Опубликована: Дек. 3, 2024

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. This study aims identify needs, preferences, features for an automated SMS text messaging–based safety planning service support self-management among adults. 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. 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). 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.

Язык: Английский