一项定性研究,探索参与者在 "心理想象治疗学生自杀倾向试验 "中的体验。

IF 2.6 3区 医学 Q2 PSYCHIATRY
Paula Duxbury, Peter James Taylor, Jasper Palmier-Claus, Bradley Boardman, Daniel Pratt, Sophie Parker, Fiona Lobban
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引用次数: 0

摘要

目的:高校学生的自杀意念水平较高,但在获得支持方面往往面临障碍。针对学生自杀倾向的心理想象试验(MISST;ISRCTN13621293;NCT05296538)测试了一种名为 "广义情感应对"(BMAC)的基于想象的六节课方法的可行性和可接受性。本定性评估探讨了 MISST 参与者和工作人员的经历:设计:一项定性研究,采用一对一定性访谈的方式,对从 MISST 招募的参与者和员工进行访谈。采用反思性主题分析法探讨参与者和工作人员的体验,为未来的确定性试验提供参考:方法:对学生参与者(n = 16)、研究助理(n = 4)和试验治疗师(n = 1)进行访谈,并使用反思性主题分析法对访谈记录进行分析:结果:确定了四个关键主题。第一个主题强调了学生谈论自杀的价值和挑战。主题 2 探讨了如何建立沟通和融洽关系,以促进这种谈话。主题 3 解释了与 BMAC 治疗师的合作如何提高参与者对其当前情绪的认识,吸引他们关注生活中的积极时刻,并帮助他们积极回忆这些时刻,以打断反刍和自杀意念的消极循环。主题4概述了BMAC的 "适用性",并对未来干预的发展提出了具体建议:BMAC提供了一种积极的、有时间限制的结构化干预,非常适合满足有自杀意念的高校学生的需求。还需要进一步的研究来检验其对心理健康和自杀相关结果的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A qualitative study exploring participants experiences of the Mental Imagery for Suicidality in Students Trial

Objectives

Higher education students experience elevated levels of suicidal ideation, but often face barriers in accessing support. The Mental Imagery for Suicidality in Students Trial (MISST; ISRCTN13621293; NCT05296538) tested the feasibility and acceptability of a six-session imagery-based approach called Broad-Minded Affective Coping (BMAC). This qualitative evaluation explored the experiences of MISST participants and staff.

Design

A qualitative study using one-to-one qualitative interviews with participants and staff recruited from MISST. Reflexive thematic analysis was used to explore trial participant and staff experiences to inform a future definitive trial.

Methods

Student participants (n = 16), research assistants (n = 4) and the trial therapist (n = 1) were interviewed and transcripts analysed using reflexive thematic analysis.

Results

Four key themes were identified. The first theme highlights the value and challenges for students in talking about suicide. The ways in which communication and rapport can be built to facilitate this conversation are explored in theme 2. Theme 3 explains how working with the BMAC therapist increased participants’ awareness of their current mood, drew their attention to positive moments in their lives and helped them to actively recall these moments to interrupt negative cycles of rumination and suicidal ideation. The extent to which the BMAC is ‘fit for purpose’ is outlined in theme 4, generating specific recommendations for future intervention development.

Conclusions

The BMAC offers a positive, time-limited, structured intervention that is well suited to meet the needs of higher education students experiencing suicidal ideation. Further research is needed to test the effectiveness on mental health and suicide-related outcomes.

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来源期刊
CiteScore
6.10
自引率
5.90%
发文量
68
审稿时长
6 months
期刊介绍: Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.
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