Development and codesign of flourish: A digital suicide prevention intervention for LGBTQ+ youth who have experienced online victimization.
Development and codesign of flourish: A digital suicide prevention intervention for LGBTQ+ youth who have experienced online victimization.
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DOI：
10.1016/j.invent.2023.100663
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发表时间：
2023-12
期刊：
影响因子：
4.3
通讯作者：
Goldstein, Tina
中科院分区：
文献类型：
--
作者：
Biernesser, Candice;Win, Emma;Farzan, Rosta;Rose, Morgan;Goldstein, Tina
LGBTQ+青少年经历了不成比例的高网络受害(OV)，指的是在线环境中有害的言论、图片或行为，这与自杀风险有关。目前的服务在支持面向OV活动的LGBTQ+青年方面存在差距。为了解决这些差距，本研究旨在为经历过OV的LGBTQ+青年开发FORMISH，一种数字自杀预防干预措施。对20名LGBTQ+青少年、11名父母和10名LGBTQ+在职专业人员进行了定性访谈。随后，通过个人和小组设计会议，与22名青年进行了迭代的联合设计过程，随后进行了可用性测试。数据被记录和转录。定性访谈使用定性描述方法进行分析，设计会议和可用性测试的数据使用快速定性技术进行分析。对青年、家长和专业人士的采访表明，Fruish的首选是部分自动化的文本消息干预，利用基于网络的内容，这是LGBTQ+青年通过教育、应对技能和求助资源寻求对OV的支持的安全空间。学校和心理健康服务专业人员认为，在青年服务环境中实施繁荣发展具有潜力。可用性测试通过系统可用性量表进行评估，平均得分为91，表明感知到的可用性极佳。Flomish有可能成为一种可接受的干预措施，以支持OV后的LGBTQ+青年。未来的步骤将包括测试FORMISH的可行性和有效性，并进一步研究FURRISH在LGBTQ+青年服务中实施的潜力。LGBTQ+青年及其支助系统中的青年在OV后有明确的预防优先事项。对于LGBTQ+OV后的年轻人来说，Flomish可能是一种可接受的数字自杀预防干预措施。繁荣可以加强以学校为基础的和精神健康服务，以扩大对LGBTQ+青年的支持。联合设计方法为高危LGBTQ+青少年制定干预措施提供了见解。
LGBTQ+ youth experience disproportionately high rates of online victimization (OV), referring to harmful remarks, images, or behaviors in online settings, which is associated with suicidal risk. Current services have gaps in supporting LGBTQ+ youth facing OV events. To address these gaps, this study aims to develop Flourish, a digital suicide prevention intervention for LGBTQ+ youth who have experienced OV. Qualitative interviews were conducted with 20 LGBTQ+ youth with past-year history of OV and lifetime history of suicidality, 11 of their parents, and 10 LGBTQ+-serving professionals. Subsequently, an iterative codesign process was conducted with 22 youth through individual and group design sessions, followed by usability testing. Data were recorded and transcribed. Qualitative interviews were analyzed using a qualitative description approach, and data from design sessions and usability testing were analyzed using rapid qualitative techniques. Interviews with youth, parents, and professionals suggested preferences for Flourish to be a partially automated, text message intervention leveraging web-based content that is a safe space for LGBTQ+ youth to seek support for OV through education, coping skills, and help-seeking resources. School and mental health services professionals considered the potential for implementing Flourish within youth services settings. Usability testing, assessed through the System Usability Scale, yielded an average rating of 91, indicating excellent perceived usability. Flourish has potential to be an acceptable intervention to support LGBTQ+ youth following OV. Future steps will include testing the feasibility and efficacy of Flourish and further examining Flourish's potential for implementation within services for LGBTQ+ youth. LGBTQ+ youth and those in their support systems have clear priorities for prevention after OV. Flourish may be an acceptable digital suicide prevention intervention for LGBTQ+ youth after OV. Flourish could augment school-based and mental health services to extend support for LGBTQ+ youth. Codesign approaches offer insights for the development of interventions for at-risk LGBTQ+ youth.
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