Birnbaum Michael L, Candan Kristin, Libby Ilana, Pascucci Olivia, Kane John
Psychiatry Research, North Shore - Long Island Jewish Health System, The Zucker Hillside Hospital, Glen Oaks, New York, USA.
College of Osteopathis Medicine, New York Insititute of Technology, Old Westbury, New York, USA.
Early Interv Psychiatry. 2016 Oct;10(5):397-403. doi: 10.1111/eip.12179. Epub 2014 Sep 9.
AIM: The objective of the study was to explore the content of existing online resources available to information-seeking youth as psychotic symptoms first emerge and determine how these resources may influence initiation of care. METHODS: Using 18 hypothetical search terms, developed by the Early Treatment Programme (ETP) staff, we searched three of the most popular websites used by the youth (Google, Facebook and Twitter) and extracted the first five hits from each. Sites were categorized into those that encouraged help seeking, those that potentially contribute to treatment delay, those with an undetermined impact and those that were unrelated to treatment. RESULTS: An alarmingly few of the first five hits from the top three online resources encourage potentially psychotic youth to seek professional evaluation. The majority of our search results yielded unmonitored chat forums that lacked a unified message. The remainder promoted stigma, normalized potentially psychotic experiences or were completely unrelated to mental health. CONCLUSION: We must develop innovative, easy-to-access and youth-focused online and social media experiences that encourage symptomatic youth to seek care.
目的:本研究的目的是探索在精神病症状首次出现时,可供寻求信息的青少年使用的现有在线资源的内容,并确定这些资源可能如何影响护理的启动。 方法:使用早期治疗项目(ETP)工作人员制定的18个假设搜索词,我们搜索了青少年使用的三个最受欢迎的网站(谷歌、脸书和推特),并从每个网站中提取了前五个搜索结果。网站被分为鼓励寻求帮助的、可能导致治疗延迟的、影响未确定的以及与治疗无关的几类。 结果:来自三大在线资源的前五个搜索结果中,令人震惊的是,几乎没有鼓励可能患有精神病的青少年寻求专业评估的内容。我们的大多数搜索结果产生的是未经监管的聊天论坛,缺乏统一的信息。其余的则宣扬污名化、将可能的精神病经历正常化或与心理健康完全无关。 结论:我们必须开发创新的、易于获取的且以青少年为重点的在线和社交媒体体验,以鼓励有症状的青少年寻求护理。
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