Background: Communication campaigns offer a portable intervention to effectively reach and engage target populations at risk for suicide including US veterans. Few studies have evaluated such efforts, and still fewer have examined factors that contribute to failed suicide prevention messaging. Aims: We aimed to examine characteristics of suicide prevention messages and persuasive processes that may underlie failed communicative intervention with US veterans. Method: Telephone interviews were completed with veterans (N = 33) from June to September 2016 using a semi-structured interview guide. Interview transcripts were coded by the authors with NVivo using a constant comparison analytic strategy. Results: Several reasons emerged for why suicide prevention messaging may fail to produce intended responses among veterans. Participants identified message features (e.g., language, images, messenger) and communication strategies that may diminish campaign effects. Limitations: Findings are not generalizable, are limited to participants who used VA healthcare and were not suicidal, and are subject to several biases. Conclusion: This work provides initial insights into barriers to effective message use with veterans.

中文翻译：

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与美国退伍军人一起探索预防自杀信息的障碍。

背景：交流活动提供了一种便携式干预措施，可以有效地接触和吸引有自杀风险的目标人群，包括美国退伍军人。很少有研究评估这些努力，也很少有研究检查导致自杀预防信息失败的因素。目的：我们旨在检查自杀预防信息和说服过程的特征，这些特征可能是美国退伍军人沟通干预失败的基础。方法：使用半结构化访谈指南，于 2016 年 6 月至 9 月对退伍军人（N = 33）完成了电话访谈。采访记录由作者使用 NVivo 使用恒定比较分析策略进行编码。结果：为什么自杀预防信息可能无法在退伍军人中产生预期反应的几个原因出现了。参与者确定了可能降低活动效果的信息特征（例如语言、图像、信使）和沟通策略。局限性：研究结果不可推广，仅限于使用 VA 医疗保健且没有自杀倾向的参与者，并且存在多种偏见。结论：这项工作为退伍军人有效使用信息的障碍提供了初步见解。