This study demonstrated that ESM designs are feasible and acceptable among LGBTQ+ young people with current experiences of self-harm. Pilot ESM data demonstrates that there was fluctuation of depressive and anxiety symptoms within- and between- participants over the course of the study, however, greater sample power is needed for full analysis. Thematic analysis indicated four superordinate themes (i) Self-reflection and awareness (ii) Practicalities of ESM surveys (iii) Daily timeframes and (iv) Suggestions for future studies. Study acceptability was assessed by participant interviews. Individual study adherence ranged between 43 and 95.2%. Study feasibility was assessed by enrolment rate (55.2%), participant retention across assessment period (100%), ESM app feasibility (87.5%), and good adherence to total number of ESM surveys (67.6%). Qualitative data was thematically analysed to determine the acceptability (barriers and facilitators) of taking part in this study. Feasibility data was descriptively analysed, with pilot ESM data presented. This included a baseline assessment, a 7-day ESM assessment (participants were sampled six times a day using a phone app), and the option of an interview at the end of the 7-day ESM assessment. Sixteen LGBTQ+ young people (16–25 years old) took part in the experience sampling study. This study was the first to determine whether it was feasible and acceptable to use experience sampling methods (ESM) among LGBTQ+ young people, who had current experiences of self-harm.
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