Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
mentalhealth@work, Melbourne, VIC, Australia.
BMC Psychiatry. 2023 Jul 11;23(1):496. doi: 10.1186/s12888-023-04973-9.
The importance and value of involvement of people with lived experience of suicide has been recognized in suicide research and prevention. Nonetheless, clear guidance on research collaboration and co-production is lacking. This study aimed to address this gap by developing a set of guidelines on active involvement of people with lived experience of suicide in suicide studies., i.e., conducting research with or by people with lived experience, rather than to, about or for them.
The Delphi method was used to determine statements on best practice for the active involvement of people with lived experience of suicide in suicide research. Statements were compiled through a systematic search of the scientific and grey literature, and reviewing qualitative data from a recent related study conducted by the authors. Two expert panels: people with lived experience of suicide (n = 44) and suicide researchers (n = 29) rated statements over three rounds of an online survey. Statements endorsed by at least 80% of panellists of each panel were included in the guidelines.
Panellists endorsed 96 out of 126 statements in 17 sections covering the full research cycle from deciding on the research question and securing funding, to conducting research and disseminating and implementing outcomes. Overall, there was a substantial level of agreement between the two panels regarding support from research institutions, collaboration and co-production, communication and shared decision making, conducting research, self-care, acknowledgment, and dissemination and implementation. However, panels also disagreed on specific statements regarding representativeness and diversity, managing expectations, time and budgeting, training, and self-disclosure.
This study identified consensus recommendations on active involvement of people with lived experience of suicide in suicide research, including co-production. Support from research institutions and funders, and training on co-production for researchers and people with lived experience, are needed for successful implementation and uptake of the guidelines.
在自杀研究和预防中,已经认识到具有自杀经历的人参与的重要性和价值。尽管如此,在研究合作和共同创作方面缺乏明确的指导。本研究旨在通过制定一套关于积极参与自杀研究的自杀经历者的指导方针来解决这一差距,即与具有自杀经历的人一起进行研究,而不是针对、关于或为他们进行研究。
采用德尔菲法确定关于积极参与自杀研究的自杀经历者的最佳实践指导方针。通过系统搜索科学和灰色文献,并审查作者最近进行的一项相关研究的定性数据,编制了陈述。两个专家小组:具有自杀经历的人(n=44)和自杀研究人员(n=29)在三轮在线调查中对陈述进行了评分。每个小组的至少 80%的小组成员都认可的陈述被纳入指南。
专家小组在 17 个部分的 126 项陈述中达成了一致,涵盖了从确定研究问题和获得资金到进行研究以及传播和实施结果的整个研究周期。总体而言,两个小组在研究机构的支持、合作和共同创作、沟通和共同决策、进行研究、自我保健、认可以及传播和实施方面存在很大程度的一致性。然而,小组在关于代表性和多样性、管理期望、时间和预算、培训以及自我披露的具体陈述上存在分歧。
本研究确定了关于具有自杀经历的人积极参与自杀研究的共识建议,包括共同创作。研究机构和资助者的支持,以及对研究人员和具有自杀经历的人的共同创作培训,是成功实施和采用指南的必要条件。