工作场所中的心理健康急救：对英国员工经历的反身性主题分析
Mental health first aid in the workplace: a reflexive thematic analysis of UK workers' experiences.
摘要(中文译文)
心理健康急救（MHFA）被用于工作场所，以提升心理健康素养、减少污名化并促进求助行为。本文探讨员工如何感知和参与工作环境中的心理健康急救。本定性研究嵌套于EMPOWER整群随机对照试验（Atanda等，2020）之中。二十四名参与者，包括心理健康急救员、心理健康急救支持接受者、员工和高级管理人员，参加了半结构化访谈。研究以相对主义认识论立场为指导，采用反思性主题分析法对数据进行分析。识别出三个主题：（1）围绕心理健康急救目的的模糊性；（2）对心理健康急救的作用和有效性的不确定性与怀疑（子主题：预期污名、心理健康急救未能解决影响员工福祉的核心问题）；（3）披露后个人关系面临的风险。参与者质疑心理健康急救的目的、边界和组织价值，导致其不愿参与。披露决策受到对污名、保密性以及对工作场所关系和职业发展潜在影响的担忧所塑造。研究结果表明，当心理健康急救作为组织对员工福祉更广泛承诺的一部分时，其效果最为显著。明确心理健康急救的目的、解决工作场所污名化问题并处理组织层面的痛苦来源，可能改善参与度并加强心理健康举措。Clinicaltrials.gov NCT04311203。于2020年3月17日注册，方案于2020年发表。
Abstract
Mental Health First Aid (MHFA) is used in workplaces to improve mental health literacy, reduce stigma, and promote help-seeking. This paper explores how employees perceive and engage with MHFA in work settings. This qualitative study was embedded within the EMPOWER cluster randomised controlled trial (Atanda et al., 2020). Twenty-four participants, including Mental Health First Aiders, recipients of MHFA support, employees, and senior managers, took part in semi-structured interviews. Guided by a relativist epistemological position, data were analysed using reflexive thematic analysis.(Atanda et al., 2020). Three themes were identified: (1) ambiguity surrounding the purpose of MHFA; (2) uncertainty and scepticism regarding the role and effectiveness of MHFA (subthemes: Anticipated Stigma, MHFA not addressing core concerns affecting staff well-being); and (3) risks to personal relationships following disclosure. Participants questioned the purpose, boundaries, and organisational value of MHFA, contributing to reluctance to engage. Disclosure decisions were shaped by concerns about stigma, confidentiality, and potential impacts on workplace relationships and career progression. The findings suggest MHFA is most effective when part of a broader organisational commitment to employee wellbeing. Clarifying MHFA's purpose, addressing workplace stigma, and tackling organisational sources of distress may improve engagement and strengthen mental health initiatives. Clinicaltrials.gov NCT04311203. Registered on 17 March 2020, protocol published in 2020.
如何引用
AMA
Opeyemi Atanda, Eleni Vangeli, Steven D Brown, Patrick Callaghan, Graham Durcan, Kerry Wood, et al. Mental health first aid in the workplace: a reflexive thematic analysis of UK workers' experiences.. International journal of qualitative studies on health and well-being. 2026; doi:10.1080/17482631.2026.2706909.
APA
Opeyemi Atanda, Eleni Vangeli, Steven D Brown, Patrick Callaghan, Graham Durcan, Kerry Wood, et al (2026). Mental health first aid in the workplace: a reflexive thematic analysis of UK workers' experiences.. International journal of qualitative studies on health and well-being. https://doi.org/10.1080/17482631.2026.2706909
GB/T 7714
Opeyemi Atanda, Eleni Vangeli, Steven D Brown, Patrick Callaghan, Graham Durcan, Kerry Wood, et al. Mental health first aid in the workplace: a reflexive thematic analysis of UK workers' experiences.[J]. International journal of qualitative studies on health and well-being, 2026 doi:10.1080/17482631.2026.2706909.
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