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The NIHR Schools for Primary Care Research (SPCR), Public Health Research (SPHR) and Social Care Research (SSCR) (“three Schools”) have joined together in a unique collaboration between leading academic centres in England to collaborate on a programme of work funded through the National Institute for Health Research (NIHR): Improving mental health and wellbeing in underserved populations through collaborative research.

 

Stephanie Hanley - University of Birmingham

 

 

Stephanie Hanley - University of Birmingham

Project Title: Understanding the mental health care needs of pregnant and postnatal women with language barriers to inform the development of recommendations to improve support within UK primary care and community settings.

Brief Summary: Mental health problems during and after pregnancy are extremely common. Approximately 40% of deaths between six weeks and a year after pregnancy are due to mental-health-related causes, and the risk is even greater for women who do not speak English, or fluently. Pregnant and postnatal women from ethnic minorities experience difficulties in accessing mental health services and migrant families who speak a language other than English describe a lack of cultural sensitivity and inadequate interpretation support in postnatal health care. Community-based mental health peer support has been suggested as complementary or an alternative to professional support for pregnant women with mental health issues, especially for those who feel stigmatised by their difficulties, have been unable to access professional support or feel more comfortable engaging with relatable members of their community. Therefore, this project aims to 1) understand the experiences of receiving and providing mental health care for pregnant and postnatal women with limited or no English proficiency in primary care and community settings and, 2) co-produce recommendations to improve mental health care for these women.

Start / end dates: Sept 2024 - Feb 2026

Contact email: s.hanley@bham.ac.uk

 Natasha Tyler - NIHR Three Schools. Mental Health Post Doctoral Launching Fellow

Natasha Tyler - University of Manchester

Project Title: Incorporating Primary and Social Care elements into the SAFER Mental Health (SAFER_MH) Care Transitions Bundle for patients at high risk of suicide

Brief Summary: This project aims to improve the SAFER-MH intervention by adding two components that improve 'joined-up' working between hospitals and primary and social care. Firstly, to work with patients, carers and professionals to develop an improved letter than is sent to GPs after discharge. Secondly, I will work with key members of primary care teams such as social prescribers to understand the current support systems for people with mental health in primary care and the community. I will then bring together patients, carers and other clinicians to devise a follow-up intervention to support patients after discharge. During this fellowship, I will be applying for further funding to test SAFER-MH nationally and make changes to services that will improve quality of care for patients as soon as possible.

Start / end dates: Jan 2025-March 2026

Contact email: Natasha.tyler@manchester.ac.uk

Natural based education and mental health

Helen Eke  - University of Exeter

Project Title: The role of nature-based education in preventing emergence of mental health problems in neurodivergent adolescents

Brief summary: Neurodivergent young people (NYP) are different from other adolescents in the way their brains work, which includes those with a neurodevelopmental “disorder” such as autism, tics or attention deficit/hyperactivity disorder. NYP are more likely than other adolescents to develop additional mental health problems such as depression and anxiety, both in adolescence and later in life, and are less likely to do well in school, are absent more, and are often excluded. The rules and regulations in schools can increase feelings of stress and anxiousness for NYP, leading to later mental health problems. Forest schools, or other nature-based school options are outdoor education centres that are different from a traditional classroom. At a nature-based education setting, adolescents take part in a variety of activities and learn skills “hands-on”. Some research suggests that forest schools might be helpful to NYP in supporting them to learn but there is not much evidence, specifically about adolescents. In this development grant, we will conduct a scoping review and will draw together a team of experts across the Three Schools, as well as partners who are interested in working in this area, to explore exactly how and why we think nature-based education can prevent mental health problems. We will also continue public involvement, working with NYP, their families and outdoor school teachers to plan a wider project for a programme application in 2025.

Start / end dates: June 2024 - May 2025

Email: h.e.eke@exeter.ac.uk

Joe Hulin - University of Sheffield 

Joe Hulin - University of Sheffield

Project Title: Suicide Prevention in Primary Care

Brief Summary: The aim of this work is to develop a research proposal to evaluate ways of supporting GPs to deliver care for people who self-harm or have suicidal feelings. To support this we will be undertaking a rapid review of the literature on suicide prevention interventions in primary care. We will focus on interventions which support integration with other mental healthcare services and VCSE organisations.

Start / end dates: June 2024 - November 2024

Email: j.hulin@sheffield.ac.uk

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Helena Tuomainen - University of Warwick

Project Title: Co-creating integrated solutions involving young people, parents and teachers to prevent the emergence and escalation of mental health problems in adolescents of minority ethnic background

Brief Summary: The overall aim of our project is to prevent mental health problems arising and/or becoming worse in young people (11-14) of minority ethnic background. This includes: a) finding ways for parents/carers to recognise emerging mental health problems and support the mental health/wellbeing of their adolescent child; and b) identifying the best way of working together with young people, parents/carers and teachers to co-create solutions. Our project includes a scoping review of integrated solutions, and workshops with young people, parents/carers and teachers to help identify and co-design acceptable intervention elements. We will recruit participants from two secondary schools in east London and Birmingham, respectively, with high numbers of pupils from minority ethnic communities. We will also identify existing mental health support in target communities, build a research team, and develop a research proposal for the next stage of the project.

Start / end dates: June 2024 - November 2024

E-mail: helena.tuomainen@warwick.ac.uk

Abisola Balogun

Abisola Balogun-Katung - Newcastle University

Project title: Evaluating the effectiveness of a model of trauma-informed care in children's social care

Brief summary: A large number of children in England are removed from their families and taken into local authority care. Many of these children have experienced trauma. Children in care may go on to experience a range of problems including with their behaviour and their emotions, and in how they experience the care they receive. Many children’s social care services are introducing a new approach to supporting children who have experienced trauma. This is called a trauma-informed approach. A trauma-informed approach recognises the importance of trauma within a child’s past and present experiences and aims to respond appropriately to this. Currently, little is known about how trauma-informed care for children within social care practice works and whether it improves outcomes for children. Therefore, this project aims to evaluate a new model of trauma-informed care implemented within North Tyneside Council. We will find out if, how, and why this different model of trauma-informed care for children in care with a difficult trauma history works, whether this results in children in care experiencing less problems with their behaviour, emotions and in their care placements, and whether the approach results in cost savings. We will share what we learn with different groups, including children in care, practitioners, and researchers. We will do this in a number of ways: We will produce (i) a report of the findings of the trauma-informed care service (ii) Newsletters (iii) Webinars (iv) creative and visual methods and (v) three articles, which we will publish in peer reviewed academic journals.

Start / end dates: October 2024 - March 2026

Email:  abisola.balogun@newcastle.ac.uk  

Kelly Birtwell

Kelly Birtwell - University of Manchester

Project title: Increasing access to physical activity for autistic adults: development of resources to support engagement in dance

Brief summary: What the research is about: Autistic adults can experience more physical and mental health conditions than non-autistic adults, including depression, social isolation, loneliness, and obesity. Being active through dance may help autistic people with these issues. There are many ways to try dance: · in your own space, e.g. at home (on your own, with a partner, or by joining an online class); · in social settings (e.g. a salsa night, nightclub or party); · at dance classes (individual dancing, e.g. tap or ballet; partner dancing, e.g. ballroom or Latin; or group dancing, e.g. line dancing or sequence dancing). Dance could be something that professionals called ‘link workers’, who work in GP practices, refer people to through ‘social prescribing’ (where social activities can be prescribed instead of drugs, e.g., gym membership, a weight-loss club, etc.). But little is known about how to make it easier and accessible for autistic adults to engage in dance.

Aim of the research: We want to: 1) find out about autistic people’s experiences of dance in these different settings; 2) develop resources to support: autistic people to engage in dance; link workers to make referrals; and dance teachers and organisations to be more aware of the needs of autistic people.

Start / end dates: December 2024 - March 2026

Email: Kelly.birtwell@manchester.ac.uk

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Krysia Canvin / Rose Hutton - Keele University

Project title: Evaluation of Compassion Focussed Therapy for women in prison

Brief summary: Significant numbers of women in prison are in the perinatal period (i.e. pregnant or two years post-childbirth) and are separated from children placing them at increased risk of experiencing poor mental health. This research will evaluate the delivery of ‘Compassion Focused Therapy’ - a form of talking therapy – that is provided to women on a perinatal pathway in a female prison.

Start / end dates: June 2024 - March 2026

Email:  k.canvin@keele.ac.uk / r.hutton@keele.ac.uk 

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Laura TuckerMartin Webber - University of York

Project title: Hidden troubles: Exploring suicide risk and suicide prevention with Gypsy and Traveller communities

Brief summary: Gypsy and Traveller communities are at high risk for almost all predictors of suicideAlthough evidence on the extent of this risk is limited, what we know from people within these communities and those who work with them suggests disproportionality high rates of suicide which have been sustained over a long time. Limited understanding of suicide risk for people from ethnic minorities is a key barrier to effective suicide prevention and empowering communities to address the risks themselves is globally seen as a valuable approach.  This collaborative research project aims to develop a community-led approach to suicide prevention with Gypsies and Travellers in Yorkshire and the North EastIt will draw on the hidden expertise within Gypsy and Traveller communities to explore suicide risk and identify community strengths and resources that can be used for preventative workIt will also identify the spaces where healthcare and public health interventions could make a differenceBy exploring how practitioners and local policy makers could respond and what barriers might exist, we aim to ensure that the proposed approach can make relevant recommendations for practice and policy around suicide prevention with Gypsy and Traveller communities. 

Start / end dates: June 2024 - March 2026

Email:  sbs-grt-research@york.ac.uk 

Vashti Berry

Vashti Berry - Exeter University

Project title: CHOICES Extension Funding

Brief summary: 

Social prescribing is a way of connecting people to local groups and activities in their communities that might be good for their health or wellbeing. This is often done through their GP, who directs them to a

link worker, who then engages in long conversations with the person about what might be the most appropriate activities. Social prescribing link workers are now part of GP practices across the whole of England. However, despite children and young people experiencing high-levels and increasing mental health need, we know that social prescribing is not being used as much by this group. In some areas, there are specialist children and young people social prescribing services being set up. We conducted a research project, CHOICES, in which we collected data about what these services look like and what sorts of activities young people are being referred to. We want to develop this work into a new, larger project, CHOICES2. In this project, we will engage three groups: academics involved in social prescribing and youth mental health; young people themselves; and practitioners, decision makers and funders who deliver and fund programmes. The work will allow us to design research that better addresses the needs of all these groups and therefore inform services that can have the greatest impact for those that need it. We will use this learning to seek funding for CHOICES2.

Start / end dates: June 2024 - November 2025

Email: V.berry@exeter.ac.uk

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Gretchen Bjornstad - Exeter University

Project title: Support for Parent Carers in England (SPaCE) Phase 2: Identifying opportunities for systems improvement to support parent carer mental health

Brief summary: Most children and young people with special educational needs and disabilities (SEND) are living at home and being cared for by their parents. The caring role places parent carers at greater risk of mental health problems, as has been confirmed by forthcoming results from the SPaCE project Phase 1. Although families are supported by health, social care, and education services, these services often struggle to fully meet families’ needs. Parent carers must often advocate for their child or fill in service gaps themselves. These challenges may contribute to the increased risk of mental health problems in parent carers. This follow-on study will involve secondary analysis of data from Phase 1 of SPaCE to gain an initial understanding of the impact of systemic factors on parent carer mental health to develop a proposal for a programme further research. In this follow-on study, we aim to explore the systemic factors within and across the health, social care, and education systems that affect parent carer mental health. We plan to design a further programme of work to understand how the system could be improved to better meet the needs of families and prevent negative effects on mental health. 

Start / end dates: June 2024 - May 2025

Email: g.j.bjornstad@exeter.ac.uk 

Sarah Cook

Sarah Cook - Imperial College London

Project title: DiAL: Improving mental and physical health outcomes for people living with alcohol use disorder and diabetes: Exploring practitioner and public perspectives on developing preventive interventions

Brief summary: 

Alcohol use disorder (AUD) is a mental health condition which includes both drinking alcohol in a way that causes harm to health and being dependent on alcohol. Diabetes is a common long-term health condition. Good management and treatment can have a big impact on how diabetes affects peoples’ lives and their long-term health.   People with AUD who also have diabetes are more likely to have worse health outcomes from their diabetes, for example, they are more likely to develop mental health problems such as depression and anxiety and more likely to have kidney problems and to have a stroke. Research to prevent poor mental and physical health in people with AUD and diabetes needs to include people with lived experience of both AUD and diabetes and the people who support and care for them. In this project we are aiming to reach out to patients, health care workers and other people who support or care for people with AUD and diabetes to work together on finding ways to improve health for people living with AUD and diabetes. 

Start / end dates: June 2024 - October 2024

Email: Sarah.cook@imperial.ac.uk 

Ruth Naughton-Doe

Ruth Naughton-Doe - University of York

Project title: 

Reducing loneliness for perinatal Muslim women: co-designing a walking group intervention and the tools to evaluate it

Brief summary: Research funded by Phase One of the Three Schools Mental Health Research Programme found that perinatal walking groups could help reduce loneliness. Consultation has shown that Muslim women would be interested in taking part in walking groups. However, we don’t know how these walking groups could be designed to make them as useful and enjoyable as possible for perinatal Muslim women. This is because Muslim communities have been overlooked in research. This study aims to ask these communities how perinatal walking groups could work for them. We will then co-design a walking group to test out in research in the future.   

Start / end dates: January 2025 - September 2025 

Email: Ruth.naughton-doe@york.ac.uk

Grainne Cremin

Grainne Cremin - London School of Hygiene and Tropical Medicine (LSHTM)

Project title: Investigate health inequalities and barriers to mental heal

Brief summary: I completed my BSc in Human Health and Disease in Trinity College in 2020. I am now pursuing mental health research through MSc Public Health at LSHTM.

Start / end dates: September 2024 - August 2025

Email: gcremin@tcd.ie

Orla Hilton

Orla Hilton - London School of Hygiene and Tropical Medicine (LSHTM)

Project title: Consequences of infection on mental health

Brief summary: I am a clinical academic working across the fields of infectious diseases, global neurology, and mental health. I am passionate about providing a holistic, integrated approach to ‘brain health’ in vulnerable populations across the UK and in the Global South. More than 114 million people have been forcefully displaced worldwide, due to conflict, human rights violations and persecution (UNHCR). Asylum seekers and refugees are five times more likely to have mental health needs than the UK population (Refugee Council, England). There are a wide range of contributing factors to mental health disorders in asylum seekers and refugees, but despite a higher incidence of diseases such as HIV, Tuberculosis and Hepatitis in this population, the relationship between infection and mental health remains poorly understood. During my MSc I intend to perform research investigating this relationship, in an effort to understand how we can better address the multi-faceted burden of disease in this vulnerable and difficult to access population, with the hope of improving integrated services for effective care of migrants in the long term.

Start / end dates: September 2024 - August 2025

Email: Orla.Hilton@liverpool.ac.uk

Hannah Lehrain

Hannah Lehrain - City University

Project title: Difference in response rate to exposure therapies for individuals being treated for baby loss and birth trauma

Brief summary: I am a psychotherapist working in the NHS for the past 13 years. Currently, I am part of a Maternal Mental Health Service with a keen interest in developing better treatments for families who have experienced baby loss and birth trauma. During this degree, I aim to explore the effectiveness of the treatments offered in the Maternal Mental Health Service where I work. My hypothesis is that exposure-based treatments, while effective for birth trauma cases, are less effective for baby loss cases. 

Start / end dates: September 2024 - August 2026

Email: Hannah.lehrain2@nhs.net

Abby List

Abby List - Teesside University

Project title: Mental health in working mothers, specially those working in front-line health and social care service

Brief summary: I am a Registered Adult Nurse with experience working within critical care and more recently, clinical research. I am currently working for an NIHR funded Health Determinants Research Collaboration (HDRC) where I facilitate health inequalities research to support a research culture and capacity within local authority settings. I will be studying part time alongside my position within the HDRC which means that I can link my academic work to my professional role. For my dissertation, I want to explore the mental health effects of shift work and vicarious trauma experienced by mothers with young families working within front-line health and social care services. This is in response to the problems with retainment of NHS staff.

Start / end dates: September 2024 - August 2026

Email: TBC

Florence Watson

Florence Watson - Teesside University

Project title: Explore the impact of interventions available to increase sexual safety and reduce sexual harm for mental health inpatients

Brief summary: I have worked within mental health services for over five years in both a research and clinical capacity. My roles have included working as a Healthcare Assistant across various inpatient services, as an Assistant Psychologist within a community mental health team, as a Research Assistant working on an innovative treatment trial for distressing auditory hallucinations and most recently as a research assistant evaluating the implementation of tobacco dependency services across England. I am particularly interested in improving the care of those accessing mental health services through robust, relevant research and evidence informed practisePatient safety is a core CQC domain and a key priority for NHS England; however, recent headlines from Sky News indicate over 20,000 cases of sexual assault or harassment towards patients and staff across English mental health services since 2019. These figures represent a systemic issue which needs to be urgently addressed. There is currently little evidence examining the impact of interventions that are available to increase sexual safety and reduce sexual harm for those already admitted to mental health hospitals. This review aims to understand more the impact of existing interventions.   

Start / end dates: September 2024 - August 2025

Email: florence.watson3@nhs.net  

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Annette Bauer - The London School of Economics and Political Science (LSE)

Project Title: Supporting mothers with severe mental illness during pregnancy and after birth: a realist evaluation of the Action on Postpartum Psychosis peer support model

Brief Summary: 

Peer support can help women with severe mental illness during pregnancy and after birth, managing the impacts of the illness on their and their families’ lives. In England, women admitted to Mother and Baby Units (MBUs) because of severe mental illness should be offered peer support. However, peer support is provided differently in different parts of the country. There is currently very limited knowledge what works best for different women, the resources needed to deliver models, and how they can be good value for money. This means that women are not getting the best support and no informed decisions can be made how to spend limited resources.

This research seeks to evaluate a peer support model that is currently delivered by a charity called Action on Postpartum Psychosis at several MBUs in the country. The model has shown promising effects for women and families, many of whom feel they might not have survived without the support. From what we know, the model addresses factors known to be linked to improving women’s and families’ lives in important ways. For example, it offers many ways for women and families to stay engaged. This research seeks to understand in detail how the model works, for whom and the resources needed to deliver it. The method we use (realist evaluation) is commonly used for evaluating support that takes many shapes and forms, and where it is not easy to explain how or why it works.

We will do the research at three MBU sites in England (Birmingham. Lancashire & Manchester) which cover areas of high need. At each site we will talk to women using peer support, those providing the support as well as those managing and funding the model. Informed by an initial understanding about how the model works, we will ask detailed questions to develop a rich understanding about the difference the model makes for women and families and investigate the factors that influence its success, and limitations.

We will present the knowledge to a large group of individuals who have an interest in making sure high quality peer support is delivered to women with severe mental illness during pregnancy and after birth. We will discuss with them how the findings can be used to get final answers on how to evaluate, fund and deliver peer support for these women and their families. Throughout the research, we will work collaboratively with those involved in the research and will receive advice from people with lived experience and professional knowledge. They will ensure that the research findings are taken up in practice and become a partnership for future research, practice, and policy change.

Start / end dates: 1 January 2025 - 31 December 2025

Contact email: a.bauer@lse.ac.uk

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Gary Lamph / Krysia Canvin - Keele University

Project Title: Exploration of Prison Responses In complex eMotional nEeDs (E-PRIMED Project)

Brief Summary: Personality disorder impacts seven in ten people in Prison. Specialist support is available through the Offender Personality Disorder Pathway to the highest risk and people with highest level of complexity however despite such high prevalence in the general wider prison population little support is provided and many people with these difficulties go without support and are undetected. We aim to find out and explore what support is currently offered. We will do this through a scoping study literature review and mapping exercise, a qualitative study with interviews with prison staff and prison leavers who meet the criteria for personality disorder and via a final participatory project using a world café methodology. All data collected within this study will be analysed and used to develop a freely available guidance toolkit for working with personality disorder in general prison populations. We disseminate findings through publication and conference presentation and through attempt to share the toolkit and influence practice and policy.

Start / end dates: 1 October 2024 - 31 March 2026

Contact email: g.lamph@keele.ac.uk / k.canvin@keele.ac.uk 

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Robbie Duschinsky / Barry Coughlan - University of Cambridge

Project Title: The availability and effectiveness of psychosocial treatments for underserved young people who self-harm: An analysis using data from two NHS Trusts.

Brief Summary: While psychosocial support within mental health services is widely regarded as crucial for young people who self-harm, there is little known about what types of support are routinely available and how effective they are. This project will analyse anonymized data from two large mental health services. We will assess both the availability and effectiveness of psychosocial interventions for self-harm. We will explore how the availability and effectiveness of these interventions vary based on factors such as gender, ethnicity, age, economic deprivation, religion, first language, diagnosis, social care status, referral source, physical disability, and discharge destination. A range of outputs will be produced from the project’s findings to help professionals across public health, primary care, and social care feel better equipped to support young people and their families.

Start / end dates: 1 October 2024 – 1 April 2026

Contact email: rd522@medschl.cam.ac.uk

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Tamsin Fisher - Keele University

Project Title: Supporting help-seeking in farmers to prevent self-harm and suicide: a multi-method study. (Farm SP)

Brief Summary: 

Background There are approximately 104,000 farmers in the UK and the agricultural sector welcome an additional ~45,000 seasonal, mostly migrant, workers each year. Farming Life today, found that, of 450 farmers surveyed, 92% of farmers under the age of 40 years old reported poor mental health as the leading hidden problem facing farmers. The rate of deaths by suicide is higher among agricultural workers (84 deaths per 100,000 people) compared to the average for the general population (10 deaths per 100,000 people), based on figures from 2020. Previous research has identified access to means (e.g. poison and firearms, loneliness, and geographical isolation as key motivations behind self-harm and suicide. Additionally, farmers may suffer moral injury due to blame attached for climate change, and the ‘anti-meat agenda’. Gender disparities within the farming sector is also pervasive. Male farmers are subjected to stigma and fear of speaking out about issues that may be perceived as “unmasculine” – a key barrier to seeking help in times of distress. Farmers are an under-served population. They also may not recognise anxiety, depression and distress, and therefore may not seek help. It is therefore important to understand current provision of mental health support, and increase awareness of distress, anxiety and depression and the help that is available, to prevent self-harm and suicide. Methods We plan to interview a range of people, including:

  • Farmers with experience of stress, distress, worry and depression.
  • Family members and colleagues about mental health concerns in farming - Healthcare professionals, veterinarians and community organisations who work with farmers at-risk of mental health difficulties and self-harm and suicide. We will also go out to farming events (such as livestock markets and agricultural shows) to observe how mental health is talked about in social settings. This will help to identify opportunities to support help-seeking for stress, distress, worry and depression among farmers, which, in turn, will help to prevent self-harm and suicide. Patient and public involvement We have four public co-applicants involved in the project who each bring a wealth of knowledge and experience of the farming community, ranging from lived experience, to supporting the farming community. We will be hosting ‘Pie and a Pint’ events with farming communities across the Midlands to raise awareness of the research project, but also to identify key areas that we should be focussing our research. These events will be in addition to regular PPIE events throughout the duration of the study. PPIE members will be involved in the development of topic guides, analysis, discussions, and outputs, including a co-design event that we will host at the end of the research. Outputs include:
  • i. Study webpages hosted on collaborating institute websites
  • ii. A framework for farmers to use that connects needs, preferences and opportunities for mental health help-seeking
  • iii. 2 peer-reviewed academic journal articles to report findings from qualitative study
  • iv. YouTube video to relay the findings and impactful messages (e.g., participants/ voice over actors speaking about experiences of self-harm/suicide or losing someone)
  • v. Plain English summary of research findings vi. Infographics to supplement Plain English summaries
  • vii. Conference abstracts [e.g. Society for Academic Primary Care regional and national conferences, Royal College for General Practitioners (RCGP) Annual Conference]
  • viii. Social media accounts (InstagramR, TikTokR) and content to share provide updates and present research findings using videos/infographics
  • ix. Further grant proposals building on this one (e.g. intervention development/adaptation implementation and evaluation – eg RfPB or HS&DR) Working in partnership with key stakeholders in the farming community, this study will generate new knowledge, from a UK perspective, to explore ways to support help-seeking among farmers and the farming community for stress, distress, anxiety and depression, and those who are at risk of self-harm and suicide. Outputs from this study will for the basis of future intervention design and implementation.

Start / end dates: 1 January 2025 - 31 March 2026

Contact email: t.e.fisher1@keele.ac.uk

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David Hunt - University of Exeter

Project Title: Building Bridges: A Realist Synthesis to Understand the Needs of Men at Risk of Suicide

Brief Summary: Male suicidality is a global issue and is particularly prevalent in the southwest of England, which has the third highest rate of suicide in the country. There are significant barriers preventing men from accessing help, with many completing suicide without ever having been in contact with healthcare services. Research indicates that men are more likely to seek support through informal channels and community initiatives. However, while these initiatives are often highly effective, they can be disconnected from the wider health and social care system, placing a considerable burden on individuals and communities when someone discloses suicidal thoughts. Therefore, research is essential to understand how these initiatives operate in such situations and how they might link to primary care services. This would help ensure continuity of care and appropriate support when men do reach out. The project aims to conduct an adapted realist synthesis to explore how men at risk of suicide are supported within community initiatives, and how this support integrates into a whole system of care, including access to primary care services. The study is based in Devon and Cornwall, with the goal of producing a set of recommendations for the local region. These findings will serve as a foundation for future research funding, highlighting areas in need of improvement and further investigation.

Start / end dates: October 2024 - March 2026

Contact email: d.hunt3@exeter.ac.uk

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Danielle Lamb / Victoria Williamson - University College London / University of Bath

Project Title: Experiences and impact of moral injury among staff who work within the prison estate: a study to co-design a staff support program to promote mental well-being.

Brief Summary: 

Staff working in prisons often face situations that challenge their moral beliefs. They may be required to do things, or witness things, they personally disagree with and can feel betrayed by those in authority. These experiences can cause 'moral injury' which is characterised by feelings of intense guilt, shame, and anger, and can lead to the development of mental health problems including depression and post-traumatic stress disorder (PTSD).

Reduced investment in the prison estate means that there are widespread issues of overcrowding, understaffing, and high workloads, which increase the risk of challenging situations for staff and prisoners. Staff experiencing psychological ill-health are less able to support prisoners. Providing better support to prison staff could improve their own wellbeing and allow them to carry out their roles more effectively, helping prisoners by improving interactions and the care provided. The aim of this study is to explore the experiences of moral injury in prison staff, including prison officers and those providing healthcare in prisons, and to codesign a programme to better support staff wellbeing.

If future testing shows the programme is effective, this codesigned programme could not only improve prison staff wellbeing and reduce staff turnover, but it could also have positive effects on prisoners by reducing staff stress and improving staff-prisoner interactions. This study is the first step in ensuring a large population of prisoners with complex needs are better cared for by staff who are healthier and happier.

Start / end dates: 1 October 2024 - 31 March 2026

Contact email: d.lamb@ucl.ac.uk / vw217@bath.ac.uk 

 Kelly Mackenzie

Kelly MackenzieUniversity of Sheffield

Project Title: PRAMS (Perinatal Redesign for Accessing Mental Health Services): Using experience-based co-design to improve access to perinatal mental health care for women in underserved groups.

Brief Summary: Mental health problems in pregnancy and in the early days of parenthood are common. Recent research has shown there is a gap in access to mental health care for women from underserved groups, such as those from ethnic minority backgrounds or living in deprived areas. Some women experience delays or difficulties in getting access to mental health support and this can lead to problems with their health and their child’s development. Whilst we know this is an important issue, we do not yet fully understand the reasons that lead to these inequalities or how to address them. Using an approach called “Experience Based Co-Design” will allow us to put patients at the centre of the process to design and develop a solution to this problem. We will work with women who experience mental health problems in pregnancy and early parenthood to talk about the challenges of getting access to support. Through surveys and interviews we will explore the experiences of healthcare staff members who provide mental health support for women in this period. Women from local underserved groups will work with healthcare and public health professionals to co-design an intervention for mental health problems in pregnancy and early parenthood. We will work together to spread awareness of the intervention and our findings.

Start / end dates: 1 October 2024 - 31 March 2026

Contact email: kelly.mackenzie@sheffield.ac.uk

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Maria Michail - University of Birmingham

Project Title: The role and contribution of the voluntary sector to the prevention of suicide among young people.

Brief Summary: Suicide is a leading cause of death among young people in the UK. Many young people with self-harm or suicidal thoughts and behaviours do not access health services or seek professional help. This is particularly true for young people from marginalised groups (e.g., based on sexual orientation, gender identity, ethnicity, socio-economic status) and those from rural or deprived areas who are at high-risk of suicide. Young people are more willing and likely to access informal support by the voluntary sector, including helplines and crisis cafés. Despite this, our understanding of why this is as well as how the voluntary sector responds to and collaborates with health services to support young people, is limited.

This project responds to urgent policy calls by examining young people’s help-seeking behaviours when experiencing self-harm or suicidal thoughts and behaviour, to establish the “distinct” role the VCSE has or could have in their pathway to care; identify examples of good practice and areas where practice could be improved; and in which ways the VCSE and statutory sector could provide a more effective, integrated, collaborative care to young people.

Start / end dates: 1 January 2025 - 31 March 2026

Contact email: m.michail@bham.ac.uk

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Magdalena Mikulak - Lancaster University

Project Title: Suicide, self-harm and people with learning disabilities: a scoping study

Brief Summary: 

People with learning disabilities have poorer mental health than their non-disabled peers. People with learning disabilities, like other people, can self-harm, think about suicide, try to end their lives, and die by suicide. We know little about the experiences of adults with learning disabilities who think about suicide or try to end their lives and how best to support them in these situations.

We have some evidence about self-harm and people with learning disabilities, but this is complicated by the use of different words and phrases. For example, self-harm in people with learning disabilities is sometimes called ‘self-injurious behaviour’. Sometimes self-harm is also understood as part of having a learning disability. When people with learning disabilities self-harm, others can understand their experiences as ‘challenging behaviour’. This can have an impact on what support people with learning disabilities receive.

This research will review existing evidence about people with learning disabilities and self-harm and suicide. It will also help to clarify what we currently know about support for people with learning disabilities who self-harm and about suicide prevention for this group. We will also review how research on suicide and self-harm in adults with learning disabilities has been done.

Start / end dates: 01 January 2025 - 28 February 2026

Contact email: m.mikulak@lancaster.ac.uk

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Irene Petersen - University College London

Project Title: Long-term consequences of perinatal depression

Brief Summary: To Follow

Start / end dates: 1 November 2024 - 28 February 2026

Contact email: i.petersen@ucl.ac.uk

 

Dr Omolade Allen - The University of Manchester

Dr Omolade Allen The University of Manchester

Project Title: Psychological Support for Black (African and Caribbean) Women with Lived Experience of Breast Cancer Belonging to Muslim and Christian Religious Groups: A Feasibility Study

Brief Summary: This study explores the psychological support provided by Christian and Muslim religious groups to Black (African and Caribbean) women with breast cancer in Greater Manchester, focusing on the types of support offered, their effectiveness, and challenges faced by these communities. By involving women with lived experience, religious leaders, and community organisations, the research will develop culturally sensitive strategies to improve mental health support and address health inequalities.

Start / end dates: 01/06/2025 – 31/03/2026

Contact email: omolade.allen@manchester.ac.uk