Pub Date : 2021-08-25DOI: 10.1108/mhrj-04-2021-0033
H. Lewis, U. Foye
Purpose The current policy landscape advocates for the involvement of people with lived experience in the co-production and co-delivery of mental health services. However, evidence on how to do this safely and effectively for people with eating disorders (EDs) is lacking. The purpose of this study was to explore and synthesis the implementation of ED interventions which involved lived-experience and to evaluate the associated benefits and risks to participants. Design/methodology/approach This study will conduct a systematic review of ED interventions which involve people with lived experience of an ED. A total of seven databases and four subject-specific journals were searched using Boolean search terms. Findings The search yielded ten eligible studies. Involvement procedures were extracted which highlighted variation with some roles being continuous and active and others being isolated and passive. Qualitative results were extracted and thematically analysed which demonstrated many benefits from involving people with lived experience, such as normalisation of experiences, inspiration to recover and the sharing of insight, as well as some risks such as disingenuity and exposure to triggering content. Practical implications The implications of this review highlight the need for policy and guidance to minimise variation across procedures and implementation of co-production to ensure positive outcomes and benefits for participants, given the current landscape. More research in the benefits and risks for those involved in the delivery of the interventions is needed to ensure that co-production and peer support is delivered as safely and effectively as possible. Originality/value This was the first systematic review since 2016 (Fogarty et al., 2016) to assess peer-mentorship programmes in ED treatments, whilst expanding the remit to include wider definitions of peer-support and peer-mentorships such as co-production and co-design in research.
目的当前的政策主张有生活经验的人参与共同生产和提供心理健康服务。然而，关于如何为饮食失调患者安全有效地做到这一点的证据还缺乏。本研究的目的是探索和综合涉及生活经验的ED干预措施的实施情况，并评估参与者的相关益处和风险。设计/方法/方法本研究将对ED干预措施进行系统审查，这些干预措施涉及有ED生活经历的人。使用布尔搜索词搜索了总共七个数据库和四本特定主题的期刊。搜索结果得到了10项符合条件的研究。提取的参与程序突出了变化，其中一些角色是连续的和主动的，而另一些角色是孤立的和被动的。提取了定性结果并对其进行了主题分析，这些结果表明，让有生活经验的人参与进来有很多好处，比如经历的正常化、恢复的灵感和洞察力的分享，以及一些风险，比如虚伪和接触触发内容。实际含义本次审查的含义强调了政策和指导的必要性，以最大限度地减少程序和联合制作实施之间的差异，从而确保在当前形势下为参与者带来积极的结果和利益。需要对参与实施干预措施的人员的利益和风险进行更多的研究，以确保尽可能安全有效地提供联合生产和同行支持。独创性/价值这是自2016年以来首次对ED治疗中的同伴指导计划进行系统审查（Fogarty et al.，2016），同时将职权范围扩大到包括更广泛的同伴支持和同伴指导定义，如研究中的共同制作和共同设计。
{"title":"From prevention to peer support: a systematic review exploring the involvement of lived-experience in eating disorder interventions","authors":"H. Lewis, U. Foye","doi":"10.1108/mhrj-04-2021-0033","DOIUrl":"https://doi.org/10.1108/mhrj-04-2021-0033","url":null,"abstract":"\u0000Purpose\u0000The current policy landscape advocates for the involvement of people with lived experience in the co-production and co-delivery of mental health services. However, evidence on how to do this safely and effectively for people with eating disorders (EDs) is lacking. The purpose of this study was to explore and synthesis the implementation of ED interventions which involved lived-experience and to evaluate the associated benefits and risks to participants.\u0000\u0000\u0000Design/methodology/approach\u0000This study will conduct a systematic review of ED interventions which involve people with lived experience of an ED. A total of seven databases and four subject-specific journals were searched using Boolean search terms.\u0000\u0000\u0000Findings\u0000The search yielded ten eligible studies. Involvement procedures were extracted which highlighted variation with some roles being continuous and active and others being isolated and passive. Qualitative results were extracted and thematically analysed which demonstrated many benefits from involving people with lived experience, such as normalisation of experiences, inspiration to recover and the sharing of insight, as well as some risks such as disingenuity and exposure to triggering content.\u0000\u0000\u0000Practical implications\u0000The implications of this review highlight the need for policy and guidance to minimise variation across procedures and implementation of co-production to ensure positive outcomes and benefits for participants, given the current landscape. More research in the benefits and risks for those involved in the delivery of the interventions is needed to ensure that co-production and peer support is delivered as safely and effectively as possible.\u0000\u0000\u0000Originality/value\u0000This was the first systematic review since 2016 (Fogarty et al., 2016) to assess peer-mentorship programmes in ED treatments, whilst expanding the remit to include wider definitions of peer-support and peer-mentorships such as co-production and co-design in research.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2021-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43404086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-23DOI: 10.1108/mhrj-02-2021-0012
C. Cooper, H. Liu, Tobias A. Rowland, Riddhi Prajapati, Tayla Hurlock, A. Owen
Purpose This study aims to assess a novel clinic whereby new patients were discussed in a multi-agency, multi-disciplinary panel and given feedback on the same day. The objectives were to determine the impacts on time to commencing treatment, need for further assessment, discharges and staff and patient experiences. Design/methodology/approach Outcomes from the new assessment clinic were compared to previous individual assessments. Feedback questionnaires were given to patients, while a focus group was conducted with staff. Findings There was a significant reduction in the time to agreeing a treatment plan (34 days to <1 day), the need for further assessment (61%–23.2%) and a significant increase in the proportion discharged from secondary care (26.9%–49.8%). Clinician and patient feedback on the clinic was positive. Practical implications The model of a multi-agency, multi-disciplinary clinic could be used for assessing new referrals to community mental health teams. Originality/value The use of a multi-agency, multi-disciplinary clinic is a novel approach within community mental health teams which led to improvements in efficiency, while demonstrating positive patient and clinician feedback.
{"title":"An evaluation of the Stratford multiagency, multidisciplinary, assessment clinic","authors":"C. Cooper, H. Liu, Tobias A. Rowland, Riddhi Prajapati, Tayla Hurlock, A. Owen","doi":"10.1108/mhrj-02-2021-0012","DOIUrl":"https://doi.org/10.1108/mhrj-02-2021-0012","url":null,"abstract":"\u0000Purpose\u0000This study aims to assess a novel clinic whereby new patients were discussed in a multi-agency, multi-disciplinary panel and given feedback on the same day. The objectives were to determine the impacts on time to commencing treatment, need for further assessment, discharges and staff and patient experiences.\u0000\u0000\u0000Design/methodology/approach\u0000Outcomes from the new assessment clinic were compared to previous individual assessments. Feedback questionnaires were given to patients, while a focus group was conducted with staff.\u0000\u0000\u0000Findings\u0000There was a significant reduction in the time to agreeing a treatment plan (34 days to <1 day), the need for further assessment (61%–23.2%) and a significant increase in the proportion discharged from secondary care (26.9%–49.8%). Clinician and patient feedback on the clinic was positive.\u0000\u0000\u0000Practical implications\u0000The model of a multi-agency, multi-disciplinary clinic could be used for assessing new referrals to community mental health teams.\u0000\u0000\u0000Originality/value\u0000The use of a multi-agency, multi-disciplinary clinic is a novel approach within community mental health teams which led to improvements in efficiency, while demonstrating positive patient and clinician feedback.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2021-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45306818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-21DOI: 10.1108/mhrj-09-2020-0064
R. Lau, A. Hutchinson
Purpose Over the past 15 years, mental health organisations have taken steps to move towards providing services that are more recovery-oriented. This review was undertaken to explore what is known about service users’ experience of services that have introduced a recovery-oriented approach to service provision. There is limited research evaluating consumers’ lived experiences of recovery-orientated care; a scoping review was chosen to provide an overview of the available research in this area (Munn et al., 2018). The purpose of this review was to summarize and synthesize current qualitative research exploring consumers’ experience of recovery orientated mental health care provision. Design/methodology/approach This scoping review was undertaken as outlined by Arksey and O'Malley (2005). The five steps consisted identifying the research question; searching for relevant studies; selecting the studies; charting the studies; and collating, summarising and reporting the findings. Findings Three key themes emerged from this review: translation of recovery policy to practice; ward environment; and recovery principles with five subthemes: engagement; not being listened to; shared decision-making; informational needs; and supportive and collaborative relationships. The themes and subthemes identified in each of the 18 studies are presented in Table 3. Research limitations/implications This review highlights the different degree to which service users have received recovery-oriented recovery care. In the majority of cases, most service users reported few opportunities for nursing engagement, poor communication, inadequate information provision, a lack of collaborative care and mostly negative experiences of the ward environment. Because of the limited studies on mental health service users’ lived experiences of a recovery-oriented service, more clinical studies are needed and in different cultural contexts. Practical implications On hindsight, the authors should have included service users in this review process as consumer inclusion is progressively emphasised in mental health educational and research activities. This review highlights that not all studies have involved service users or consumers in their research activity. Social implications Service users need relevant information in a timely manner to participate in decision-making regarding their treatment and care. This review found that either no information was provided to the service users or it was provided in a limited and fragmented manner. This review also found inpatients reported limited opportunities to have meaningful participation in decision-making about their care. These findings have important social implications, as greater consumer engagement in the design and delivery of mental health services will increase community trust in the care provided. This in turn has the potential to facilitate greater community engagement in preventative mental health care. Originality/value
目的:在过去15年中，精神卫生组织已采取步骤，向提供更加注重康复的服务迈进。进行这项审查的目的是探讨在提供服务时采用以恢复为导向的方法的服务用户的体验情况。评估消费者对康复导向护理的生活体验的研究有限;选择范围审查来概述该领域的现有研究(Munn et al.， 2018)。本综述旨在总结和综合目前的质性研究，探讨以康复为导向的心理卫生保健服务的消费者体验。设计/方法/方法这一范围审查是按照Arksey和O'Malley(2005)的概述进行的。这五个步骤包括确定研究问题;查找相关研究;选择研究;绘制研究图表;整理、总结和报告研究结果。从这次回顾中出现了三个关键主题:将恢复政策转化为实践;病房环境;恢复原则有五个主题:参与;不被倾听的;共同决策;信息需求;以及支持和合作关系。表3列出了18项研究中确定的主题和次主题。研究局限/意义本综述强调了服务使用者接受康复导向康复护理的不同程度。在大多数情况下，大多数服务使用者报告护理参与的机会很少，沟通不良，信息提供不足，缺乏协作护理，并且对病房环境的体验大多是负面的。由于对心理健康服务使用者对康复服务的生活体验的研究有限，需要在不同的文化背景下进行更多的临床研究。事后看来，由于心理健康教育和研究活动日益强调将消费者纳入其中，作者本应将服务使用者纳入这一审查过程。本综述强调，并非所有的研究都将服务使用者或消费者纳入其研究活动。社会影响服务使用者需要及时获得相关信息，以便参与有关其治疗和护理的决策。这一审查发现，要么没有向服务用户提供信息，要么以有限和分散的方式提供信息。本综述还发现，住院患者报告说，有意义地参与其护理决策的机会有限。这些发现具有重要的社会意义，因为更多的消费者参与精神卫生服务的设计和提供将增加社区对所提供护理的信任。这反过来又有可能促进社区更多地参与预防性精神卫生保健。原创性/价值这是第一次系统地综合消费者对服务提供者在多大程度上实现了在其服务提供中实施以恢复为导向的实践的目标的观点。尽管有重要的政策变化，但本次审查的结果表明，需要做更多的工作才能真正实施并将这些原则转化为实践。
{"title":"Mental health service users’ lived experiences of recovery-oriented services: a scoping review","authors":"R. Lau, A. Hutchinson","doi":"10.1108/mhrj-09-2020-0064","DOIUrl":"https://doi.org/10.1108/mhrj-09-2020-0064","url":null,"abstract":"\u0000Purpose\u0000Over the past 15 years, mental health organisations have taken steps to move towards providing services that are more recovery-oriented. This review was undertaken to explore what is known about service users’ experience of services that have introduced a recovery-oriented approach to service provision. There is limited research evaluating consumers’ lived experiences of recovery-orientated care; a scoping review was chosen to provide an overview of the available research in this area (Munn et al., 2018). The purpose of this review was to summarize and synthesize current qualitative research exploring consumers’ experience of recovery orientated mental health care provision.\u0000\u0000\u0000Design/methodology/approach\u0000This scoping review was undertaken as outlined by Arksey and O'Malley (2005). The five steps consisted identifying the research question; searching for relevant studies; selecting the studies; charting the studies; and collating, summarising and reporting the findings.\u0000\u0000\u0000Findings\u0000Three key themes emerged from this review: translation of recovery policy to practice; ward environment; and recovery principles with five subthemes: engagement; not being listened to; shared decision-making; informational needs; and supportive and collaborative relationships. The themes and subthemes identified in each of the 18 studies are presented in Table 3.\u0000\u0000\u0000Research limitations/implications\u0000This review highlights the different degree to which service users have received recovery-oriented recovery care. In the majority of cases, most service users reported few opportunities for nursing engagement, poor communication, inadequate information provision, a lack of collaborative care and mostly negative experiences of the ward environment. Because of the limited studies on mental health service users’ lived experiences of a recovery-oriented service, more clinical studies are needed and in different cultural contexts.\u0000\u0000\u0000Practical implications\u0000On hindsight, the authors should have included service users in this review process as consumer inclusion is progressively emphasised in mental health educational and research activities. This review highlights that not all studies have involved service users or consumers in their research activity.\u0000\u0000\u0000Social implications\u0000Service users need relevant information in a timely manner to participate in decision-making regarding their treatment and care. This review found that either no information was provided to the service users or it was provided in a limited and fragmented manner. This review also found inpatients reported limited opportunities to have meaningful participation in decision-making about their care. These findings have important social implications, as greater consumer engagement in the design and delivery of mental health services will increase community trust in the care provided. This in turn has the potential to facilitate greater community engagement in preventative mental health care.\u0000\u0000\u0000Originality/value","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2021-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42645131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-16DOI: 10.1108/mhrj-06-2020-0039
Suriya Klangrit, David D. Perrodin, Yasotara Siripaprapakon, F. R. Choudhry, Thittayawadee Intaranggkul, Suthat Pratoomkaew, Khunthong Khemsiri, Kan Saengrung, Watchara Vachirayano
Purpose This study aims to investigate the association between mental health and religion among Thailand’s elderly population. The role of religion and culture remains limited despite the significant number of devout followers of religions in Thailand. Thai cultural and religious contexts have a dominant and persuasive influence on the lives of Thai older adults. Design/methodology/approach Data was collected in 2018 via face-to-face interaction using a structured questionnaire by the Thailand National Statistical Office. The sample consisted of 67,454 individuals, with 13,800 elderly Thai people aged 60 years or older selected for the study. Findings The results showed logistic regression with the association between religious activities and mental health in the understudied context of Buddhist elderly in Thailand. The variables were significantly associated with mental health at a 95% confidence level. Originality/value The model revealed that particular demographic and socioeconomic factors (age, education and marital status) were related to mental health for older adults. Regression analysis also revealed Buddhist religious activities (giving food to monks, mediation, monkhood, New Year praying, learning Dhamma for solving life’s problems, belief in Buddhism and practicing Buddhist principles) were significantly associated with the mental health of the older adult population in Thailand.
{"title":"Religion and mental health among older adults in Thailand: a national survey study","authors":"Suriya Klangrit, David D. Perrodin, Yasotara Siripaprapakon, F. R. Choudhry, Thittayawadee Intaranggkul, Suthat Pratoomkaew, Khunthong Khemsiri, Kan Saengrung, Watchara Vachirayano","doi":"10.1108/mhrj-06-2020-0039","DOIUrl":"https://doi.org/10.1108/mhrj-06-2020-0039","url":null,"abstract":"\u0000Purpose\u0000This study aims to investigate the association between mental health and religion among Thailand’s elderly population. The role of religion and culture remains limited despite the significant number of devout followers of religions in Thailand. Thai cultural and religious contexts have a dominant and persuasive influence on the lives of Thai older adults.\u0000\u0000\u0000Design/methodology/approach\u0000Data was collected in 2018 via face-to-face interaction using a structured questionnaire by the Thailand National Statistical Office. The sample consisted of 67,454 individuals, with 13,800 elderly Thai people aged 60 years or older selected for the study.\u0000\u0000\u0000Findings\u0000The results showed logistic regression with the association between religious activities and mental health in the understudied context of Buddhist elderly in Thailand. The variables were significantly associated with mental health at a 95% confidence level.\u0000\u0000\u0000Originality/value\u0000The model revealed that particular demographic and socioeconomic factors (age, education and marital status) were related to mental health for older adults. Regression analysis also revealed Buddhist religious activities (giving food to monks, mediation, monkhood, New Year praying, learning Dhamma for solving life’s problems, belief in Buddhism and practicing Buddhist principles) were significantly associated with the mental health of the older adult population in Thailand.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2021-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43572252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-12DOI: 10.1108/mhrj-03-2021-0018
Sandhya Basu, Bidisha Banerjee
Purpose The current literature on attention-deficit/hyperactivity disorder (ADHD) shows a tangled picture of its etiology and diagnosis. It directs at over-medicalization in ADHD cases due to the pharmaceutical-based models surrounding its treatment. Further, the authors observed the negligible reporting of India’s ADHD scenario in the reviewed literature. Thus, this study aims to explore the status of ADHD in India’s urban setting through a pilot study. Design/methodology/approach Social constructivist viewpoint guided this study. The authors conducted the pilot in two phases: face-to-face semi-structured qualitative interviews with 11 mental health professionals in the first phase, and, in the second phase, five mental health professionals responded to an online survey with same questions. After qualitative analysis, four major themes were identified: participants’ opinions on ADHD etiology, issues in diagnosis, social context of ADHD and alternatives to medication. Findings The findings highlight the need to re-visit the ADHD narrative in the Indian context. These findings also emphasize future investigation on the medicalization of ADHD in India. Research limitations/implications A countrywide epidemiological survey is required to explore the distribution of the disorder to standardize diagnosis and treatment procedures pan-India. This paper is an attempt to iron out the ADHD-related information that needs further exploration and research. Originality/value With in-depth interviews of mental health professionals, the study explores the state of ADHD in an urban setting in India. Future research must build on the current findings to establish the etiological and diagnostic framework of ADHD.
{"title":"Current scenario of diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD) in urban India: a pilot study","authors":"Sandhya Basu, Bidisha Banerjee","doi":"10.1108/mhrj-03-2021-0018","DOIUrl":"https://doi.org/10.1108/mhrj-03-2021-0018","url":null,"abstract":"\u0000Purpose\u0000The current literature on attention-deficit/hyperactivity disorder (ADHD) shows a tangled picture of its etiology and diagnosis. It directs at over-medicalization in ADHD cases due to the pharmaceutical-based models surrounding its treatment. Further, the authors observed the negligible reporting of India’s ADHD scenario in the reviewed literature. Thus, this study aims to explore the status of ADHD in India’s urban setting through a pilot study.\u0000\u0000\u0000Design/methodology/approach\u0000Social constructivist viewpoint guided this study. The authors conducted the pilot in two phases: face-to-face semi-structured qualitative interviews with 11 mental health professionals in the first phase, and, in the second phase, five mental health professionals responded to an online survey with same questions. After qualitative analysis, four major themes were identified: participants’ opinions on ADHD etiology, issues in diagnosis, social context of ADHD and alternatives to medication.\u0000\u0000\u0000Findings\u0000The findings highlight the need to re-visit the ADHD narrative in the Indian context. These findings also emphasize future investigation on the medicalization of ADHD in India.\u0000\u0000\u0000Research limitations/implications\u0000A countrywide epidemiological survey is required to explore the distribution of the disorder to standardize diagnosis and treatment procedures pan-India. This paper is an attempt to iron out the ADHD-related information that needs further exploration and research.\u0000\u0000\u0000Originality/value\u0000With in-depth interviews of mental health professionals, the study explores the state of ADHD in an urban setting in India. Future research must build on the current findings to establish the etiological and diagnostic framework of ADHD.\u0000","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2021-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49586643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-29DOI: 10.1108/MHRJ-02-2021-0013
E. Cantrell, H. Higson
{"title":"Exploring the interface between mental health provision and the benefits system: clinical psychologists’ experiences of working in the context of the UK benefits system","authors":"E. Cantrell, H. Higson","doi":"10.1108/MHRJ-02-2021-0013","DOIUrl":"https://doi.org/10.1108/MHRJ-02-2021-0013","url":null,"abstract":"","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2021-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45419688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-07-12DOI: 10.1108/mhrj-12-2020-0087
M. Boyce
Purpose Self-harm can affect people of all ages, yet the high prevalence rate in adolescents and the potential risk factor of suicide in adults 60 years and above has meant research has tended to focus within these areas. Therefore, the purpose of this exploratory study is to examine the experiences of self-harm in people from early adulthood to late middle age to gain greater insight and understanding in this underexplored area. Design/methodology/approach An online open-ended survey was used to collect the data from a UK user-led moderated online forum that supports people who self-harm. Findings Thematic data analysis indicates that feelings of shame and guilt were intensified, due to the double stigma participants face as adults that self-harm. Although most participants had seen a reduction in the frequency of their self-harm many experienced an increase in the severity of harm. In not fitting the assumed typical profile of someone that self-harm participants often struggled to gain formal support. Research limitations/implications This was a small-scale online survey; hence, it is not possible to generalise the findings to all adults who self-harm. Practical implications The findings from this research provide evidence that greater recognition needs to be given to the reality that self-harm can affect people of all ages. As a result, access to support needs to be widened as a means of supporting those who do not fit the typical profile of someone who self-harms. Originality/value This exploratory online study provides insights around the tensions and challenges facing adults that self-harm, which remains an under-researched and largely ignored area.
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Pub Date : 2021-07-08DOI: 10.1108/MHRJ-10-2020-0079
Gill Brown, A. Rathbone, J. Prescott
Purpose The SMILE study (social media as informal support for people with mental illness: an exploratory study) aimed to explore how people with mental health issues use and value social media as a support mechanism. Design/methodology/approach A systematic search of Facebook and Twitter identified groups and pages relating to mental health issues. In total, 203 users over the age of 18 were recruited via Facebook and Twitter. Any user who considered themselves to experience mental health problems could opt to participate and no exclusion criteria were applied. A mixed-methods online survey retrieved demographic and qualitative data by asking users to describe their personal experiences when using social media for mental health support. Findings Users perceive Facebook and Twitter as useful online resources to gain informational and emotional support and to share experiences. The benefits were; ease of access, anonymity and personal control over engagement levels. Users had subjective experiences of engagement, however, overall these were deemed positive. Using Facebook and Twitter for mental health provided users with a sense of connectedness and reduced feelings of isolation. Originality/value The qualitative methodology allowed participants to share their experiences and views, with positive implications for services. Social media was discussed as a prospective tool for raising awareness and reducing stigma. The study highlights the scope for mental health service providers to tap into the social media consumer market and provide quality online support provision.
目的SMILE研究(social media as informal support for people with mental illness:一项探索性研究)旨在探讨心理健康问题人群如何使用和重视社交媒体作为一种支持机制。设计/方法/方法对Facebook和Twitter进行系统搜索，确定了与心理健康问题有关的群组和页面。通过Facebook和Twitter总共招募了203名18岁以上的用户。任何认为自己有精神健康问题的用户都可以选择参加，不适用任何排除标准。一项混合方法的在线调查通过要求用户描述他们在使用社交媒体寻求心理健康支持时的个人经历来检索人口统计和定性数据。用户认为Facebook和Twitter是获得信息和情感支持以及分享经验的有用在线资源。好处是;易于访问，匿名和个人控制参与水平。用户有主观的参与体验，但总的来说，这些都是积极的。使用Facebook和Twitter来促进心理健康，为用户提供了一种联系感，减少了孤独感。原创性/价值定性方法允许参与者分享他们的经验和观点，对服务产生积极影响。讨论了社交媒体作为提高认识和减少耻辱的潜在工具。该研究强调了心理健康服务提供者进入社交媒体消费者市场并提供高质量在线支持的范围。
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Pub Date : 2021-05-17DOI: 10.1108/MHRJ-08-2020-0061
S. Javed, Khadeeja Munawar
{"title":"Factors related to suicide among students: a narrative review of psychological literature","authors":"S. Javed, Khadeeja Munawar","doi":"10.1108/MHRJ-08-2020-0061","DOIUrl":"https://doi.org/10.1108/MHRJ-08-2020-0061","url":null,"abstract":"","PeriodicalId":45687,"journal":{"name":"Mental Health Review Journal","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2021-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41418676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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