Brief interventions for self-injurious thoughts and behaviors in young people: A systematic review

Dobias, Mallory; Chen, S; Fox, KR; Jl, Schleider

doi:10.31234/osf.io/z26ch

Cited by 7 publications

(7 citation statements)

References 36 publications

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“…Program Feedback Scale. The PFS [61], which is routinely used to evaluate acceptability and user perceptions of SSIs [62][63][64][65] asks participants to rate agreement with 7 statements indicating perceived acceptability and feasibility of their selected SSI (e.g. "I enjoyed the program") on a 5-point Likert scale (1="really disagree"; 5="totally agree").…”

Section: Methodsmentioning

confidence: 99%

Acceptability and Utility of an Open-Access, Online Single-Session Intervention Platform for Adolescent Mental Health

Schleider¹,

Dobias²,

Sung³

et al. 2020

Preprint

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Background. Many youths with mental health needs are unable to access care. Single-session interventions (SSIs) have helped reduce youth psychopathology across multiple trials, suggesting promise to broaden access to effective, low-intensity supports. Online, self-guided SSIs may be especially scalable, particularly if freely available for as-needed use. However, online SSIs’ acceptability and effects have remained unexamined outside of controlled trials, leaving their practical utility poorly understood. Objective. We evaluated the perceived acceptability and proximal effects of Project YES (Youth Empowerment & Support; www.schleiderlab.org/yes), an open-access platform offering three online SSIs for youth internalizing distress. Method. After selecting one of three SSIs to complete, youth participants (ages 11-17 years) reported pre- and post-SSI levels of clinically-relevant outcomes that SSIs may target (e.g. hopelessness; self-hate) and perceived SSI acceptability. User-pattern variables, demographics, and depressive symptoms were collected to characterize youths engaging with YES. Results. From 9/2019-3/2020, 694 youths accessed YES, of whom 539 began and 187 completed a 30-minute, self-guided SSI. SSI completers reported clinically-elevated depressive symptoms, on average, and were diverse on several dimensions (53.75% non-white; 78.10% female; 43.23% sexual minorities). Regardless of SSI selection, completers reported pre- to post-program reductions in hopelessness (dav = .53; dz = .71), self-hate (dav = .32; dz = .61), perceived control (dav = .60; dz = .72) and agency (dav = .39; dz = .50). Youths rated all SSIs as acceptable (e.g., enjoyable; likely to help peers). Conclusions. Results support the perceived acceptability and utility of open-access, free-of-charge SSIs for youth experiencing internalizing distress.

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Section: Methodsmentioning

confidence: 99%

Acceptability and Utility of an Open-Access, Online Single-Session Intervention Platform for Adolescent Mental Health

Schleider¹,

Dobias²,

Sung³

et al. 2020

Preprint

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“…These interventions are scalable, potentially capable of reaching young people who are unlikely to come into contact with more formal/traditional services, and are flexible enough to be disseminated in multiple contexts, including social media. Additionally, the potential value of SSIs in reducing SITB has already been noted (Dobias et al, 2020).…”

Section: Interventionmentioning

confidence: 98%

Digital Media, Suicide, and Self-Injury

Kruzan¹,

Whitlock²

2022

Handbook of Adolescent Digital Media Use and Mental Health

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While interest in the relationship between media use and young people's mental health is not new, the complexity of newer media technologies present novel research challengeslargely due to the interactive, multidimensional nature of contemporary communication technologies, such as those typified by social media environments. While early media studies focused primarily on effects of "screen time," studies of modern-day social media must grapple with a number of overlapping and influential factors since effects are no longer related to mere exposure to potentially harmful content, but to the interactions that take place as individuals use and shape these platforms, as well.The relationship between social media and self-injurious behaviorsspecifically suicidal thoughts and behaviors and nonsuicidal self-injury (NSSI)emerged as a primary research focus soon after social media came into widespread use, perhaps due to the well-established links between both media exposure and well-being (Wartella & Reeves, 1985) and to media effects and suicidal thoughts and behaviors (Phillips, 1974). This focus was reinforced by studies linking widely covered suicides (Niederkrotenthaler et al., 2012) and popular shows depicting suicide (Swedo et al., 2020) to upticks in self-injury and suicide-related activity.This chapter is devoted to examining the relationship between social media and self-injurious thoughts and behaviors. Self-injurious thoughts and behaviors (SITB) describe thoughts and behaviors with (e.g., suicidal ideation, suicide plans, gestures, and behaviors) and without (e.g., NSSI) suicidal intent (Miller & Prinstein, 2019). While the developmental trajectories of NSSI and suicidal thoughts and behaviors differ from one another (Fox et al., 2015), SITB are not always clearly delineated from one another in the literature, in part because they commonly co-occur and in part because they each contribute to an increased risk for future suicide attempts (Kiekens et al., 2018). Such conflation applies to the literature on which this chapter draws. For simplicity, we will use the term SITB to refer to self-injury with, and without, intent in this chapter and we will refer to more specific constructs within this broader term when studies focus on a narrower sample.

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“…Youth interested in sharing their stories were then contacted and provided with further information about Project YES and the process of gathering stories. In total, 14 San Antonio youth (ages [12][13][14][15][16][17] elected to contribute personal stories of mental health and coping to Project YES; parents' or guardians' written permission was obtained for all 14 volunteers. UTTH ultimately gathered 33 stories from these 14 youth, all of which were integrated into Project YES.…”

Section: Culturally Adapting Project Yes 10mentioning

confidence: 99%

“…Further, in a recent nationwide randomized trial including 2,452 adolescents with elevated depressive symptoms, two different digital, self-guided SSIs (one teaching behavioral activation; another teaching that personal characteristics are malleable) significantly reduced three-month depressive symptoms, hopelessness, and restrictive eating compared to a supportive control [15]. In another randomized, placebo-controlled trial of 555 adolescents endorsing self-injurious behaviors, a digital, self-guided SSI significantly reduced selfhatred and increased desires to stop future non-suicidal self-injury [16]. In both of these trials, adolescents completed the digital SSIs in the midst of the COVID-19 pandemic (between May and December of 2020), and more than 80% of adolescents who began a digital SSI completed it in full.…”

Section: Introductionmentioning

confidence: 98%

A Digital Single-Session Intervention Platform for Youth Mental Health: Cultural Adaptation, Evaluation, and Dissemination

Shroff¹,

Roulston²,

Fassler³

et al. 2022

Preprint

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BACKGROUND. Despite the proliferation of evidence-based digital mental health programs for young people, low uptake and inconsistent implementation precludes them from benefiting youth at scale. Identifying effective implementation strategies for evidence-based supports is especially critical in regions where treatment access is lowest due to mental health provider shortages. Objective. The goal of this academic-community partnership, funded by the City of San Antonio Metropolitan Health District, was to culturally adapt, disseminate, and gauge the acceptability and utility of an evidence-based digital mental health platform—Project YES (www.schleiderlab.org/yes)—among English- and Spanish-speaking youth living in south Texas. METHODS. Project YES is an open-access, anonymous platform containing three evidence-based, self-guided interventions for youth mental health. Project YES was culturally adapted via focus groups and co-design sessions with San Antonio youth with lived experience of depression and anxiety; translated into Spanish; and disseminated throughout San Antonio, Texas, via community and school partnerships. RESULTS. During the project period (April 2021–December 2021), 1,801 San Antonio youth began and 894 completed a 30-minute, single-session intervention within Project YES (ages 11-17; 39.9% male, 53.4% female, 0.2% intersex; 82.0% Hispanic, 4.3% non-Hispanic white, 6.3% Black, 1.6% Asian, 5.2% other). This completion rate (49.6%) surpassed those previously observed for Project YES (e.g., 34% when disseminated via social media). San Antonio youth rated Project YES as highly acceptable across all metrics, both in English and Spanish. Additionally, youth who completed Project YES - ENGLISH reported significant improvements in hopelessness (d = 0.33), self-hate (d = 0.27), and perceived agency (d = 0.25), from pre- to post-intervention, and teens who completed Project YES - SPANISH reported improvements in self-hate (d = 0.37) from pre- to post-intervention. CONCLUSIONS. Results indicate that Project YES—an open-access, free, anonymous online single-session intervention (SSI) platform—is an acceptable, accessible, and applicable mental health support for English- and Spanish-speaking San Antonio youth.

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Brief interventions for self-injurious thoughts and behaviors in young people: A systematic review

Cited by 7 publications

References 36 publications

Acceptability and Utility of an Open-Access, Online Single-Session Intervention Platform for Adolescent Mental Health

Acceptability and Utility of an Open-Access, Online Single-Session Intervention Platform for Adolescent Mental Health

Digital Media, Suicide, and Self-Injury

A Digital Single-Session Intervention Platform for Youth Mental Health: Cultural Adaptation, Evaluation, and Dissemination

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