对有自杀风险的性少数和性别少数青年成人进行同伴辅导的经验：混合方法研究
Experiences of Peer Mentoring Sexual and Gender Minority Emerging Adults Who Are at Risk for Suicide: Mixed Methods Study.
作者信息
Tran Jennifer T, Webster Jessica, Wolfe James R, Ben Nathan Jennifer, Mayinja Lindiwe, Kautz Marin, Oquendo Maria A, Brown Gregory K, Mandell David, Mowery Danielle, Bauermeister José A, Brown Lily A
机构信息
Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA, United States.
Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
出版信息
JMIR Form Res. 2025 Jan 29;9:e67814. doi: 10.2196/67814.
BACKGROUND
Sexual and Gender Diverse Youth (SGDY) are at increased risk for suicide due to unique experiences including discrimination, family or friend rejection, and low positive affect. Peer mentors (PMs) may offer a unique opportunity for intervention but are underutilized for suicide prevention among SGDY.
OBJECTIVE
Little is known about the training needed for PMs when working with SGDY at risk for suicide. We developed an intervention, Supporting Transitions to Adulthood and Reducing Suicide (STARS), to improve suicide prevention among SGDY and increase social support, coping, and positive effects. PMs were trained by a licensed clinical therapist and provided a manual. PMs meet virtually for 6 weeks, providing social support, strategies to diminish the impact of discrimination, connection to safe spaces, and reinforcement of intentions to use Safety Plans with mentees.
METHODS
To understand PMs' experiences in their role, including distress, fidelity to the manual, and perceptions of feasibility and acceptability of STARS and mentees' Safety Plan, we collected survey data from mentees and PMs as well as in-depth interviews with PMs after the completion of the intervention.
RESULTS
As of September 2024, all peer mentees (N=64) have completed the study and all PMs have finished providing sessions for peer mentees. PMs (n=5) reported overall high comfort (8.52) and low distress (1.93) during sessions. All 5 PMs had high fidelity (>90%) to the PM intervention training. All 5 PMs reported high feasibility (17.50), acceptability (20), and appropriateness (20) of the STARS intervention. Mentees (n=27) reported high confidence ratings (3.54) in speaking with their PMs.
CONCLUSIONS
Peer mentorship for SGDY who are at risk for suicide was feasible and acceptable by PMs and mentees alike. PMs reported that they felt comfortable and confident during the sessions. Mentees also reported confidence in working with their PMs. Future research should explore the optimal strategies to support PMs and mentees as they engage in suicide prevention work as well as incorporate feedback from the PMs in this study to ensure optimal outcomes.
TRIAL REGISTRATION
ClinicalTrials.gov NCT05018143; https://clinicaltrials.gov/study/NCT05018143.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/48177.
背景
性取向和性别多元化青年（SGDY）由于遭受歧视、被家人或朋友排斥以及积极情绪低落等独特经历，自杀风险增加。同伴导师（PMs）可能提供了一个独特的干预机会，但在预防SGDY自杀方面未得到充分利用。
目的
对于与有自杀风险的SGDY合作时同伴导师所需的培训知之甚少。我们开发了一种干预措施，即支持向成年过渡并减少自杀（STARS），以改善SGDY的自杀预防情况，并增加社会支持、应对能力和积极影响。同伴导师由持牌临床治疗师进行培训，并提供一本手册。同伴导师进行为期6周的线上会面，提供社会支持、减轻歧视影响的策略、与安全空间的联系，并强化与 mentees 一起使用安全计划的意图。
方法
为了解同伴导师在其角色中的经历，包括困扰、对手册的忠诚度以及对STARS和mentees安全计划的可行性和可接受性的看法，我们在干预完成后收集了来自mentees和同伴导师的调查数据以及对同伴导师的深入访谈。
结果
截至2024年9月，所有同伴 mentees（N = 64）已完成研究，所有同伴导师已完成对同伴mentees的课程提供。同伴导师（n = 5）报告称在课程期间总体舒适度较高（8.52），困扰较低（1.93）。所有5名同伴导师对同伴导师干预培训的忠诚度都很高（>90%）。所有5名同伴导师都报告了STARS干预的高可行性（17.50）、可接受性（20）和适当性（20）。mentees（n = 27）报告称与他们的同伴导师交谈时信心评分较高（3.54）。
结论
为有自杀风险的SGDY提供同伴指导对同伴导师和mentees来说都是可行且可接受的。同伴导师报告说他们在课程期间感到舒适和自信。mentees也报告了与他们的同伴导师合作时的信心。未来的研究应探索支持同伴导师和mentees开展自杀预防工作的最佳策略，并纳入本研究中同伴导师的反馈，以确保取得最佳结果。
试验注册
ClinicalTrials.gov NCT05018143；https://clinicaltrials.gov/study/NCT05018143。
国际注册报告标识符（IRRID）：RR2 - 10.2196/48177。
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