Mental health self-stigma and peer-victimisation in adolescence.

到了青春期中期，许多年轻人都面临着精神健康方面的挑战，这些挑战反映了情绪上的困难（例如，抑郁、焦虑、自残），同时，相当多的人被诊断出一系列神经发育障碍（例如，多动症、自闭症谱系）。这些挑战往往伴随着心理健康的自我耻辱感，即认为自己以误导和消极的方式与同龄人不同。除了应对与他们的困难相关的症状外，与正常发育的同龄人相比，这些群体还经历了更多的同伴受害。这项研究将检验心理健康的自我耻辱是否更有可能使同伴受害持续更长时间，并产生更糟糕的结果。为实现这一目标，将与精神健康基金会及其青年团体合作，采用参与性研究方法。有过精神健康困难生活经历的年轻人将是项目中有意义的伙伴，也就是说，他们将帮助确定研究的方向和性质，收集数据，解释结果，并将共同制定适当的方式，将结论传播给他们的同龄人。要使PRM方法取得成功，必须承认由于与项目伙伴进行有意义的讨论而改变研究的可能性。考虑到这一点，第一个计划中的研究将涉及对有精神健康耻辱和同伴受害经历的青少年进行访谈。这些将探讨他们对心理健康自我耻辱可能与同伴受害相关的方式的想法和感受。第二项研究将要求年轻人在一年内完成三次调查，以评估心理健康自我耻辱在多大程度上是(i)持续存在和（ii）同伴受害结果的风险因素。将与精神健康基金会及其青年团体合作，制作具有影响力和适合年龄的宣传材料。

By mid-adolescence, many young people live with mental health challenges that reflect emotional difficulties (e.g., depression, anxiety, self-harm) and at the same time considerable numbers have diagnoses reflecting a range of neurodevelopmental disorders (e.g., ADHD, Autism spectrum). These challenges are often accompanied by mental health self-stigma which is the belief that you are different from you peer group in misleading and negative ways. As well as coping with symptoms associated with their difficulties, these groups also experience more peer-victimisation as compared to their typically developing peers. This research will examine whether mental health self-stigma makes it more likely that peer-victimisation will last longer and will have worse outcomes. To achieve this, a participatory research methods (PRM) approach will be used in collaboration with the Mental Health Foundation and their Youth Collective. Young people with lived experience of mental health difficulties will be meaningful partners in the project, that is, they will help to shape the direction and nature of the research, collect data, interpret results, and will co-produce appropriate ways of disseminating the conclusions to their peers. For PRM approaches to be successful, the possibility of a research changing as a result of meaningful discussions with project partners must be acknowledged. With this in mind, the first planned study will involve interviews with adolescents with lived experience of mental health stigma and peer-victimisation. These will explore their thoughts and feelings about the ways in which mental health self-stigma might be associated with peer-victimisation. The second study will involve asking young people to complete surveys three times across one year to evaluate the extent to which mental health self-stigma is a risk-factor for the (i) persistence and (ii) outcomes of peer-victimisation. Impactful and age-appropriate dissemination materials will be produced in collaboration with the Mental Health Foundation and their Youth Collective.