{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T16:14:19Z","timestamp":1792685659903,"version":"4.5.0"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T00:00:00Z","timestamp":1727395200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR203468"],"award-info":[{"award-number":["NIHR203468"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Higher education students experience elevated levels of suicidal ideation, but often face barriers in accessing support. The Mental Imagery for Suicidality in Students Trial (MISST; ISRCTN13621293; NCT05296538) tested the feasibility and acceptability of a six\u2010session imagery\u2010based approach called Broad\u2010Minded Affective Coping (BMAC). This qualitative evaluation explored the experiences of MISST participants and staff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A qualitative study using one\u2010to\u2010one qualitative interviews with participants and staff recruited from MISST. Reflexive thematic analysis was used to explore trial participant and staff experiences to inform a future definitive trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Student participants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200916), research assistants (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20094) and the trial therapist (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091) were interviewed and transcripts analysed using reflexive thematic analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four key themes were identified. The first theme highlights the value and challenges for students in talking about suicide. The ways in which communication and rapport can be built to facilitate this conversation are explored in theme 2. Theme 3 explains how working with the BMAC therapist increased participants\u2019 awareness of their current mood, drew their attention to positive moments in their lives and helped them to actively recall these moments to interrupt negative cycles of rumination and suicidal ideation. The extent to which the BMAC is \u2018fit for purpose\u2019 is outlined in theme 4, generating specific recommendations for future intervention development.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The BMAC offers a positive, time\u2010limited, structured intervention that is well suited to meet the needs of higher education students experiencing suicidal ideation. Further research is needed to test the effectiveness on mental health and suicide\u2010related outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12547","type":"journal-article","created":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T05:50:13Z","timestamp":1727416213000},"page":"645-664","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A qualitative study exploring participants experiences of the Mental Imagery for Suicidality in Students Trial"],"prefix":"10.1111","volume":"97","author":[{"given":"Paula","family":"Duxbury","sequence":"first","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1407-0985","authenticated-orcid":false,"given":"Peter James","family":"Taylor","sequence":"additional","affiliation":[{"name":"Division of Psychology and Mental Health, Manchester Academic Health Sciences Centre, School of Health Sciences University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4908-2137","authenticated-orcid":false,"given":"Jasper","family":"Palmier\u2010Claus","sequence":"additional","affiliation":[{"name":"Spectrum Centre for Mental Health Research Lancaster University  Lancaster UK"},{"name":"Lancashire and South Cumbria NHS Foundation Trust  Lancashire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley","family":"Boardman","sequence":"additional","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Pratt","sequence":"additional","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust  Manchester UK"},{"name":"Division of Psychology and Mental Health, Manchester Academic Health Sciences Centre, School of Health Sciences University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Parker","sequence":"additional","affiliation":[{"name":"Greater Manchester Mental Health NHS Foundation Trust  Manchester UK"},{"name":"Division of Psychology and Mental Health, Manchester Academic Health Sciences Centre, School of Health Sciences University of Manchester  Manchester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Lobban","sequence":"additional","affiliation":[{"name":"Spectrum Centre for Mental Health Research Lancaster University  Lancaster UK"},{"name":"Lancashire and South Cumbria NHS Foundation Trust  Lancashire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,27]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010055521"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12106"},{"key":"e_1_2_11_4_1","volume-title":"Thematic analysis: A practical guide","author":"Braun V.","year":"2021"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u20108\u2010274"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102013\u2010002889"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.04.112"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010060498"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2019.04.033"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1017\/s003329171500032x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.09.079"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12456"},{"key":"e_1_2_11_13_1","volume-title":"Imagery\u2010based cognitive therapy for bipolar disorder and mood instability","author":"Holmes E. 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