Developing Social Media-Based Suicide Prevention Messages in Partnership With Young People: Exploratory Study.

Developing Social Media-Based Suicide Prevention Messages in Partnership With Young People: Exploratory Study.
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DOI:
10.2196/mental.7847
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发表时间:
2017-10-04
期刊:
影响因子:
5.2
通讯作者:
Skehan J
Skehan J
中科院分区:
医学2区
文献类型:
--
作者:
Robinson J;Bailey E;Hetrick S;Paix S;O'Donnell M;Cox G;Ftanou M;Skehan J

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社交媒体越来越多地被年轻人用于与健康相关的问题,包括关于自杀的沟通。由于担心造成痛苦或诱发自杀想法或行为,迄今为止,年轻人既没有参与开发基于社交媒体的自杀预防干预措施,也没有干预措施专注于教育年轻人在线交流自杀的安全方法。考虑到社交媒体在跨空间和时间向大量人群传递信息的潜力,以及年轻人往往更喜欢向朋友和同龄人寻求帮助的事实,安全地教育和吸引年轻人制定可以通过社交媒体传递的自杀预防信息显然是下一步。这项研究的目的是:(1)向少数中学生提供教育,让他们了解通过社交媒体传达自杀信息的安全方法;(2)让这些年轻人参与开发一套基于社交媒体的预防自杀多媒体信息;(3)评估这对参与者的影响;(4)评估所开发信息的可接受性和安全性。这项研究包括两个阶段。在第一阶段,从两所学校招募的20名参与者参加了一个为期8到10周的项目,在此期间,他们接受了有关心理健康和自杀的心理教育,包括如何安全地在网上谈论自杀,然后他们得到了设计和开发自己的媒体信息的支持。这些参与者在课程结束时完成了一份评估问卷。在第二阶段,通过选择加入过程招募的更大一组参与者(n=69)查看了媒体消息,并完成了关于每个消息的简短问卷。第一阶段的参与者很喜欢这个项目,并报告说他们学到了新的技能,比如如何在网上安全地谈论自杀,并感到更有能力为他人提供情感支持(16/20,80%)。没有参与者报告说,该计划使他们感到自杀。第二阶段的参与者普遍认为媒体信息是安全和可接受的,尽管有些信息的评价高于其他信息。这项研究表明,年轻人可以安全地参与制定自杀预防信息,这些信息可以通过社交媒体传播。让年轻人参与这一进程可能会提高这类运动对其他年轻人的吸引力。该研究还表明,教育年轻人如何安全地在网上谈论自杀有多种好处,与痛苦无关。总的来说,这些发现为预防年轻人自杀的新方法铺平了道路。
Social media is increasingly being used by young people for health-related issues, including communicating about suicide. Due to the concerns about causing distress or inducing suicidal thoughts or behaviors, to date young people neither have been engaged in the development of social media–based suicide prevention interventions nor have interventions focused on educating young people about safe ways to communicate about suicide online. Given the potential that social media holds to deliver messages to vast numbers of people across space and time and the fact that young people often prefer to seek help from their friends and peers, safely educating and engaging young people to develop suicide prevention messages that can be delivered via social media is an obvious next step. The objectives of this study were to (1) provide education to a small number of secondary school students about safe ways to communicate about suicide via social media; (2) engage the same young people in the development of a suite of social media–based suicide prevention multimedia messages; (3) assess the impact of this on participants; and (4) assess the acceptability and safety of the messages developed. This study involved two phases. In phase 1, 20 participants recruited from two schools took part in an 8- to 10-week program during which they were provided with psychoeducation about mental health and suicide, including how to talk safely about suicide online, and they were then supported to design and develop their own media messages. These participants completed an evaluation questionnaire at the conclusion of the program. In phase 2, a larger group of participants (n=69), recruited via an opt-in process, viewed the media messages and completed a short questionnaire about each one. Participants in phase 1 enjoyed the program and reported that they learned new skills, such as how to talk safely about suicide online, and felt more able to provide emotional support to others (16/20, 80%). No participants reported that the program made them feel suicidal. Participants in phase 2 generally rated the media messages as safe and acceptable, although some messages were rated more highly than others. This study suggests that young people can be safely engaged in developing suicide prevention messages, which can be disseminated via social media. Engaging young people in this process may improve the traction that such campaigns will have with other young people. The study also suggests that educating young people regarding how to talk safely about suicide online has multiple benefits and is not associated with distress. Overall, these findings pave the way for new approaches to prevent suicide among young people.
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