Reducing suicidal thoughts in the Australian general population through web-based self-help: study protocol for a randomized controlled trial.
Identifieur interne : 001B62 ( Main/Exploration ); précédent : 001B61; suivant : 001B63Reducing suicidal thoughts in the Australian general population through web-based self-help: study protocol for a randomized controlled trial.
Auteurs : Bregje A J. Van Spijker [Australie] ; Alison L. Calear [Australie] ; Philip J. Batterham [Australie] ; Andrew J. Mackinnon [Australie] ; John A. Gosling [Australie] ; Ad J F M. Kerkhof [Pays-Bas] ; Daniela Solomon [Australie] ; Helen Christensen [Australie]Source :
- Trials [ 1745-6215 ] ; 2015.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Analyse coût-bénéfice (MeSH), Australie (MeSH), Groupes d'entraide (MeSH), Humains (MeSH), Idéation suicidaire (MeSH), Internet (MeSH), Protocoles cliniques (MeSH), Suicide (prévention et contrôle), Sujet âgé (MeSH), Taille de l'échantillon (MeSH).
- MESH :
- prévention et contrôle : Suicide.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse coût-bénéfice, Australie, Groupes d'entraide, Humains, Idéation suicidaire, Internet, Protocoles cliniques, Sujet âgé, Taille de l'échantillon.
- Wicri :
- geographic : Australie.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Australia (MeSH), Clinical Protocols (MeSH), Cost-Benefit Analysis (MeSH), Humans (MeSH), Internet (MeSH), Middle Aged (MeSH), Outcome Assessment, Health Care (MeSH), Sample Size (MeSH), Self-Help Groups (MeSH), Suicidal Ideation (MeSH), Suicide (prevention & control).
- MESH :
- geographic : Australia.
- prevention & control : Suicide.
- Adolescent, Adult, Aged, Clinical Protocols, Cost-Benefit Analysis, Humans, Internet, Middle Aged, Outcome Assessment, Health Care, Sample Size, Self-Help Groups, Suicidal Ideation.
Abstract
BACKGROUND
Suicidal thoughts are common in the general population, causing significant disability. However, a substantial number of people struggling with suicidality do not access appropriate services. Online self-help may help overcome barriers to help-seeking. This study aims to examine the effectiveness of an online self-help program targeted at reducing suicidal thoughts compared with an attention-matched control condition in the Australian adult population. This trial is based on a Dutch self-help program, which was found to be effective in reducing suicidal thoughts.
METHODS/DESIGN
A total of 570 community-dwelling adults (18 to 65 years old) with suicidal thoughts will be recruited via various media and randomly assigned to the 6-week online program aimed at reducing suicidal thoughts or a 6-week attention-matched control program. Primary outcome measure is the severity of suicidal thoughts. Secondary outcome measures include suicide plans, capacity to cope with suicidal thoughts, reasons for living, symptoms of depression, hopelessness, anxiety/worry, rumination, panic, perceived burdensomeness and thwarted belongingness, acquired capability, alcohol consumption, insomnia, and various cost-effectiveness measures.
DISCUSSION
Although the original Dutch trial found web-based self-help to be effective in reducing suicidal thoughts, randomized controlled trials (RCT) of online programs for suicidal thoughts are rare. The present study extends previous research by running the first English language RCT of this sort. As a result of the original study, the current RCT includes refinements to the design, including greater levels of participant anonymity and longer follow-up periods. Limitations of this trial include the potential for high drop-out and the inability to ascertain whether any suicides occur during the study.
TRIAL REGISTRATION
Australian New Zealand Clinical Trials Registry (ANZCTR) Registration number: ACTRN12613000410752 (15 April 2013). Universal Trial Number (UTN): U1111-1141-6595 (15 April 2013).
DOI: 10.1186/s13063-015-0589-1
PubMed: 25886941
PubMed Central: PMC4348119
Affiliations:
- Australie, Pays-Bas
- Hollande-Septentrionale, Victoria (État)
- Amsterdam, Melbourne
- Université de Melbourne
Links toward previous steps (curation, corpus...)
Le document en format XML
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Van Spijker</name><affiliation wicri:level="1"><nlm:affiliation>National Institute for Mental Health Research, The Australian National University, Building 63, Canberra, ACT, 2601, Australia. Bregje.vanspijker@anu.edu.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>National Institute for Mental Health Research, The Australian National University, Building 63, Canberra, ACT, 2601</wicri:regionArea><wicri:noRegion>2601</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Black Dog Institute, The University of New South Wales, Hospital Road, Prince of Wales Hospital, Randwick, NSW, 2031, Australia. 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Ajfm.Kerkhof@vu.nl.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Clinical Psychology and the EMGO Institute for Health and Care Research, Faculty of Psychology and Education, VU University Amsterdam, van der Boechorststraat 1, 1081 BT, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Solomon, Daniela" sort="Solomon, Daniela" uniqKey="Solomon D" first="Daniela" last="Solomon">Daniela Solomon</name><affiliation wicri:level="1"><nlm:affiliation>Black Dog Institute, The University of New South Wales, Hospital Road, Prince of Wales Hospital, Randwick, NSW, 2031, Australia. D.Solomon@blackdog.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Black Dog Institute, The University of New South Wales, Hospital Road, Prince of Wales Hospital, Randwick, NSW, 2031</wicri:regionArea><wicri:noRegion>2031</wicri:noRegion></affiliation></author><author><name sortKey="Christensen, Helen" sort="Christensen, Helen" uniqKey="Christensen H" first="Helen" last="Christensen">Helen Christensen</name><affiliation wicri:level="1"><nlm:affiliation>Black Dog Institute, The University of New South Wales, Hospital Road, Prince of Wales Hospital, Randwick, NSW, 2031, Australia. H.Christensen@blackdog.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Black Dog Institute, The University of New South Wales, Hospital Road, Prince of Wales Hospital, Randwick, NSW, 2031</wicri:regionArea><wicri:noRegion>2031</wicri:noRegion></affiliation></author></analytic><series><title level="j">Trials</title><idno type="eISSN">1745-6215</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Australia (MeSH)</term><term>Clinical Protocols (MeSH)</term><term>Cost-Benefit Analysis (MeSH)</term><term>Humans (MeSH)</term><term>Internet (MeSH)</term><term>Middle Aged (MeSH)</term><term>Outcome Assessment, Health Care (MeSH)</term><term>Sample Size (MeSH)</term><term>Self-Help Groups (MeSH)</term><term>Suicidal Ideation (MeSH)</term><term>Suicide (prevention & control)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Analyse coût-bénéfice (MeSH)</term><term>Australie (MeSH)</term><term>Groupes d'entraide (MeSH)</term><term>Humains (MeSH)</term><term>Idéation suicidaire (MeSH)</term><term>Internet (MeSH)</term><term>Protocoles cliniques (MeSH)</term><term>Suicide (prévention et contrôle)</term><term>Sujet âgé (MeSH)</term><term>Taille de l'échantillon (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Australia</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Suicide</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Suicide</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Clinical Protocols</term><term>Cost-Benefit Analysis</term><term>Humans</term><term>Internet</term><term>Middle Aged</term><term>Outcome Assessment, Health Care</term><term>Sample Size</term><term>Self-Help Groups</term><term>Suicidal Ideation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse coût-bénéfice</term><term>Australie</term><term>Groupes d'entraide</term><term>Humains</term><term>Idéation suicidaire</term><term>Internet</term><term>Protocoles cliniques</term><term>Sujet âgé</term><term>Taille de l'échantillon</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Australie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Suicidal thoughts are common in the general population, causing significant disability. However, a substantial number of people struggling with suicidality do not access appropriate services. Online self-help may help overcome barriers to help-seeking. This study aims to examine the effectiveness of an online self-help program targeted at reducing suicidal thoughts compared with an attention-matched control condition in the Australian adult population. This trial is based on a Dutch self-help program, which was found to be effective in reducing suicidal thoughts.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS/DESIGN</b></p><p>A total of 570 community-dwelling adults (18 to 65 years old) with suicidal thoughts will be recruited via various media and randomly assigned to the 6-week online program aimed at reducing suicidal thoughts or a 6-week attention-matched control program. Primary outcome measure is the severity of suicidal thoughts. Secondary outcome measures include suicide plans, capacity to cope with suicidal thoughts, reasons for living, symptoms of depression, hopelessness, anxiety/worry, rumination, panic, perceived burdensomeness and thwarted belongingness, acquired capability, alcohol consumption, insomnia, and various cost-effectiveness measures.</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>Although the original Dutch trial found web-based self-help to be effective in reducing suicidal thoughts, randomized controlled trials (RCT) of online programs for suicidal thoughts are rare. The present study extends previous research by running the first English language RCT of this sort. As a result of the original study, the current RCT includes refinements to the design, including greater levels of participant anonymity and longer follow-up periods. Limitations of this trial include the potential for high drop-out and the inability to ascertain whether any suicides occur during the study.</p></div><div type="abstract" xml:lang="en"><p><b>TRIAL REGISTRATION</b></p><p>Australian New Zealand Clinical Trials Registry (ANZCTR) Registration number: ACTRN12613000410752 (15 April 2013). Universal Trial Number (UTN): U1111-1141-6595 (15 April 2013).</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25886941</PMID><DateCompleted><Year>2016</Year><Month>01</Month><Day>27</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1745-6215</ISSN><JournalIssue CitedMedium="Internet"><Volume>16</Volume><PubDate><Year>2015</Year><Month>Feb</Month><Day>25</Day></PubDate></JournalIssue><Title>Trials</Title><ISOAbbreviation>Trials</ISOAbbreviation></Journal><ArticleTitle>Reducing suicidal thoughts in the Australian general population through web-based self-help: study protocol for a randomized controlled trial.</ArticleTitle><Pagination><MedlinePgn>62</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/s13063-015-0589-1</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Suicidal thoughts are common in the general population, causing significant disability. However, a substantial number of people struggling with suicidality do not access appropriate services. Online self-help may help overcome barriers to help-seeking. This study aims to examine the effectiveness of an online self-help program targeted at reducing suicidal thoughts compared with an attention-matched control condition in the Australian adult population. This trial is based on a Dutch self-help program, which was found to be effective in reducing suicidal thoughts.</AbstractText><AbstractText Label="METHODS/DESIGN" NlmCategory="METHODS">A total of 570 community-dwelling adults (18 to 65 years old) with suicidal thoughts will be recruited via various media and randomly assigned to the 6-week online program aimed at reducing suicidal thoughts or a 6-week attention-matched control program. Primary outcome measure is the severity of suicidal thoughts. Secondary outcome measures include suicide plans, capacity to cope with suicidal thoughts, reasons for living, symptoms of depression, hopelessness, anxiety/worry, rumination, panic, perceived burdensomeness and thwarted belongingness, acquired capability, alcohol consumption, insomnia, and various cost-effectiveness measures.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Although the original Dutch trial found web-based self-help to be effective in reducing suicidal thoughts, randomized controlled trials (RCT) of online programs for suicidal thoughts are rare. The present study extends previous research by running the first English language RCT of this sort. As a result of the original study, the current RCT includes refinements to the design, including greater levels of participant anonymity and longer follow-up periods. Limitations of this trial include the potential for high drop-out and the inability to ascertain whether any suicides occur during the study.</AbstractText><AbstractText Label="TRIAL REGISTRATION" NlmCategory="BACKGROUND">Australian New Zealand Clinical Trials Registry (ANZCTR) Registration number: ACTRN12613000410752 (15 April 2013). Universal Trial Number (UTN): U1111-1141-6595 (15 April 2013).</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>van Spijker</LastName><ForeName>Bregje A J</ForeName><Initials>BA</Initials><AffiliationInfo><Affiliation>National Institute for Mental Health Research, The Australian National University, Building 63, Canberra, ACT, 2601, Australia. Bregje.vanspijker@anu.edu.au.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Black Dog Institute, The University of New South Wales, Hospital Road, Prince of Wales Hospital, Randwick, NSW, 2031, Australia. Bregje.vanspijker@anu.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Calear</LastName><ForeName>Alison L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>National Institute for Mental Health Research, The Australian National University, Building 63, Canberra, ACT, 2601, Australia. Alison.Calear@anu.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Batterham</LastName><ForeName>Philip J</ForeName><Initials>PJ</Initials><AffiliationInfo><Affiliation>National Institute for Mental Health Research, The Australian National University, Building 63, Canberra, ACT, 2601, Australia. Philip.Batterham@anu.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mackinnon</LastName><ForeName>Andrew J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Orygen Youth Health Research Centre, University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia. Andrew.Mackinnon@unimelb.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gosling</LastName><ForeName>John A</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>National Institute for Mental Health Research, The Australian National University, Building 63, Canberra, ACT, 2601, Australia. John.Gosling@anu.edu.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kerkhof</LastName><ForeName>Ad J F M</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Department of Clinical Psychology and the EMGO Institute for Health and Care Research, Faculty of Psychology and Education, VU University Amsterdam, van der Boechorststraat 1, 1081 BT, Amsterdam, the Netherlands. Ajfm.Kerkhof@vu.nl.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Solomon</LastName><ForeName>Daniela</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Black Dog Institute, The University of New South Wales, Hospital Road, Prince of Wales Hospital, Randwick, NSW, 2031, Australia. D.Solomon@blackdog.org.au.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Christensen</LastName><ForeName>Helen</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Black Dog Institute, The University of New South Wales, Hospital Road, Prince of Wales Hospital, Randwick, NSW, 2031, Australia. 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