@文章{info:doi/10.2196/31367，作者="Kruzan, Kaylee Payne和Meyerhoff, Jonah和Biernesser, Candice和Goldstein, Tina和Reddy, Madhu和Mohr, David C"，标题="以生活经验为中心发展自杀和自伤行为的数字干预:以用户为中心的设计方法"，期刊="JMIR Ment Health"，年="2021"，月="12"，日="24"，卷="8"，数="12"，页="e31367"，关键词="以用户为中心的设计;干预;自杀;自杀性自伤;生活经验;由科技服务;数字的干预;参与;背景:自残思想和行为(SITB)的流行标志着一个日益严重的公共健康危机。尽管人们认识到需要改进和可扩展的干预措施，但SITB干预领域面临着几个挑战:现有的干预措施往往是时间和资源密集的，大多数SITB患者不寻求正式的精神卫生保健，有效的治疗的特点是效果小。 Combined, these challenges indicate a need for improved SITB interventions for individuals in formal treatment and those who are not treatment engaged but are at high risk of worsening mental health and future suicide attempts. Objective: We present a methodological approach and set of techniques that may address these challenges by centering the lived experience of individuals with SITB in the process of developing needed services: user-centered design (UCD). Methods: We highlight the value of UCD in the context of digital interventions for SITB by describing the UCD approach and explicating how it can be leveraged to include lived experience throughout the development and evaluation process. We provide a detailed case example highlighting 3 phases of the early development process that can be used to design an intervention that is engaging and meets end-user needs. In addition, we point to novel applications of UCD to complement new directions in SITB research. Results: In this paper, we offer a 2-pronged approach to meet these challenges. First, in terms of addressing access to effective interventions, digital interventions hold promise to extend the reach of evidence-based treatments outside of brick-and-mortar health care settings. Second, to address challenges related to treatment targets and engagement, we propose involving individuals with lived experience in the design and research process. Conclusions: UCD offers a well-developed and systematic process to center the unique needs, preferences, and perceived barriers of individuals with lived SITB experience in the development and evaluation of digital interventions. ", issn="2368-7959", doi="10.2196/31367", url="https://mental.www.mybigtv.com/2021/12/e31367", url="https://doi.org/10.2196/31367", url="http://www.ncbi.nlm.nih.gov/pubmed/34951602" }