‘I'm still su!c!dal when you're done with the paperwork’: an inductive framework thematic analysis of #camhs on TikTok

IF 6.5 1区 医学 Q1 PSYCHIATRY Journal of Child Psychology and Psychiatry Pub Date : 2024-05-09 DOI:10.1111/jcpp.14002
Molly Foster, Hannah Frith, Mary John
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Abstract

Background

Young people are sharing their experiences of Child and Adolescent Mental Health Services (CAMHS) in the United Kingdom on TikTok. Little is known about the content of these videos and their influence on young people's attitudes towards seeking professional mental health support.

Methods

This study explored how CAMHS is represented in a sample of 100 #camhs TikTok videos using participatory inductive framework thematic analysis.

Results

Four themes were developed alongside young people as co-researchers: (a) CAMHS can be frustrating and unhelpful, but sometimes life-saving, (b) Young people can feel their distress is invalidated by CAMHS, (c) CAMHS makes young people feel responsible for their distress, and (d) Young people may not feel CAMHS professionals are trustworthy. Video content described dismissive responses to expressions of suicidal ideation, professional knowledge being privileged over lived experience, and breaches of confidentiality. Some shared positive experiences of CAMHS helping to keep them safe.

Conclusions

Together, the themes reflect a representation of CAMHS as a service where adults are powerful and young people occupy a subjugated position. This may influence young people's professional help-seeking behaviour. Recommendations for clinical practice and future research are presented.

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当你做完文书工作后,我仍然是你的朋友":对 TikTok 上 #camhs 的归纳框架主题分析。
背景:年轻人在 TikTok 上分享他们在英国儿童和青少年心理健康服务(CAMHS)中的经历。人们对这些视频的内容及其对年轻人寻求专业心理健康支持的态度的影响知之甚少:本研究采用参与式归纳框架主题分析法,对 100 个 #camhs TikTok 视频样本中如何体现 CAMHS 进行了探讨:研究人员与作为共同研究者的年轻人一起提出了四个主题:(a) CAMHS 可能会让人感到沮丧和无助,但有时却能挽救生命;(b) 年轻人可能会觉得他们的痛苦被 CAMHS 无视;(c) CAMHS 会让年轻人觉得他们要为自己的痛苦负责;(d) 年轻人可能会觉得 CAMHS 的专业人员不值得信任。视频内容描述了对表达自杀意念的轻蔑反应、专业知识优于生活经验,以及违反保密规定的情况。一些青少年则分享了儿童及青少年保健服务机构帮助他们保护安全的积极经验:总之,这些主题反映出儿童及青少年心理健康服务是一种成年人强势而青少年处于从属地位的服务。这可能会影响青少年寻求专业帮助的行为。本文对临床实践和未来研究提出了建议。
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来源期刊
CiteScore
13.80
自引率
5.30%
发文量
169
审稿时长
1 months
期刊介绍: The Journal of Child Psychology and Psychiatry (JCPP) is a highly regarded international publication that focuses on the fields of child and adolescent psychology and psychiatry. It is recognized for publishing top-tier, clinically relevant research across various disciplines related to these areas. JCPP has a broad global readership and covers a diverse range of topics, including: Epidemiology: Studies on the prevalence and distribution of mental health issues in children and adolescents. Diagnosis: Research on the identification and classification of childhood disorders. Treatments: Psychotherapeutic and psychopharmacological interventions for child and adolescent mental health. Behavior and Cognition: Studies on the behavioral and cognitive aspects of childhood disorders. Neuroscience and Neurobiology: Research on the neural and biological underpinnings of child mental health. Genetics: Genetic factors contributing to the development of childhood disorders. JCPP serves as a platform for integrating empirical research, clinical studies, and high-quality reviews from diverse perspectives, theoretical viewpoints, and disciplines. This interdisciplinary approach is a key feature of the journal, as it fosters a comprehensive understanding of child and adolescent mental health. The Journal of Child Psychology and Psychiatry is published 12 times a year and is affiliated with the Association for Child and Adolescent Mental Health (ACAMH), which supports the journal's mission to advance knowledge and practice in the field of child and adolescent mental health.
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