Needs for mobile and internet-based psychological intervention in patients with self-injury and suicide-related behaviors: a qualitative systematic review

Abstract Background In recent years, mobile psychological interventions have proven effective in reducing self-injury and suicide-related behaviors. Therefore, it is essential to continually enhance the user experience and address patients' needs to facilitate the development of mobile mental h...

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Main Authors: Meiqi Luo, Yuchuan Yue, Na Du, Yu Xiao, Chunyan Chen, Zongsu Huan
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Psychiatry
Subjects:
Online Access:https://doi.org/10.1186/s12888-023-05477-2
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author Meiqi Luo
Yuchuan Yue
Na Du
Yu Xiao
Chunyan Chen
Zongsu Huan
author_facet Meiqi Luo
Yuchuan Yue
Na Du
Yu Xiao
Chunyan Chen
Zongsu Huan
author_sort Meiqi Luo
collection DOAJ
description Abstract Background In recent years, mobile psychological interventions have proven effective in reducing self-injury and suicide-related behaviors. Therefore, it is essential to continually enhance the user experience and address patients' needs to facilitate the development of mobile mental health interventions. Identifying patients with mobile mental health needs can be challenging for mental health professionals. To address this, we conducted a systematic review of qualitative research to synthesize the needs of patients engaged in self-injury and suicide-related behaviors for mobile and internet-based psychological interventions. Methods This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA) and the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement (ENTREQ). We explored 11 databases and synthesized the results using thematic analysis. Results Sixteen qualitative and mixed-method studies were included. The study found that the needs of patients with self-injury and suicide-related behaviors for mobile psychological intervention included therapy, technology, culture, privacy, communication, emotional support, personalization, and self-management. Consistent with the Technology Acceptance Model (TAM), the needs of patients with self-injury and suicide-related behaviors are influenced by the perceived ease of use and perceived usefulness of the mobile intervention. However, the findings also highlight the importance and unmet needs of peer support, communication, self-management, and empowerment in using mobile psychological interventions for patients with self-injury and suicide-related behaviors. Conclusions Studies in this area have shown that the needs of patients with self-harm and suicide-related behaviors cover multiple stages, including basic therapeutic and technical needs and advanced emotional needs. This complexity makes it challenging to address the needs of patients engaged in self-injury and suicide-related behaviors through digital interventions. In the future, mental health professionals should be encouraged to participate in multidisciplinary collaborations to expand the use of digital interventions, enhancing remote self-management for patients and providing new strategies for the ongoing care of psychiatric patients. We registered the review protocol on PROSPERO (CRD42022324958).
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spelling doaj.art-432ac87b816745cb8d5a5d7de873abf52024-01-07T12:38:36ZengBMCBMC Psychiatry1471-244X2024-01-0124112210.1186/s12888-023-05477-2Needs for mobile and internet-based psychological intervention in patients with self-injury and suicide-related behaviors: a qualitative systematic reviewMeiqi Luo0Yuchuan Yue1Na Du2Yu Xiao3Chunyan Chen4Zongsu Huan5College of Nursing, Chengdu University of Traditional Chinese MedicineThe Fourth People’s Hospital of Chengdu, Hospital OfficePsychosomatic Medical Center, The Fourth People’s Hospital of ChengduPsychosomatic Medical Center, The Fourth People’s Hospital of ChengduCollege of Nursing, Chengdu University of Traditional Chinese MedicineCollege of Nursing, Zunyi Medical UniversityAbstract Background In recent years, mobile psychological interventions have proven effective in reducing self-injury and suicide-related behaviors. Therefore, it is essential to continually enhance the user experience and address patients' needs to facilitate the development of mobile mental health interventions. Identifying patients with mobile mental health needs can be challenging for mental health professionals. To address this, we conducted a systematic review of qualitative research to synthesize the needs of patients engaged in self-injury and suicide-related behaviors for mobile and internet-based psychological interventions. Methods This study adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA) and the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement (ENTREQ). We explored 11 databases and synthesized the results using thematic analysis. Results Sixteen qualitative and mixed-method studies were included. The study found that the needs of patients with self-injury and suicide-related behaviors for mobile psychological intervention included therapy, technology, culture, privacy, communication, emotional support, personalization, and self-management. Consistent with the Technology Acceptance Model (TAM), the needs of patients with self-injury and suicide-related behaviors are influenced by the perceived ease of use and perceived usefulness of the mobile intervention. However, the findings also highlight the importance and unmet needs of peer support, communication, self-management, and empowerment in using mobile psychological interventions for patients with self-injury and suicide-related behaviors. Conclusions Studies in this area have shown that the needs of patients with self-harm and suicide-related behaviors cover multiple stages, including basic therapeutic and technical needs and advanced emotional needs. This complexity makes it challenging to address the needs of patients engaged in self-injury and suicide-related behaviors through digital interventions. In the future, mental health professionals should be encouraged to participate in multidisciplinary collaborations to expand the use of digital interventions, enhancing remote self-management for patients and providing new strategies for the ongoing care of psychiatric patients. We registered the review protocol on PROSPERO (CRD42022324958).https://doi.org/10.1186/s12888-023-05477-2Self-harmSuicide-related behaviorsRemote psychological interventionQualitative synthesisSystematic review
spellingShingle Meiqi Luo
Yuchuan Yue
Na Du
Yu Xiao
Chunyan Chen
Zongsu Huan
Needs for mobile and internet-based psychological intervention in patients with self-injury and suicide-related behaviors: a qualitative systematic review
BMC Psychiatry
Self-harm
Suicide-related behaviors
Remote psychological intervention
Qualitative synthesis
Systematic review
title Needs for mobile and internet-based psychological intervention in patients with self-injury and suicide-related behaviors: a qualitative systematic review
title_full Needs for mobile and internet-based psychological intervention in patients with self-injury and suicide-related behaviors: a qualitative systematic review
title_fullStr Needs for mobile and internet-based psychological intervention in patients with self-injury and suicide-related behaviors: a qualitative systematic review
title_full_unstemmed Needs for mobile and internet-based psychological intervention in patients with self-injury and suicide-related behaviors: a qualitative systematic review
title_short Needs for mobile and internet-based psychological intervention in patients with self-injury and suicide-related behaviors: a qualitative systematic review
title_sort needs for mobile and internet based psychological intervention in patients with self injury and suicide related behaviors a qualitative systematic review
topic Self-harm
Suicide-related behaviors
Remote psychological intervention
Qualitative synthesis
Systematic review
url https://doi.org/10.1186/s12888-023-05477-2
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