Hanlon, C (2024) The Feasibility and Effectiveness of the James’ Place Brief Psychological Therapeutic Model among Men Experiencing Suicide Crisis. Doctoral thesis, Liverpool John Moores University.

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Abstract

Introduction: Men are disproportionately more likely than women to die by suicide. Research has uncovered several risk factors associated with suicide among men. However, poor uptake and engagement with mental health services by men has led to calls for accessible and suicide prevention approaches sensitive to men’s needs. James’ Place (JP) is a community-based suicide prevention service delivering a therapeutic suicide prevention intervention called the James’s Place Model (JPM) to adult men experiencing suicidal crisis. This thesis aimed to examine feasibility and effectiveness of the JPM.
Methods: A mixed-methods design was used. A systematic review of 14 papers examined the role of co-production in community-based adult suicide prevention services. Routinely collected service data of 511 men, questionnaire data collected from 28 men with follow-up (3- and 6-months) and descriptive analyses of internal audit records of 30 completed cases of men who had received the JPM comprised quantitative data. Semi-structured interviews (n=8) and case studies of JP specialised suicide prevention therapists (n=2) and case studies of men who have received the JPM (n=4) formed qualitative data.
Findings: The JPM is perceived as an accessible and acceptable community-based suicide prevention intervention for men. Key components of the JPM including rapid access, the therapeutic environment cultivated at JP and dynamic nature of lay your cards on the table normalise men’s suicidal experiences and facilitates disclosure of suicidal distress, allowing therapists to tailor intervention delivery to individual needs. While the effectiveness of the JPM could not be statistically tested, men’s accounts indicate it as being perceived as effective in the immediate- to short-term, with evidence of continued implementation of relapse strategies learned.
Discussion: The research adds support to research showing that men will disclose suicidal distress and points to the need for community-based, tailored suicide intervention delivery for men which can be accessed at point of crisis.

Item Type:	Thesis (Doctoral)
Uncontrolled Keywords:	suicide; suicide prevention; Men; Community-based; Co-production
Subjects:	B Philosophy. Psychology. Religion > BF Psychology
Divisions:	Psychology (from Sep 2019)
SWORD Depositor:	A Symplectic
Date Deposited:	26 Jun 2024 09:33
Last Modified:	26 Jun 2024 09:38
DOI or ID number:	10.24377/LJMU.t.00023623
Supervisors:	McIlroy, D, Saini, P, Poole, H and Chopra, J
URI:	https://researchonline.ljmu.ac.uk/id/eprint/23623

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