robertrmorris
Joined 6 years ago
Joined 6 years ago
We regularly consult clinical advisors (listed here: https://www.kokocares.org/our-team)
I made some comments on outcome measures in another comment you can find here, but you can also see some of our papers here: https://www.kokocares.org/research
It is very true that self-injury is not the same as suicidal ideation, though they can certainly overlap. A common thought is that asking about suicide or presenting resources could be harmful or ‘trigger’ more ideation. The evidence to date suggests, on the contrary, that asking about suicide can actually reduce risks. https://pubmed.ncbi.nlm.nih.gov/24998511/ https://www.cambridge.org/core/journals/the-british-journal-...
Our system gently recommends our service to users right when they search and so the cost of a false positive is low (they can just ignore it or it might just seem like an unrelated PSA). Search is also great because we can vary the intensity of the keywords. For one of our partners, we’re now surfacing resources (in subtle ways) for lower risk searches like “depression.” It is super important to us to think about how we might help people upstream, before they reach a state of crisis.
For users flagged, we work well as a layer on top of CTL as our ux works for people across the entire spectrum of severity.
As for publishing the lists, it's definitely something we're thinking of. for now, it's easy to get them if you sign up with us. we don't charge for use
TL;DR At a high level, for people who complete our interventions, we see 71% feel more hopeful, 42% feel better about their bodies, and 67% feel less self-hatred. Completion rates range from 25-55%. Outcomes would most likely be lower for those who dropout prematurely.
More specifically:
We track multiple outcomes, depending on what the user may be presenting. If they are experiencing suicidal thoughts, we track conversion to crisis lines.
See here: https://psycnet.apa.org/record/2019-14424-004
We follow-up 5hrs later and ask general questions about their experience with the life line.
If they are experiencing self harm, in addition to crisis lines, we offer them a single-session online intervention on managing sh. For that, we see significant improvements pre vs post on measures like “self-hatred”, and “desire to stop selfharm”, with medium effect sizes (.4-.8 cohen’s d). Very hard to show enduring effects for this, however. This research, as well as our work on disordered eating, is still in prep.
For peer support, we have previously published data here: https://pubmed.ncbi.nlm.nih.gov/25835472/
And here: https://pubmed.ncbi.nlm.nih.gov/28903637/
For our interventions on mood and stress regulation, we’ve adapted single session interventions, alongside some wonderful collaborators at Stony Brook. They have published their work here: https://www.nature.com/articles/s41562-021-01235-0
Scroll to the bottom to try the "managing self-harm" mini course. It only takes 7-8min and there is a spot for feedback at the end.