Co-Producing LGBTQ-Affirmative Intervention Protocols for LGBTQ+ People at Risk of Self-Harm and Suicide: A Co-Production Study

King's College London1 个研究点分布在 1 个国家目标入组 30 人开始时间: 2025年10月1日最近更新: 2026年8月31日

试验速览

阶段: 不适用
状态: 已完成
发起方: King's College London
入组人数: 30
试验地点: 1
主要终点: Feasibility/Recruitment

研究概览研究设计入排标准研究组 & 干预措施结局指标研究者研究点记录与标识符相似试验

研究概览

简要总结

Aims:

To co-produce new intervention parts that meet the needs of LGBTQ+ people at risk of self-harm or suicidal thoughts, with LGBTQ+ people and DBT therapists. These intervention parts will be integrated into a Dialectical Behaviour Therapy (DBT) intervention, that is provided earlier in a persons mental health care journey, than DBT is usually targeted at.
To assess how acceptable and feasible the co-production process was for participants, and how well it achieved co-production principles (e.g. participants feel supported, that the aims were transparent, etc).

Why is This Important? Young people who identify as lesbian, gay, bisexual, transgender, queer, and with other minoritised gender and sexual identities (LGBTQ+) are much more likely to self-harm and experience suicidal thoughts than cisgender-heterosexual (non-LGBTQ+) people. They also experience barriers when accessing mental health support. Some of these barriers come from a lack of support tailored towards their needs as an LGBTQ+ person. This often means that things get worse before they access the right support, and so are often seen in higher-intensity interventions (tier 4 or tertiary care), like DBT.

What The Investigators Plan to Do:

The investigators plan to hold some focus groups with three different groups of people to co-produce the new intervention parts. The three groups include:

A group of LGBTQ+ young people (13-21 years old) who have completed a at full DBT programme recently.
A group of LGBTQ+ young people (13-21 years old) who have never been in a full DBT programme but experienced similar difficulties.
A group of DBT therapists who have supported LGBTQ+ young people before.

The investigators will seek feedback from participants about how acceptable they found the study (e.g. how satisfied they were with the process), how feasible it was (e.g. were they able to attend and was it practice?), and how well they stuck to the coproduction principles (e.g. how supported they felt).

研究设计

研究类型: Observational
观察模型: Cohort
时间视角: Retrospective

入排标准

年龄范围: 13 Years 至 21 Years（Child, Adult）
性别: All
接受健康志愿者: 是

入选标准

•DBT Cohort Young Person Sample 1
•Inclusion criteria will include that the young person:
•Is aged 13 to 21 years old;
•has completed at least four months of comprehensive DBT (i.e. inclusive of all four modes of intervention; Linehan, 1993; Miller et al., 2006; Rathus & Miller, 2015) in the past 24 months or have completed at least four months of DBT and are still in a comprehensive DBT programme;
•identifies as LGBTQ+ (including those questioning or unsure about their orientation/identity);
•is willing and able to participate in the study. While no specific inclusion or

排除标准

•will be placed on other variables, typically to be eligible for a DBT programme, young people would need to have a history of self-harm and/or suicidal behaviours, difficulties with emotion regulation, and potentially difficulties with the remaining symptom list within borderline/emotionally unstable personality disorder. Recruitment size is based on PPI recommendations regarding effective group sizes, with allowances for sample attrition.
•Non-DBT Cohort Young Person Sample 2
•Inclusion criteria will follow similar to sample
•The young person:
•Is aged 13 to 21 years old;
•has not accessed and is not currently enrolled in a comprehensive DBT programme;
•has experienced difficulties with LGBTQ-related identity confusion, managing stigma experiences, and connecting with similar others;
•identifies as LGBTQ+ (including those questioning or unsure about their orientation/identity);
•is willing and able to participate in the study (i.e. are based in the UK and can attend the in-person and online groups).
•No other inclusion or exclusion criteria will be systematically implemented for this group.
•DBT Therapist Sample
•Inclusion criteria:
•Currently practicing or having completed (or recently finished, within the past 12 months) a comprehensive DBT programme as a DBT therapist. In order to practice as a DBT therapist, they must hold a professional qualification recognised by appropriate healthcare regulators.
•Having experience working with at least one LGBTQ+ client in DBT, who was aged between 13 and 21 years at the time.
•Being willing and able to participate in the study.

研究组 & 干预措施

DBT Cohort Young Person Sample 1

Six to 12 young people who have completed at least four months of DBT, including those who did not complete the entire intended duration of the intervention or those still in the intervention, will be recruited via purposive sampling via the National & Specialist CAMHS DBT Service. If the investigators are unable to recruit sufficient numbers, they will seek to recruit from the adult DBT service within South London & Maudsley NHS Foundation Trust.

Inclusion criteria will include that the young person:

Is aged 13 to 21 years old;
has completed at least four months of comprehensive DBT (i.e. inclusive of all four modes of intervention; Linehan, 1993; Miller et al., 2006; Rathus & Miller, 2015) in the past 24 months or have completed at least four months of DBT and are still in a comprehensive DBT programme;
identifies as LGBTQ+ (including those questioning or unsure about their orientation/identity);
is willing and able to participate in the study.

Non-DBT Cohort Young Person Sample 2

Six to 12 young people who have experienced difficulties with at least one of the identified intervention targets (identity confusion, managing stigma experiences, and connecting with similar others) will be recruited from CAMHS and from community organisations (e.g. LGBTQ+ charities).

Inclusion criteria will follow similar to sample 1. The young person:

Is aged 13 to 21 years old;
has not accessed and is not currently enrolled in a comprehensive DBT programme;
has experienced difficulties with LGBTQ-related identity confusion, managing stigma experiences, and connecting with similar others;
identifies as LGBTQ+ (including those questioning or unsure about their orientation/identity);
is willing and able to participate in the study (i.e. are based in the UK and can attend the in-person and online groups).

DBT Therapist Sample

Four to eight DBT therapists will be recruited via purposive sampling via the National & Specialist CAMHS DBT Service and Adult DBT Services in South London & Maudsley NHS Foundation Trust. Inclusion criteria will include:

Currently practicing or having completed (or recently finished, within the past 12 months) a comprehensive DBT programme as a DBT therapist. In order to practice as a DBT therapist, they must hold a professional qualification recognised by appropriate healthcare regulators.
Having experience working with at least one LGBTQ+ client in DBT, who was aged between 13 and 21 years at the time.
Being willing and able to participate in the study.

结局指标

主要结局

Feasibility/Recruitment

时间窗: Baseline

Whether the investigators are able to recruit the intended numbers of participants to each group by the start of the focus groups (baseline).

Feasibility/Attrition

时间窗: Baseline, during the focus groups (12 weeks in duration), and at outcome measure completion (12 weeks from baseline)

Participant attrition rates at baseline, during the study, and at outcome measure completion (12 weeks from baseline).

Feasibility/Focus Group Content and Delivery

时间窗: For the duration of the focus groups (12 weeks)

The count frequency of focus groups, individual sessions, and duration of each taken will be recorded. The content of the focus groups will be documented. The number of facilitators of each type will also be documented.

Acceptability/Session Satisfaction

时间窗: At the end of each focus group (6 focus groups over 12 weeks)

Self-report question at the end of each focus group/individual session: How satisfied were you with the focus group/individual session? \[Response Options: Very Satisfied, Satisfied, Neutral, Unsatisfied, Very Unsatisfied\]. \[Prompt\] Can you tell us why you gave that rating? \[Prompt\] what would have improved your satisfaction?

Acceptability/Satisfaction with the Study

时间窗: End of Study (12 weeks post baseline)

End of study feedback: How satisfied were you with the focus group/individual sessions overall? Response Options: Very Satisfied, Satisfied, Neutral, Unsatisfied, Very Unsatisfied. Prompts to elicit qualitative feedback. How satisfied were you with the final version of the intervention protocols that we all produced together? Response Options: Very Satisfied, Satisfied, Neutral, Unsatisfied, Very Unsatisfied. Prompts to elicit qualitative feedback.

Acceptability/Recommend to Others