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。由于精神卫生服务的负担处于历史最高水平，特别是在 Covid-19 大流行之后，因此需要低强度、易获得的干预措施。拟议的项目旨在通过开发一种自我驱动的、低强度的干预措施来解决这一差距。 -针对自杀行为的已知机制进行强度、积极的干预。自杀理论认为，需求受阻和绝望造成的心理痛苦可能导致自杀意念，而与他人的联系减少或有意义的生活可能导致自杀企图。研究表明，让个人接触积极、鼓舞人心的信息可以减少自杀结果。该项目将提供一种新的干预措施，以希望和参与有意义的行为为目标，以提高幸福感并减少自杀念头和行为。通过混合方法设计，新的干预措施将通过对先前文献的深入了解和发展与经验丰富的专家一起工作。该项目的第一阶段将涉及对针对感兴趣机制的积极干预措施进行文献综述。随后，将根据既定的联合生产框架（例如护理点基金会的 EBCD）共同设计新的干预措施。该方法将包括初始联合设计活动、与一小部分 PPI 贡献者持续举办的研讨会以及最终审查活动。最后，一项试点研究将针对已列入等待更强化治疗支持的 NHS 服务用户进行，旨在考察新干预措施的可接受性和可行性。最后阶段将评估干预前和干预后的临床结果，并通过分析招募、保留和依从性数据来确定可行性。试点研究中将包含一个过程评估，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。这项研究将有助于增进有关自残行为有效干预措施的现有知识。这种干预对于那些等待更强烈的心理治疗的人来说是有用的，可以帮助他们控制症状和痛苦，使更强烈的治疗更有效，甚至可以满足他们对进一步支持的需求，从而有可能减轻他们的负担。服务并释放资源。