BACKGROUND
Young
adults
in
the
United
States
are
experiencing
accelerating
rates
of
suicidal
thoughts
and
behaviors
but
have
lowest
formal
mental
health
care.
Digital
suicide
prevention
interventions
potential
to
increase
access
care
by
circumventing
attitudinal
structural
barriers
that
prevent
These
tools
should
be
designed
collaboration
with
young
who
lived
experience
suicide-related
optimize
acceptability
use.
OBJECTIVE
This
study
aims
identify
needs,
preferences,
features
for
an
automated
SMS
text
messaging–based
safety
planning
service
support
self-management
among
adults.
METHODS
We
enrolled
30
(age
18-24
years)
recent
participate
asynchronous
remote
focus
groups
via
online
private
forum.
Participants
responded
researcher-posted
prompts
were
encouraged
reply
fellow
participants—creating
a
threaded
digital
conversation.
Researcher-posted
centered
on
participants’
experiences
thought
behavior-related
coping,
planning,
technologies
behavior
self-management.
Focus
group
transcripts
analyzed
using
thematic
analysis
extract
key
feature
considerations
tool.
RESULTS
adult
participants
indicated
message–based
intervention
must
meet
their
needs
2
ways.
First,
empowering
them
manage
symptoms
own
acquiring
effective
coping
skills.
Second,
leveraging
adults’
existing
social
connections.
also
shared
3
technological
intervention:
(1)
transparency
about
how
functions,
kinds
actions
it
does
not
take,
limits
confidentiality,
role
human
oversight
within
program;
(2)
strong
privacy
practices—data
security
around
content
data
created
would
maintained
used
was
extremely
important
given
sensitive
nature
data;
(3)
usability,
convenience,
accessibility
particularly
participants—this
includes
having
approachable
engaging
message
tone,
customizable
delivery
options
(eg,
length,
number,
focus),
straightforward
menu
navigation.
highlighted
specific
could
core
skill
acquisition
self-tracking,
idea
generation,
reminders).
CONCLUSIONS
Engaging
design
process
tool
revealed
critical
addressed
if
is
effectively
expand
evidence-based
reach
people
at
risk
behaviors.
Specifically,
building
skillfulness
cope
crises,
deepening
interpersonal
connections,
system
transparency,
privacy.
BACKGROUND
Young
adults
in
the
United
States
are
experiencing
accelerating
rates
of
suicidal
thoughts
and
behaviors
but
have
lowest
formal
mental
health
care.
Digital
suicide
prevention
interventions
potential
to
increase
access
care
by
circumventing
attitudinal
structural
barriers
that
prevent
These
tools
should
be
designed
collaboration
with
young
who
lived
experience
suicide-related
optimize
acceptability
use.
OBJECTIVE
This
study
aims
identify
needs,
preferences,
features
for
an
automated
SMS
text
messaging–based
safety
planning
service
support
self-management
among
adults.
METHODS
We
enrolled
30
(age
18-24
years)
recent
participate
asynchronous
remote
focus
groups
via
online
private
forum.
Participants
responded
researcher-posted
prompts
were
encouraged
reply
fellow
participants—creating
a
threaded
digital
conversation.
Researcher-posted
centered
on
participants’
experiences
thought
behavior-related
coping,
planning,
technologies
behavior
self-management.
Focus
group
transcripts
analyzed
using
thematic
analysis
extract
key
feature
considerations
tool.
RESULTS
adult
participants
indicated
message–based
intervention
must
meet
their
needs
2
ways.
First,
empowering
them
manage
symptoms
own
acquiring
effective
coping
skills.
Second,
leveraging
adults’
existing
social
connections.
also
shared
3
technological
intervention:
(1)
transparency
about
how
functions,
kinds
actions
it
does
not
take,
limits
confidentiality,
role
human
oversight
within
program;
(2)
strong
privacy
practices—data
security
around
content
data
created
would
maintained
used
was
extremely
important
given
sensitive
nature
data;
(3)
usability,
convenience,
accessibility
particularly
participants—this
includes
having
approachable
engaging
message
tone,
customizable
delivery
options
(eg,
length,
number,
focus),
straightforward
menu
navigation.
highlighted
specific
could
core
skill
acquisition
self-tracking,
idea
generation,
reminders).
CONCLUSIONS
Engaging
design
process
tool
revealed
critical
addressed
if
is
effectively
expand
evidence-based
reach
people
at
risk
behaviors.
Specifically,
building
skillfulness
cope
crises,
deepening
interpersonal
connections,
system
transparency,
privacy.