Co-Developing Content Updates for the Card Sort Task for Self-Harm-Digital (CaTS-D) With People With Lived Self-Harm...

Area of Science:

• Psychology
• Public Health
• Digital Health

Background:

• Self-harm is a global concern with significant negative outcomes.
• Existing research tools often overlook the temporal interplay of risk factors.
• The Card Sort Task for Self-Harm (CaTS) was developed to address multiple risk factors.

Purpose of the Study:

• To pilot test the electronic version of CaTS (CaTS-D) for feasibility and acceptability.
• To identify additions and amendments to CaTS to enhance its relevance for diverse populations, including LGBTQIA+ individuals.

Main Methods:

• Study 1: Pilot testing of CaTS-D with UK residents (N=13) with lived self-harm experience, assessing feasibility and acceptability using SUS and VAS.
• Study 2: Qualitative interviews with UK residents (N=13; 9 LGBTQIA+, 4 cisgender-heterosexual) with lived self-harm experience to inform CaTS updates.

Main Results:

• CaTS-D was found to be a feasible and usable web application for self-harm research.
• No significant difference in mood was observed pre- and post-CaTS-D completion (VAS).
• Thematic analysis yielded 13 new card suggestions, and minor wording amendments for LGBTQIA+ inclusivity were identified.

Conclusions:

• CaTS-D is a viable tool for large-scale self-harm research, demonstrating usability and feasibility without negatively impacting participant mood.
• Consultation with individuals with lived experience led to essential updates, enhancing CaTS' relevance and inclusivity for LGBTQIA+ individuals.