Table 1 Items where consensus ratings differed significantly between the two panels
% “essential” or “important” | ||
|---|---|---|
Item | Consumers | Professionals |
Questionnaire 1 | ||
Clinicians should only recommend or endorse online communities to young people who experience suicidal thoughts or behaviour which: clearly display details of when and how often the community is moderated† | 96.6 | 60 |
Clinicians should only recommend or endorse online communities to young people who experience suicidal thoughts or behaviour which: are co-designed with young people with lived experience of suicidal thoughts or behaviour | 93.1 | 55 |
Clinicians should only recommend or endorse online communities to young people who experience suicidal thoughts or behaviour which: allow users to report posts | 100.0 | 60 |
*Clinicians should only recommend or endorse online communities to young people who experience suicidal thoughts or behaviour which: allow users to participate using a pseudonym | 75.9 | 30 |
*As far as possible, clinicians should recommend digital tools which allow users to: input notes from therapy sessions | 82.8 | 45 |
As far as possible, clinicians should recommend digital tools which allow users to: communicate with other young people who experience suicidal thoughts or behaviour as part of a group | 51.7 | 5 |
As far as possible, clinicians should recommend digital tools which allow users to: input data about their suicidal thoughts or behaviour “in the moment” | 62.1 | 15 |
If the clinician attempts to contact the young person to assess their likelihood of engaging in suicidal behaviour, and is not able to reach them, they should: check the young person’s social media profiles to see if they have posted anything that might help with the assessment of risk, only if permission has been obtained by the young person | 58.6 | 20 |
As far as possible, clinicians should recommend digital tools which have the functionality to: enable direct contact between the young person and their treating mental health clinician (if applicable) | 86.2 | 45 |
If a young person is considered to be at “high risk of suicide”, the clinician should, at a minimum: recommend digital tool/s which have in-built interactivity features (e.g., a chatbot) | 62.1 | 20 |
If a young person is considered to be at “acute risk of suicide”, the clinician should, at a minimum: recommend digital tool/s which have in-built interactivity features (e.g., a chatbot) | 65.5 | 20 |
Questionnaire 2 | ||
If a young person starts using a recommended digital tool, and it becomes clear that the tool is used inappropriately by the young person (e.g., used instead of more adaptive help-seeking when in crisis), the clinician should: look for an alternative tool to recommend instead | 92.3 | 47.4 |
*Clinicians should only recommend or endorse online communities to young people who experience suicidal thoughts or behaviour which: allow users to participate using a pseudonym | 84.6 | 31.6 |
*As far as possible, clinicians should recommend digital tools which allow users to: input notes from therapy sessions | 92.3 | 36.8 |