Child Oriented Mental Health Innovation Collaborative (COMIC) - Leeds and York Partnership NHS Foundation Trust (LYPFT), York, UK.
University of York, York, UK.
Int J Ment Health Nurs. 2023 Oct;32(5):1326-1334. doi: 10.1111/inm.13164. Epub 2023 May 24.
Non-suicidal self-harm has been increasing in young people over the last decade leading to several self-help interventions being developed. Self-help toolkits are given a variety of names, such as 'hope box' and 'self-soothe kit', but all seek to provide young people with the tools to manage thoughts to self-harm by bringing together a collection of personal items, distress tolerance activities and help-seeking prompts. They represent a low-cost, low-burden and accessible intervention. This study explored what child and adolescent mental health professionals working with young people are currently recommending as the content of these self-help toolkits. A questionnaire was sent to child and adolescent mental health services and residential units across England and received 251 responses from professionals. Sixty-six per cent described self-help tool kits as being effective or very effective for helping young people manage self-harm urges. The content was categorized into sensory items (subcategorized by sense), distraction activities, relaxation and mindfulness activities, seeking positives and coping strategies, with the caveat that all toolkits should be individualized. The results of this study help to inform the future manualization of the use of self-help toolkits in clinical practice as a self-harm intervention for children and young people.
在过去的十年中，年轻人中的非自杀性自伤行为不断增加，导致开发了几种自助干预措施。自助工具包有多种名称，例如“希望盒”和“自我安慰工具包”，但它们都旨在通过汇集个人物品、应对痛苦的活动和寻求帮助的提示，为年轻人提供管理自残想法的工具。它们代表了一种低成本、低负担和易于获得的干预措施。本研究探讨了与年轻人一起工作的儿童和青少年心理健康专业人员目前推荐的这些自助工具包的内容。向英格兰的儿童和青少年心理健康服务机构和住宿单位发送了一份问卷，收到了 251 名专业人员的回复。66%的人表示，自助工具包对于帮助年轻人控制自残冲动非常有效或非常有效。内容分为感官物品（按感觉分类）、分散注意力的活动、放松和正念活动、寻找积极因素和应对策略，但前提是所有工具包都应该是个性化的。本研究的结果有助于为未来在临床实践中作为儿童和青少年自残干预措施使用自助工具包提供信息。
