Hanlon Claire Anne, Chopra Jennifer, Boland Jane, McIlroy David, Poole Helen, Saini Pooja
Department of Psychology, Liverpool John Moores University, Liverpool, UK.
MSc Leadership in Healthcare, James' Place, Liverpool, UK.
Health Psychol Behav Med. 2023 Oct 11;11(1):2265142. doi: 10.1080/21642850.2023.2265142. eCollection 2023.
Research supports development of informal, community-based suicide prevention interventions that can be tailored to suit men's unmet needs. The James' Place model (JPM) is a community-based, clinical suicide prevention intervention for men experiencing suicidal crisis. Evidence supports the efficacy of the JPM and there are plans to expand to additional sites across the UK. This study evaluates therapists perceived acceptability of the JPM, and if fidelity to the planned delivery of the model is maintained within therapeutic practice.
A mixed-methods design was used. Descriptive analyses of 30 completed intervention cases were examined to review fidelity of the model against the intervention delivery plan. Eight therapists took part in semi-structured interviews between November 2021 and March 2022 exploring the perceived acceptability, and barriers and facilitators to delivering the JPM.
Descriptive analyses of James' Place audit notes revealed high levels of adherence to the JPM amongst therapists, but highlighted components of the model needed to be tailored according to individual men's needs. Thematic analysis led to the development of five themes. The first theme, highlighted importance of the therapy setting. The second theme identified was in the JPM that facilitated therapists understanding and expertise. The third theme identified was which discusses men's engagement in therapy. The fourth theme, related to adaptation of delivery of JPM components. The final theme, describes tailoring of the JPM by therapists to be responsive to individual men's needs.
The findings evidence therapist's acceptability and their moderate adherence to the JPM. Flexibility in delivery of the JPM enables adaptation of the model and co-production of therapy to meet men's needs. Implications for clinical practice are discussed.
研究支持开发非正式的、基于社区的自杀预防干预措施，这些措施可以进行调整以满足男性未被满足的需求。詹姆斯之家模式（JPM）是一种针对处于自杀危机中的男性的基于社区的临床自杀预防干预措施。有证据支持JPM的有效性，并且计划在英国各地扩展到更多地点。本研究评估了治疗师对JPM的可接受性，以及在治疗实践中是否保持了对该模式计划实施的忠实度。
采用混合方法设计。对30个已完成的干预案例进行描述性分析，以对照干预实施计划审查该模式的忠实度。8名治疗师在2021年11月至2022年3月期间参加了半结构化访谈，探讨了对JPM的可接受性以及实施JPM的障碍和促进因素。
对詹姆斯之家审核记录的描述性分析显示，治疗师对JPM的依从性较高，但强调该模式的组成部分需要根据男性个体的需求进行调整。主题分析得出了五个主题。第一个主题强调了治疗环境的重要性。第二个主题确定的是JPM中有助于治疗师理解和专业知识的方面。第三个主题确定的是讨论男性参与治疗的情况。第四个主题与JPM组成部分的实施调整有关。最后一个主题描述了治疗师对JPM的调整，以响应男性个体的需求。
研究结果证明了治疗师对JPM的可接受性以及他们对该模式的适度依从性。JPM实施中的灵活性能够对该模式进行调整并共同制定治疗方案以满足男性的需求。讨论了对临床实践的启示。
