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Partnering With Teens With Past Suicide-Related Crises: Development, Application and Refinement of Safety Procedures
Marisa E Marraccini1, Telieha J Middleton1, Lauren E Delgaty1
1School of Education, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Summary
This study developed safety protocols for co-designing digital mental health tools with adolescents at risk of suicide. The protocols were effective, with teens finding them helpful and recommending personalized adaptations for better safety in suicide prevention research.
Area of Science:
- Digital mental health intervention development
- Adolescent psychology and well-being
- Participatory research methodologies
Background:
- Growing need for safety protocols in participatory co-design for digital mental health interventions.
- Exclusion of adolescents with suicide-related thoughts and behaviors (STB) from co-design limits youth voice.
- Importance of including diverse youth, including ethnic-racial minorities and LGBTQ+ individuals, in mental health research.
Purpose of the Study:
- To outline the development and implementation of safety protocols for participatory co-design with adolescents with suicide-related crises.
- To explore the perspectives of adolescent co-designers on the effectiveness and areas for improvement of these safety protocols.
- To inform future co-design practices for digital mental health interventions involving vulnerable youth.
Main Methods:
- Case study approach detailing the development and application of safety protocols.
- Applied thematic analysis of teen co-designer feedback on safety measures.
- Involvement of adolescents with histories of suicide-related crises, identifying as ethnic-racial minoritized or LGBTQ+.
Main Results:
- No safety incidents occurred during co-design sessions.
- Adolescent distress levels remained stable before and after meetings.
- Adolescent co-designers supported most safety protocol components, suggesting adaptations for individual needs.
Conclusions:
- Lessons learned can guide future participatory co-design with adolescents with STB.
- Emphasizes leveraging the strengths and resilience of young people in co-design processes.
- Highlights the potential for inclusive co-design in enhancing suicide prevention interventions for youth.
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