Acceptability, use and safety of the BlueIce self-harm prevention app: qualitative findings from the Beating Adolescent Self-Harm (BASH) randomised controlled trial.
| Autor: | Stallard P; Department for Health, University of Bath, Bath, UK p.stallard@bath.ac.uk.; Oxford Health NHS Foundation Trust, Oxford, UK., Whittle K; Oxford Health NHS Foundation Trust, Oxford, UK., Moore E; Oxford Health NHS Foundation Trust, Oxford, UK., Medina-Lara A; Department of Public Health and Sport Sciences, University of Exeter, Exeter, UK., Morrish N; Department of Public Health and Sport Sciences, University of Exeter, Exeter, UK., Rhodes S; University of Exeter Medical School, Exeter, UK., Taylor G; University of Exeter Medical School, Exeter, UK., Cliffe B; Department for Health, University of Bath, Bath, UK. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ mental health [BMJ Ment Health] 2024 Jun 25; Vol. 27 (1). Date of Electronic Publication: 2024 Jun 25. |
| DOI: | 10.1136/bmjment-2023-300961 |
| Abstrakt: | Background: Little is known about the social validity of self-harm prevention apps for young adolescents with severe mental health problems who repeatedly self-harm. Objective: We assessed the acceptability, use and safety of BlueIce, a self-harm prevention app for young adolescents who self-harm. Methods: Mixed methods study involving a content analysis of postuse interviews. Participants were a clinical group of 60 UK adolescents aged 12-17 with repeated self-harm, randomised to receive BlueIce. Findings: BlueIce was used by 57/60 (95%) respondents with 47/57 (82%) using BlueIce when thinking about self-harm. 17/47 (36%) who were thinking about self-harm used it on more than six occasions with 36/47 (77%) reporting that BlueIce prevented at least one episode of self-harm. 33/47 (70%) reported occasions when they used the app but still went on to self-harm. Reasons why the app was not used or not helpful included feeling too distressed, a negative mindset, prior decision to self-harm or forgetting. BlueIce was rated 4.09 (SD=0.75) out of 5 stars, with high mean ratings out of 10 for ease of use (8.70, SD=1.37) and good for acceptability (7.68, SD=2.05) and helpfulness (6.77, SD=1.72). No respondent identified BlueIce as triggering any episode of self-harm. Conclusion: These findings are consistent with previous evaluations and highlight the acceptability, use and safety of BlueIce. Self-reports indicate that BlueIce prevented some episodes of self-harm. Clinical Implications: Our results highlight the acceptability of the BlueIce self-harm app for young adolescents who repeatedly self-harm. Competing Interests: Competing interests: BlueIce is the intellectual property of PS, the creator of the app. He has no financial benefits from the app. (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.) |
| Databáze: | MEDLINE |
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