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.

自杀是一个全球问题。在英国，每年有5000多人结束自己的生命。尽管如此，事实证明，几乎没有有效的干预措施可以显着降低自杀思想和尝试的频率或严重性。由于精神卫生服务的负担一直处于历史最高的高度，尤其是在Covid-19的大流行之后，需要低强度，可访问的干预措施。拟议的项目旨在通过开发一种自我倾向的自杀行为的已知机制来制定一种自我驱动的，低强度的，积极的重点干预措施来解决这一差距。自杀的理论认为，由挫败的需求和绝望造成的心理痛苦会导致自杀意念，并且降低与他人的联系或有意义的生活的结合可以导致自杀企图。事实证明，将个人暴露于积极，鼓舞人心的信息中可以减少自杀结果。该项目将提供一种针对有意义行为的希望和参与的新干预措施，目的是增加福祉并减少自杀思想和行为。通过一种混合的方法设计，新的干预措施将通过对先前文献的深入了解并与专家的经验一起工作。该项目的第一阶段将涉及对针对目标机制的积极干预措施进行文献综述。随后，将根据既定的共同生产框架（例如，通过Care Point of Point of Care Foundation）共同设计新的干预措施。这种方法将包括初始共同设计事件，与较小的PPI贡献者的持续研讨会以及最终的审查事件。最后，将对新干预的可接受性和可行性进行的试点研究将与NHS服务用户一起进行，他们被列入候补名单以寻求更高的治疗支持。这个最后阶段将评估干预前和后临床结果，并通过分析招募，保留和依从性数据来确定可行性。在试点研究中嵌套将是一项过程评估，并由实施科学启用，从参与者的角度来看，新干预措施的可接受性。这项研究将有助于围绕自我伤害行为的有效干预措施的当前知识。这样的干预措施将通过帮助他们管理症状和困扰达到更加有效的疗法，甚至可以满足他们对进一步支持的需求，从而减轻服务负担并释放资源的需求，从而对等待更激烈的心理疗法的人们有用。