‘I'm still su!c!dal when you're done with the paperwork’: an inductive framework thematic analysis of #camhs on TikTok

Background Young people are sharing their experiences of Child and Adolescent Mental Health Services (CAMHS) in the United Kingdom on TikTok. Little is known about the content of these videos and their influence on young people's attitudes towards seeking professional mental health support. Met...

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Veröffentlicht in:Journal of child psychology and psychiatry 2024-10, Vol.65 (10), p.1258-1269
Hauptverfasser: Foster, Molly, Frith, Hannah, John, Mary
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creator Foster, Molly
Frith, Hannah
John, Mary
description Background Young people are sharing their experiences of Child and Adolescent Mental Health Services (CAMHS) in the United Kingdom on TikTok. Little is known about the content of these videos and their influence on young people's attitudes towards seeking professional mental health support. Methods This study explored how CAMHS is represented in a sample of 100 #camhs TikTok videos using participatory inductive framework thematic analysis. Results Four themes were developed alongside young people as co‐researchers: (a) CAMHS can be frustrating and unhelpful, but sometimes life‐saving, (b) Young people can feel their distress is invalidated by CAMHS, (c) CAMHS makes young people feel responsible for their distress, and (d) Young people may not feel CAMHS professionals are trustworthy. Video content described dismissive responses to expressions of suicidal ideation, professional knowledge being privileged over lived experience, and breaches of confidentiality. Some shared positive experiences of CAMHS helping to keep them safe. Conclusions Together, the themes reflect a representation of CAMHS as a service where adults are powerful and young people occupy a subjugated position. This may influence young people's professional help‐seeking behaviour. Recommendations for clinical practice and future research are presented.
doi_str_mv 10.1111/jcpp.14002
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Little is known about the content of these videos and their influence on young people's attitudes towards seeking professional mental health support. Methods This study explored how CAMHS is represented in a sample of 100 #camhs TikTok videos using participatory inductive framework thematic analysis. Results Four themes were developed alongside young people as co‐researchers: (a) CAMHS can be frustrating and unhelpful, but sometimes life‐saving, (b) Young people can feel their distress is invalidated by CAMHS, (c) CAMHS makes young people feel responsible for their distress, and (d) Young people may not feel CAMHS professionals are trustworthy. Video content described dismissive responses to expressions of suicidal ideation, professional knowledge being privileged over lived experience, and breaches of confidentiality. Some shared positive experiences of CAMHS helping to keep them safe. Conclusions Together, the themes reflect a representation of CAMHS as a service where adults are powerful and young people occupy a subjugated position. This may influence young people's professional help‐seeking behaviour. Recommendations for clinical practice and future research are presented.</description><identifier>ISSN: 0021-9630</identifier><identifier>ISSN: 1469-7610</identifier><identifier>EISSN: 1469-7610</identifier><identifier>DOI: 10.1111/jcpp.14002</identifier><identifier>PMID: 38724448</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adolescent Health Services - standards ; Adolescents ; CAMHS ; Child ; Child &amp; adolescent mental health ; Child Health Services - standards ; Clinical medicine ; Clinical research ; Confidentiality ; experience of services ; Female ; Health behavior ; Help seeking behavior ; Humans ; Male ; Mental health ; Mental Health Programs ; Mental health services ; Mental Health Services - standards ; Patient Acceptance of Health Care ; Professional attitudes ; Professional knowledge ; Psychological distress ; Qualitative Research ; social media ; Suicidal ideation ; Suicide ; TikTok ; United Kingdom ; Young adults ; young people ; Youth</subject><ispartof>Journal of child psychology and psychiatry, 2024-10, Vol.65 (10), p.1258-1269</ispartof><rights>2024 The Authors. published by John Wiley &amp; Sons Ltd on behalf of Association for Child and Adolescent Mental Health.</rights><rights>2024 The Authors. 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Little is known about the content of these videos and their influence on young people's attitudes towards seeking professional mental health support. Methods This study explored how CAMHS is represented in a sample of 100 #camhs TikTok videos using participatory inductive framework thematic analysis. Results Four themes were developed alongside young people as co‐researchers: (a) CAMHS can be frustrating and unhelpful, but sometimes life‐saving, (b) Young people can feel their distress is invalidated by CAMHS, (c) CAMHS makes young people feel responsible for their distress, and (d) Young people may not feel CAMHS professionals are trustworthy. Video content described dismissive responses to expressions of suicidal ideation, professional knowledge being privileged over lived experience, and breaches of confidentiality. Some shared positive experiences of CAMHS helping to keep them safe. Conclusions Together, the themes reflect a representation of CAMHS as a service where adults are powerful and young people occupy a subjugated position. This may influence young people's professional help‐seeking behaviour. 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Frith, Hannah ; John, Mary</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3932-a5d08a6483521546225b4d63a6d0f602247c01be0a6fdd21a13b7d4a975238ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adolescent</topic><topic>Adolescent Health Services - standards</topic><topic>Adolescents</topic><topic>CAMHS</topic><topic>Child</topic><topic>Child &amp; adolescent mental health</topic><topic>Child Health Services - standards</topic><topic>Clinical medicine</topic><topic>Clinical research</topic><topic>Confidentiality</topic><topic>experience of services</topic><topic>Female</topic><topic>Health behavior</topic><topic>Help seeking behavior</topic><topic>Humans</topic><topic>Male</topic><topic>Mental health</topic><topic>Mental Health Programs</topic><topic>Mental health services</topic><topic>Mental Health Services - standards</topic><topic>Patient Acceptance of Health Care</topic><topic>Professional attitudes</topic><topic>Professional knowledge</topic><topic>Psychological distress</topic><topic>Qualitative Research</topic><topic>social media</topic><topic>Suicidal ideation</topic><topic>Suicide</topic><topic>TikTok</topic><topic>United Kingdom</topic><topic>Young adults</topic><topic>young people</topic><topic>Youth</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Foster, Molly</creatorcontrib><creatorcontrib>Frith, Hannah</creatorcontrib><creatorcontrib>John, Mary</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; 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Little is known about the content of these videos and their influence on young people's attitudes towards seeking professional mental health support. Methods This study explored how CAMHS is represented in a sample of 100 #camhs TikTok videos using participatory inductive framework thematic analysis. Results Four themes were developed alongside young people as co‐researchers: (a) CAMHS can be frustrating and unhelpful, but sometimes life‐saving, (b) Young people can feel their distress is invalidated by CAMHS, (c) CAMHS makes young people feel responsible for their distress, and (d) Young people may not feel CAMHS professionals are trustworthy. Video content described dismissive responses to expressions of suicidal ideation, professional knowledge being privileged over lived experience, and breaches of confidentiality. Some shared positive experiences of CAMHS helping to keep them safe. 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subjects Adolescent
Adolescent Health Services - standards
Adolescents
CAMHS
Child
Child & adolescent mental health
Child Health Services - standards
Clinical medicine
Clinical research
Confidentiality
experience of services
Female
Health behavior
Help seeking behavior
Humans
Male
Mental health
Mental Health Programs
Mental health services
Mental Health Services - standards
Patient Acceptance of Health Care
Professional attitudes
Professional knowledge
Psychological distress
Qualitative Research
social media
Suicidal ideation
Suicide
TikTok
United Kingdom
Young adults
young people
Youth
title ‘I'm still su!c!dal when you're done with the paperwork’: an inductive framework thematic analysis of #camhs on TikTok
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