews, details of the interviews include reports of hospital staff displaying rudeness towards adolescents and expressing opinions that these individuals have no business being in an emergency department setting. Furthermore, participants highlighted excruciatingly long waiting times, with some indicating that the experience exacerbated their already intense subjective feelings of (STB).…”

Section: Medication and Hospitalizationmentioning

confidence: 99%

Scoping review on prevention of suicidal thoughts and behaviors in adolescents: methods, effectiveness and future directions

Aoun,

Spodenkiewicz,

Marimoutou

2024

Front. Child Adolesc. Psychiatry

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IntroductionDespite the extensive implementation of suicide prevention strategies targeting suicidal thoughts and behaviors (STB) in adolescents, there remains a concerning lack of improvement in the situation. In this comprehensive scoping review, our objective was to provide insights into prevention methods for suicidal thoughts and behaviors directed towards adolescents, including their effectiveness, public perception, and potential adaptations.MethodA scoping review was conducted, encompassing 71 articles including systematic review, clinical trials and qualitative studies for a wider understanding. Most articles included focus generally on adolescents aged 10–20.ResultsNo single intervention has shown expected effectiveness, collective efforts have laid a solid foundation for suicide prevention. Promising interventions include cognitive-behavioral therapy (CBT) and incorporating Technology-based interventions. However, challenges persist in promoting help-seeking behaviors and addressing barriers such as stigma, the natural impulsive nature of adolescents and difficulty in selecting and defining data and designs.DiscussionThis review underscores the need for a holistic approach to suicide prevention, integrating social, emotional, and psychological dimensions. Successful interventions target underlying issues like depression and loneliness rather than solely focusing on suicidal thoughts and behaviors (STB). Combining direct and indirect interventions is a sensible approach for both immediate and long-term results. Understanding Generation Z's unique needs, influenced by technology and diverse perspectives, is crucial for effective prevention.ConclusionInvolving adolescents and adopting patient-centered healthcare with outcome measures like Patient Perceived Outcome Measures can enhance suicide prevention efforts by prioritizing safety and patient experiences.

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Anything goes for participant, patient and public involvement in youth mental health research

Bakermans‐Kranenburg,

van IJzendoorn

2024

JCPP Advances

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BackgroundParticipant and Public Involvement in youth mental health research aims at making research more responsive to the needs of youth struggling with mental health issues, their parents, and mental health professionals and other stakeholders. Do characteristics of Patient and Public Involvement (PPI) in youth mental health research align with transparency and replication prerequisites as necessary conditions for translation? Relatedly, the question is addressed whether co‐authorship should be assigned to youth involved in the study.MethodsHere we address these questions re‐visiting 50 PPI studies included in two recent systematic reviews of PPI on characteristics that are pertinent to questions about transparency, replicability, translatability, and co‐authorship in PPI research.ResultsAlmost two‐third of the studies on youth mental health incorporating PPI translate their results to policy or practice, mostly as recommendations but sometimes also by dissemination of (online) interventions. At the same time the authors of a substantial majority of the studies (70%) also suggest the need for further work on their results, for example, in randomized controlled trials to validate the outcome of their exploratory inquiry. Only a quarter of the studies using PPI met the conditions for replicability, thus a majority of the PPI studies suggest premature translation of results. Authorship to involved participants was assigned in 24% of the studies.Conclusions“Anything goes” for PPI in an exploratory stage to generate fruitful hypotheses. Translation of the findings of PPI studies however require a firm evidence base of replicated results. Radical merging of research and action in participatory action research seems incompatible with replicable and therefore translatable inquiry. Assigning co‐authorship to PPI representatives is often at odds with current guidelines for authorship. More evidence from randomized trials on the translational impact of PPI is needed before grant foundations should require PPI in grant proposals.

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Youth Perspectives on Barriers and Opportunities for the Development of a Peer Support Model to Promote Mental Health and Prevent Suicide

Cited by 6 publications

References 32 publications

Developing Suicide Prevention Tools in the Context of Digital Peer Support: Qualitative Analysis of a Workshop With Multidisciplinary Stakeholders

Developing Suicide Prevention Tools in the Context of Digital Peer Support: Qualitative Analysis of a Workshop With Multidisciplinary Stakeholders

Scoping review on prevention of suicidal thoughts and behaviors in adolescents: methods, effectiveness and future directions

Anything goes for participant, patient and public involvement in youth mental health research

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