Rainbow Christopher, Tatnell Ruth, Blashki Grant, Melvin Glenn A
Centre for Social and Early Emotional Development (SEED), School of Psychology, Deakin University, Melbourne, Victoria, Australia.
Nossal Institute for Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Br J Clin Psychol. 2024 Sep;63(3):362-377. doi: 10.1111/bjc.12460. Epub 2024 Mar 26.
Suicide safety plans are a personalized means of documenting how a person at risk of suicide recognizes and intends to cope with emerging suicidal thoughts. This study aimed to understand how users of digital suicide safety plans describe their warning signs, methods of coping and any relationships between these that may emerge.
A sample comprising 150 users of the Australian suicide safety planning smartphone app Beyond Now consented to share the content of their safety plans. Reflexive thematic analysis was used to identify themes in overall plan content. Most participants identified as women (61%), had a history of at least one suicide attempt (61%) and completed their plans by themselves (84%).
Three major themes emerged: (1) interpersonal challenges and complexity; (2) matching coping strategies to warning signs; and (3) helpful and harmful digital technology use. Most plans appeared to demonstrate high self-awareness of warning signs and available supports.
Safety plan content provides a window into the thought process underlying the recognition of suicidal thoughts and the attempts to manage them. An opportunity exists for practitioners and support persons to use this content when collaboratively supporting a safety plan user to improve their coping strategies and support networks.
自杀安全计划是一种个性化的方式，用于记录有自杀风险的人如何识别并打算应对新出现的自杀念头。本研究旨在了解数字自杀安全计划的用户如何描述他们的警示信号、应对方法以及这些因素之间可能出现的任何关系。
一个由150名澳大利亚自杀安全规划智能手机应用程序“超越当下”的用户组成的样本同意分享他们安全计划的内容。采用反思性主题分析来确定总体计划内容中的主题。大多数参与者为女性（61%），有至少一次自杀未遂史（61%），且独自完成了他们的计划（84%）。
出现了三个主要主题：（1）人际挑战与复杂性；（2）使应对策略与警示信号相匹配；（3）有益和有害的数字技术使用。大多数计划似乎显示出对警示信号和可用支持的高度自我意识。
安全计划内容为了解识别自杀念头及管理这些念头背后的思维过程提供了一个窗口。从业者和支持人员有机会在协同支持安全计划用户时利用这些内容，以改善他们的应对策略和支持网络。
