The Support Systems for Self-harm and Suicide (4S) Study is a research study investigating how secondary schools, colleges and governing bodies of youth organisations in England deliver self-harm and suicide prevention, intervention and postvention.
2. Intervention
Intervention is a process which aims to support and empower people who are practicing an unhealthy or harmful behaviour which is causing them harm. For example, providing information and discussing options that a person may use to stop smoking.
3. Postvention
Postvention is a process which is used following an event aimed at supporting those who have experienced a traumatic event. For example, providing healing support to try to ease the difficulties felt by people who have experienced suicide by someone they know.
Phase 1 Study (2022 – 2024)
We are investigating how secondary schools, colleges and youth organisations currently support young people with self-harm and suicide. We are doing this in four different ways:
We are recruiting Patient and Public Involvement and Engagement (PPIE) stakeholder groups to work with us and inform what we do
We are conducting a scoping review of current guidance available to those supporting young people with self-harm and suicide
We are using secondary data analysis to investigate 1) who young people talk to about self-harm and suicide, and 2) how prevention, intervention and postvention programmes communicate about self-harm and suicide
We are surveying schools, colleges and youth organisation governing bodies (YOGBs) to understand current policy and approaches to prevention, intervention and postvention of self-harm and suicide for young people
Phase 2 Study (2024 – 2026)
Based on our learning from Phase 1, we are co-producing principles of practice to support organisations working with young people around self-harm and suicide prevention and postvention. There are two parts to this project:
We are conducting in-depth interviews with groups of:
– Young people aged 14 to 21 who have experience of self-harm or suicide
– Adults who work with young people
We will then do a Delphi study to co-produce ‘gold-standard’ principles of practice. Expert panels of academics and clinicians, professionals, school, college, and youth setting staff will vote to obtain a consensus on the principles
If you would like to receive updates about the project and our findings, please email a.e.russell@exeter.ac.uk to be added to our distribution list.
4S Funding
The 4S Study is funded by National Institute of Health Research (NIHR) School for Public Health Research (SPHR). The views expressed are those of the author(s) and not necessarily those of the NIHR SPHR.
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