School, Child & Youth (SCY) Mental Health and Wellbeing Research Lab, Department of Psychology, University of Limerick, FG150, Foundation building, Limerick, Ireland.
National Institute of Studies in Education, University of Limerick, Limerick, Ireland.
Syst Rev. 2023 Jan 11;12(1):4. doi: 10.1186/s13643-022-02166-1.
Globally, suicide is the fourth leading cause of adolescent mortality. Although post-primary school-based suicide prevention (PSSP) interventions are an evidence-based strategy for targeting adolescent suicidal thoughts and behaviors (STBs), PSSP effectiveness does not easily translate to school settings. Adolescents' perspectives on PSSP are particularly important for (1) intervention effectiveness and implementation in both research and practice, (2) addressing PSSP evidence-practice gaps, and (3) enhancing meaningful adolescent involvement in PSSP, yet there is a gap in understanding adolescents' experiences of engaging with PSSP. As such, this protocol outlines a meta-ethnography which will explore and synthesize adolescents' perspectives on engaging with PSSP interventions, as participants/end-users, intervention advisors, facilitators, and co-designers and co-researchers.
The meta-ethnography protocol follows the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) guidelines. The protocol was guided by the seven-stage process for meta-ethnography proposed by Noblit and Hare. Searches of PsycINFO, MEDLINE, Web of Science, CINAHL, ERIC, Scopus, and study reference lists will identify peer-reviewed studies. Gray literature will be identified by searches in ProQuest, British Library EThOS, and DART-Europe E-theses Portal. The main reviewer will initially assess the eligibility of studies based on title and abstract, with full texts reviewed by at least two reviewers. Findings of the included studies will be synthesized in line with Noblit and Hare's stages and evaluated using the Critical Appraisal Skills Program (CASP) checklist.
To our knowledge, this is the first proposed meta-ethnography to explore and integrate the findings of qualitative studies exploring adolescents' perspectives on engaging with PSSP interventions. Understanding adolescents' experiences of engaging with PSSP will impact the field of PSSP in several ways by (1) enhancing research processes and intervention effectiveness and implementation, (2) informing decision-making and policymaking relevant to practice, (3) guiding meaningful adolescent involvement in PSSP, and (4) contributing to knowledge on the safety implications of engaging adolescents in PSSP. Finally, it is expected that the insights from this meta-ethnography will be widely applicable, given the growing demand for meaningful youth involvement in health-related fields.
PROSPERO CRD42022319424.
全球范围内，自杀是导致青少年死亡的第四大原因。尽管基于中学后的自杀预防（PSSP）干预措施是针对青少年自杀意念和行为（STB）的循证策略，但 PSSP 的有效性并不容易转化为学校环境。青少年对 PSSP 的看法对于（1）干预效果和实施在研究和实践中，（2）解决 PSSP 证据实践差距，以及（3）增强青少年在 PSSP 中的有意义参与都非常重要，但对于青少年参与 PSSP 的经验理解存在差距。因此，本方案概述了一项元民族志研究，该研究将探索和综合青少年作为参与者/最终用户、干预顾问、促进者以及共同设计者和共同研究者参与 PSSP 干预措施的看法。
元民族志方案遵循系统评价和荟萃分析方案（PRISMA-P）指南。方案遵循 Noblit 和 Hare 提出的元民族志七阶段过程。在 PsycINFO、MEDLINE、Web of Science、CINAHL、ERIC、Scopus 和研究参考文献列表中进行搜索，以确定同行评审研究。通过在 ProQuest、大英图书馆 EThOS 和 DART-Europe E-theses Portal 中进行搜索，确定灰色文献。主要审查员将根据标题和摘要初步评估研究的资格，至少由两名审查员对全文进行审查。根据 Noblit 和 Hare 的阶段综合纳入研究的结果，并使用批判性评估技能计划（CASP）检查表进行评估。
据我们所知，这是第一个提出的元民族志，旨在探索和整合探索青少年参与 PSSP 干预措施的看法的定性研究的结果。了解青少年参与 PSSP 的经验将通过以下几种方式影响 PSSP 领域：（1）增强研究过程和干预效果和实施，（2）为实践相关的决策和政策制定提供信息，（3）指导青少年在 PSSP 中的有意义参与，以及（4）为参与 PSSP 的青少年的安全影响提供知识。最后，预计这项元民族志的见解将具有广泛的适用性，因为在健康相关领域中对青少年有意义的参与需求不断增长。
PROSPERO CRD42022319424。
