The development and feasibility evaluation of a low-intensity intervention for reducing self-harm and suicidal behaviour

减少自残和自杀行为的低强度干预措施的开发和可行性评估

• 批准号: 2897570
• 金额: --
• 依托单位: University of Manchester
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2023
• 资助国家: 英国
• 起止时间: 2023 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2897570
• 关键词: development; feasibility; evaluation; low; intensity

Suicide is a global problem. In the UK, more than 5000 individuals end their own life every year. Despite this, there are few effective interventions proven to significantly reduce the frequency or severity of suicidal thoughts and attempts. With the burden on mental health services being at an all-time high, especially following the Covid-19 pandemic, there is a need for low intensity, accessible interventions.The proposed project aims to address this gap by developing a self-driven, low-intensity, positively-focused intervention which targets known mechanisms underlying suicidal behaviour. Theories of suicide posit that psychological pain, caused by thwarted needs and hopelessness, can lead to suicidal ideation and that a combination of reduced connectedness to others or a meaningful life can lead to a suicide attempt. Exposing individuals to positive, inspiring messages has been shown to reduce suicidal outcomes. This project will offer a new intervention that targets hopefulness and engagement in meaningful behaviour with the aim of increasing wellbeing and reducing suicidal thoughts and behaviour.Through a mixed method design, the new intervention will develop through an in-depth knowledge of the prior literature and working alongside experts-by-experience. The first stage of the project will involve conducting a literature review of positive interventions targeting the mechanisms of interest. Subsequently, a new intervention will be co-designed in accord with an established framework for co-production (e.g. EBCD by Point of Care Foundation). This approach will comprise of initial co-design events, ongoing workshops with a smaller group of PPI contributors and a final review event. Finally, a pilot study looking at the acceptability and feasibility of the new intervention will be conducted with NHS service users who have been waitlisted for more intense therapeutic support. This final stage will assess pre- and post-intervention clinical outcomes, as well as determine feasibility through an analysis of recruitment, retention, and adherence data. Nested within the pilot study will be a process evaluation, informed by implementation science, of the acceptability of the new intervention from the participants' perspectives.This research will contribute to current knowledge around effective interventions for self-harm behaviour. Such an intervention will be of use to those awaiting more intense psychological therapy, either by helping them manage their symptoms and distress to a level that will make more intense therapy more effective or even to address their need for further support, potentially alleviating the burden on services and freeing up resources.

自杀是一个全球性的问题。在英国，每年有超过5000人结束自己的生命。尽管如此，很少有有效的干预措施被证明可以显着降低自杀想法和企图的频率或严重程度。随着心理健康服务的负担处于历史最高水平，特别是在2019冠状病毒病大流行之后，需要低强度、可获得的干预措施。拟议的项目旨在通过开发一种自我驱动、低强度、积极关注的干预措施来解决这一差距，该干预措施针对自杀行为的已知机制。自杀理论认为，由需求受阻和绝望引起的心理痛苦会导致自杀意念，与他人的联系减少或有意义的生活的结合会导致自杀企图。让个人接触积极的，鼓舞人心的信息已被证明可以减少自杀的结果。该项目将提供一种新的干预措施，以提高幸福感和减少自杀想法和行为为目标，目标是实现有意义的行为和参与。通过混合方法设计，新的干预措施将通过深入了解先前的文献并与经验丰富的专家一起工作来开发。该项目的第一阶段将涉及对针对相关机制的积极干预措施进行文献审查。随后，将根据已建立的共同制作框架（例如，Point of Care Foundation的EBCD）共同设计新的干预措施（雅阁）。这一办法将包括初步的共同设计活动、与生产者价格指数贡献者小组持续举办的讲习班和最后审查活动。最后，一项试点研究，看看新的干预措施的可接受性和可行性将进行与国民保健服务的用户谁一直在等待更激烈的治疗支持。最后阶段将评估干预前后的临床结果，并通过对招募、保留和依从性数据的分析确定可行性。在试点研究中，将进行一项过程评估，以实施科学为依据，从参与者的角度评估新干预措施的可接受性，这项研究将有助于提高目前对自残行为有效干预措施的认识。这种干预将有助于那些等待更强烈的心理治疗的人，帮助他们管理他们的症状和痛苦，使更强烈的治疗更有效，甚至解决他们对进一步支持的需求，可能减轻服务负担并释放资源。