Christabel Owens

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BACKGROUND 'Suicide hotspots' include tall structures (for example, bridges and cliffs), railway tracks, and isolated locations (for example, rural car parks) which offer direct means for suicide or seclusion that prevents intervention. METHODS We searched Medline for studies that could inform the following question: 'What interventions are available to(More)
OBJECTIVE To explore the factors that influence help seeking for mental distress by offenders. DESIGN Qualitative study based on in-depth interviews with prisoners before and after release. SETTING One category B local prison in southern England. PARTICIPANTS 35 male offenders aged 18-52, a quarter of whom had been flagged as being at risk of self(More)
Previous research has shown that a majority of people communicate their suicidal ideas and intent prior to the act of suicide, but very little is known about the way in which these suicide communication events are interpreted by relatives, friends and significant others. A suicide communication event (SCE) is defined as a set of circumstances in which a(More)
Suicide research relies heavily on accounts provided by bereaved relatives, using a method known as the psychological autopsy. Psychological autopsy studies are invariably quantitative in design and their findings reinforce the medical model of suicide, emphasising the role of mental illness. They largely ignore the meanings that narrators attach to events,(More)
The internet is widely used for health information and support, often by vulnerable people. Internet-based research raises both familiar and new ethical problems for researchers and ethics committees. While guidelines for internet-based research are available, it is unclear to what extent ethics committees use these. Experience of gaining research ethics(More)
In this article we explore how young adults became members and sustained membership in an online self-harm support forum, SharpTalk. We take a discursive approach to consider resources young people used to establish themselves, how others responded to their attempts, and how membership categories were developed and applied. Participants displayed(More)
BACKGROUND Many suicides may be preventable through medical intervention, but many people do not seek help from a medical practitioner prior to suicide. Little is known about how consulting decisions are made at this time. AIM To explore how distressed individuals and members of their lay networks had made decisions to seek or not to seek help from a(More)
OBJECTIVE To shed light on the difficulties faced by relatives, friends, and colleagues in interpreting signs of suicidality and deciding whether and how to intervene. DESIGN Qualitative study of completed suicides, based on in-depth interviews with multiple informants. SETTING London, southwest England, and south Wales. PARTICIPANTS 31 lay informants(More)
OBJECTIVE To engage a group of people with relevant lived experience in the development of a text-messaging intervention to reduce repetition of self-harm. BACKGROUND Contact-based interventions, such as follow-up letters, postcards and telephone calls, have shown potential to reduce repetition of self-harm in those who present at Accident and Emergency(More)
BACKGROUND Online communities are known to break down barriers between supposed experts and non-experts and to promote collaborative learning and 'radical trust' among members. Young people who self-harm report difficulties in communicating with health professionals, and vice versa. AIM We sought to bring these two groups together online to see how well(More)