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Table 7 ‘Near-miss’ statements

From: Developing good practice indicators to assist mental health practitioners to converse with young people about their online activities and impact on mental health: a two-panel mixed-methods Delphi study

Domain

Statement

Round introduced

Panel with consensusa

Trend and strength of agreement/ disagreement b

Who/ When

There are some young people who should not be asked about their online behaviour

1

PP

Disagree, Medium

Who/ When

Parents/ carers should be asked about a young person’s online activities

1

PP

Agree, Low

Who/ when

Clinicians should ask young people about their online activities only where the young person raises this

1

PP

Disagree, Low

Who/ when

It is inappropriate to ask a young person about their online activities if the young person is actively suicidal

3

PP

Disagree, Low

Who/ when

It is inappropriate to ask a young person about their online activities if the young person is under 10 years

3

PP

Disagree, Low

How

Conversations should be started using pre-set questions with everyone asked in the same way

1

PP

Disagree, Low

How

When discussing online activities, clinicians should be experts about the online world

1

PP

Disagree, Low

How

When discussing online activities, clinicians should be familiar with basic online slang

3

PP

Agree, Medium

How

When discussing online activities clinicians should be familiar with harmful content circulating

3

YPP

Agree, High

What

Discussions about worrying activity should usually include asking for details of conversations the young person has had online

1

PP

Agree, Low

What

Tailoring questions for young people with disordered eating should include asking about viewing/ posting images of bodies

3

PP

Agree, Medium

What

Tailoring questions for young people with disordered eating should include asking about specific individuals/ influencers followed

3

PP

Agree, Medium

What

Tailoring questions for young people with self-harm/ suicidal feelings should include asking about purchasing methods/ tools online

3

PP

Agree, Medium

Outcomes

When recommending apps, clinicians should offer written information about the app

2

YPP

Agree, Medium

  1. aPP Practitioner panel, YPP Young person panel
  2. bMajority view across panels and strength of agreement/ disagreement of majority view in panel without consensus: Low = 50–59%; Medium = 60- 69%; High = 70–74%