Hawgood Jacinta, Betterridge Carmen, Kõlves Kairi, Edwards Bronwen, Spence Susan H, Arensman Ella, De Leo Diego, Ownsworth Tamara
Australian Institute for Suicide Research and Prevention, World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, School of Applied Psychology, Griffith University, Brisbane, QLD, Australia.
School of Applied Psychology and Menzies Health Institute Queensland, Griffith University, Brisbane, QLD, Australia.
Front Psychiatry. 2023 Jul 7;14:1074805. doi: 10.3389/fpsyt.2023.1074805. eCollection 2023.
Suicide risk assessment protocols have traditionally been developed by clinical or research experts in suicidology, with little formal involvement of those with a lived experience of suicide. This study broadly aimed to seek lived experience perspectives of the Systematic Tailored Assessment for Responding to Suicidality (STARS) protocol A further aim was to elicit lived experience suggestions for wording and language used in the existing items within sections of the STARS protocol (STARS-p).
Participants were 33 adults (Female = 64%) with a lived experience of suicide, who attended a virtual research workshop at the National Lived Experience of Suicide Summit (2021). After being educated about STARS-p, participants provided their overall perceptions of STARS-p as well as suggestions for rewording and language use across the sections of STARS-p. Their responses were gathered using a virtual online platform for live electronic data collection. A three-phase process of qualitative content analysis was used, engaging both inductive and deductive approaches to explore study aims one and two, respectively. The Consolidated Criteria for Reporting Qualitative Research was followed to enhance quality of reporting.
Qualitative content analysis of participants' views of the STARS-p reflected three main categories, namely, STARS philosophy; What STARS aspires to; and Continuity of care and meeting needs. Responses characterized participants' perceptions of the core purpose of STARS-p and ways for refining or adapting it to suit diverse needs and settings. Based on deductive content analysis, suggested modifications to wording of items and additional items to extend sections were identified.
The study yielded novel perspectives from those with a lived experience of suicide, which will inform improvements to the next edition of STARS-p. The STARS training (required for licensed use of the protocol) will be updated accordingly, in line with these results.
自杀风险评估方案传统上由自杀学领域的临床或研究专家制定，有过自杀经历的人很少正式参与其中。本研究的总体目标是探寻有过自杀经历者对系统性自杀应对量身定制评估（STARS）方案的看法。另一个目标是征集关于STARS方案（STARS-p）各部分现有条目的措辞和语言使用方面的亲身经验建议。
33名有过自杀经历的成年人（64%为女性）参加了全国自杀亲身经历峰会（2021年）的线上研究研讨会。在了解STARS-p之后，参与者给出了他们对STARS-p的总体看法以及对STARS-p各部分措辞和语言使用的建议。通过虚拟在线平台收集他们的回复以进行实时电子数据采集。采用定性内容分析的三阶段过程，分别运用归纳法和演绎法来探究研究的第一个和第二个目标。遵循定性研究报告的统一标准以提高报告质量。
对参与者对STARS-p看法的定性内容分析反映出三个主要类别，即STARS理念；STARS的目标；以及护理连续性和满足需求。这些回复体现了参与者对STARS-p核心目的的看法以及对其进行完善或调整以适应不同需求和环境的方法。基于演绎性内容分析，确定了对条目措辞的建议修改以及用于扩展各部分的补充条目。
该研究从有过自杀经历者那里获得了新的观点，这将为STARS-p下一版的改进提供参考。STARS培训（该方案许可使用所需）将根据这些结果进行相应更新。
