Text2whaiora 自杀未遂后干预：基于有过自杀经历的人来设计短信内容。
Text2whaiora after a suicide attempt: Text message design alongside people with lived experience.
机构信息
Department of Psychological Medicine, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
Department of Mental Health and Addictions, Health New Zealand Te Whatu Ora Counties Manukau, Auckland, New Zealand.
出版信息
PLoS One. 2024 Sep 6;19(9):e0306801. doi: 10.1371/journal.pone.0306801. eCollection 2024.
BACKGROUND
People with lived experience have had limited opportunities to meaningfully contribute to the design of caring contacts interventions. The objective of this study was to co-design text messages with peer support specialist staff to determine optimal language and delivery, within a cultural context.
METHODS
In this qualitative study, participants were professional peer support specialist staff with lived experience employed by specialist mental health services. They were asked to evaluate the initial series of text messages by taking part in a focus group using a semi-structured interview. This was audiotaped, transcribed and analysed using reflexive thematic analysis with specific coding of cultural themes.
RESULTS
Three main themes were identified: upholding a person's autonomy; establishing connection as a bridge to safety; and, words as healing rongoā (remedy). The last theme contained a cultural subtheme: Māori language providing entry to the Māori world.
CONCLUSION
People with lived experience breathe empowerment and hope into caring contacts interventions and should be considered vital partners in developing any suicide prevention initiative. Feeling genuinely cared for promotes connection and may enable an internal sense of safety. Tailoring of texts can be enhanced by culturally nuanced language.
背景
有过生活经历的人很少有机会为有意义的关护性接触干预措施的设计做出贡献。本研究的目的是与同伴支持专家合作设计短信，以确定在文化背景下的最佳语言和传递方式。
方法
在这项定性研究中，参与者是受雇于专门心理健康服务机构的具有生活经验的专业同伴支持专家。他们被要求通过参加一个焦点小组，使用半结构化访谈来评估最初的一系列短信。这些焦点小组的讨论被录音、转录，并使用反思性主题分析进行分析，对文化主题进行了具体的编码。
结果
确定了三个主要主题：维护个人自主权；建立联系作为通向安全的桥梁；以及言语作为治疗的 rongoā（疗法）。最后一个主题包含一个文化子主题：毛利语为进入毛利世界提供了入口。
结论
有生活经验的人给关护性接触干预措施带来了赋权和希望，应该被视为任何自杀预防计划的重要合作伙伴。感到真正被关心可以促进联系，并可能使内心感到安全。通过文化细微差别的语言，可以增强对文本的调整。
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