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Updated: Sep 19, 2025

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A Self-Harm Awareness Training Module for School Staff: Co-Design and User Testing Study.

Anne-Marie Burn1, Hayley Gains1, Joanna K Anderson1

  • 1Department of Psychiatry, University of Cambridge, Cambridge, United Kingdom.

JMIR Formative Research
|June 2, 2025
PubMed
Summary

School staff can now access a new e-learning module designed to improve their confidence and skills in supporting adolescents who self-harm. This training is acceptable and feasible for implementation in schools.

Keywords:
co-designqualitativeschool staffschoolsself-harmtrainingyoung peopleyouth

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Area of Science:

  • Adolescent mental health
  • Public health interventions
  • Educational psychology

Background:

  • Rising rates of adolescent self-harm present a critical public health challenge.
  • School staff are pivotal in early identification and support for self-harming students.
  • Inadequate training leaves school staff feeling unprepared to address student self-harm effectively.

Purpose of the Study:

  • To co-design a self-harm awareness e-learning module tailored for UK school staff.
  • To develop a user-centered training intervention addressing identified gaps in staff preparedness.

Main Methods:

  • A person-based approach guided development through three participatory cycles: expert co-design, school staff workshops, and prototype user testing.
  • The framework method was used for thematic analysis of qualitative data.
  • Co-design sessions involved mental health experts, self-harm specialists, and school-based training professionals.

Main Results:

  • An e-learning module, 'Supportive Response to Self-Harm,' was developed with expert input and school staff collaboration.
  • User testing with school staff (n=20) indicated high usability and acceptability.
  • Qualitative analysis revealed positive themes regarding usability, content, design, feasibility, and enhanced staff knowledge and confidence.

Conclusions:

  • The co-designed e-learning module is acceptable and feasible for enhancing school staff's response to adolescent self-harm.
  • The module utilizes a user-centered, person-based approach grounded in psychological theory.
  • Future research will pilot the program's effectiveness to inform large-scale school implementation.