Abstract
ABSTRACT Suicide in young people (YP) is of increasing concern. Online mental health (MH) support platforms are becoming increasingly prevalent and may offer a way to support YP’s MH. However, there are challenges to safeguarding YP on these platforms, such as the inability to see or respond to behaviours that pose risk. The present study aims to explore the experience of online, anonymous, text-based services provided by Kooth, an online MH platform, to YP previously at risk of suicide during the COVID-19 pandemic. Five female YP previously at risk of suicide were interviewed through online chat-based semi-structured interviews, and data were analysed with Interpretative Phenomenological Analysis. Results discuss three superordinate themes: a safe space to share; control; and need for connection. Thematic results highlight the desire for anonymity and control of therapeutic conversations due to concerns regarding confidentiality, and the perceived consequences of seeking help. Participants were successfully able to build connections through chats with online MH support staff. However, miscommunication was an issue throughout their experience, and could exacerbate negative feelings. Themes suggest that anonymous, online services can overcome access barriers and enable YP to share and process their experiences. Implications for clinical practice are discussed.
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