Department of Clinical, Educational and Health Psychology, University College London, London, England.
J Ment Health. 2024 Jun;33(3):357-365. doi: 10.1080/09638237.2022.2069721. Epub 2022 May 16.
Self-harm amongst young people in the United Kingdom is higher than in other European countries. Young people who self-harm are often reluctant to seek professional help, turning increasingly to the internet for support, including online forums. There are concerns about misinformation or harmful content being shared, potentially leading to self-harm contagion. Moderation of online forums can reduce risks, improving forum safety. Moderation of self-harm content, however, is an under-researched area.
Using the Behaviour Change Wheel (BCW), this study examines the barriers and enablers to moderation of self-harm content and suggests behaviour change techniques (BCTs) to address barriers.
Qualitative interviews with 8 moderators (of a total of 16) from the UK's leading young people's support service for under 25s, The Mix, were conducted.
Thematic analysis identified eleven enablers, four barriers and one both an enabler and a barrier. Barriers included emotional exhaustion, working with partial information, access to timely support, vagueness within the guidelines and influence of community users. BCTs selected included increasing social support through a moderation buddy.
Optimisation strategies focus on increasing the support and level of information available to moderators and could be considered by other organisations providing similar services.
在英国，年轻人自残的现象比其他欧洲国家更为普遍。自残的年轻人往往不愿意寻求专业帮助，而是越来越倾向于在互联网上寻求支持，包括在线论坛。人们担心会在网上分享错误信息或有害内容，这可能会导致自残的蔓延。对在线论坛进行 moderation（监管）可以降低风险，提高论坛安全性。然而，对自残内容的 moderation 是一个研究不足的领域。
本研究使用行为改变轮（BCW），考察了 moderation 自残内容的障碍和促成因素，并提出了针对这些障碍的行为改变技术（BCT）。
对英国领先的面向 25 岁以下人群的青年支持服务机构 The Mix 的 16 名moderators（共 8 名）进行了定性访谈。
主题分析确定了 11 个促成因素、4 个障碍和 1 个既是障碍又是促成因素。障碍包括情绪疲惫、在部分信息的基础上工作、及时获得支持的机会、准则内的模糊性以及社区用户的影响。选定的 BCT 包括通过 moderation buddy（监管伙伴）增加社交支持。
优化策略侧重于增加 moderators 可用的支持和信息水平，其他提供类似服务的组织可以考虑采用这些策略。
