Recognizing and coping with suicidal thoughts: A mixed-methods investigation of digital safety plan content

IF 3.8 3区 心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Clinical Psychology Pub Date : 2024-03-26 DOI:10.1111/bjc.12460
Christopher Rainbow, Ruth Tatnell, Grant Blashki, Glenn A. Melvin
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Abstract

Objectives

Suicide safety plans are a personalized means of documenting how a person at risk of suicide recognizes and intends to cope with emerging suicidal thoughts. This study aimed to understand how users of digital suicide safety plans describe their warning signs, methods of coping and any relationships between these that may emerge.

Methods

A sample comprising 150 users of the Australian suicide safety planning smartphone app Beyond Now consented to share the content of their safety plans. Reflexive thematic analysis was used to identify themes in overall plan content. Most participants identified as women (61%), had a history of at least one suicide attempt (61%) and completed their plans by themselves (84%).

Results

Three major themes emerged: (1) interpersonal challenges and complexity; (2) matching coping strategies to warning signs; and (3) helpful and harmful digital technology use. Most plans appeared to demonstrate high self-awareness of warning signs and available supports.

Conclusions

Safety plan content provides a window into the thought process underlying the recognition of suicidal thoughts and the attempts to manage them. An opportunity exists for practitioners and support persons to use this content when collaboratively supporting a safety plan user to improve their coping strategies and support networks.

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认识和应对自杀念头:数字安全计划内容的混合方法调查。
目的:自杀安全计划是一种个性化手段,用于记录有自杀风险的人如何认识到并打算应对新出现的自杀念头。本研究旨在了解数字自杀安全计划的用户如何描述他们的警示信号、应对方法以及这些因素之间可能出现的任何关系:150名澳大利亚自杀安全计划智能手机应用程序 "Beyond Now "的用户同意分享他们的安全计划内容。我们采用了反思性主题分析法来确定总体计划内容的主题。大多数参与者都认为自己是女性(61%),有过至少一次自杀未遂史(61%),并且自己完成了计划(84%):结果:出现了三大主题:(1) 人际关系的挑战和复杂性;(2) 应对策略与警告信号的匹配;(3) 有用和有害数字技术的使用。大多数计划似乎都表现出对警示信号和可用支持的高度自我意识:安全计划的内容提供了一个窗口,让人们了解认识到自杀念头和试图控制这些念头的思维过程。从业人员和支持人员在共同支持安全计划使用者改善其应对策略和支持网络时,有机会使用这些内容。
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来源期刊
CiteScore
5.80
自引率
3.20%
发文量
57
期刊介绍: The British Journal of Clinical Psychology publishes original research, both empirical and theoretical, on all aspects of clinical psychology: - clinical and abnormal psychology featuring descriptive or experimental studies - aetiology, assessment and treatment of the whole range of psychological disorders irrespective of age group and setting - biological influences on individual behaviour - studies of psychological interventions and treatment on individuals, dyads, families and groups
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