None listed
Conditions
Brief summary
The overall aim of this study is to examine whether or not a web-based intervention employing a cognitive-behavioural therapy approach, can reduce the risk of suicidal ideation (SI) in young people who have presented to the school counselor for help. Secondary aims are to examine whether or not the intervention can increase coping and problem solving skills and help-seeking (these are measured as a means of understanding the underlying mechanisms that may lead to a reduction in risk). We will also assess the acceptability of the intervention, treatment adherence, how long people remain on the website and whether or not the intervention causes undue distress. Hypotheses The primary hypotheses are that the intervention will: 1. Reduce SI among participants Secondary hypotheses are that the intervention will: 2. Reduce symptoms of depression, anxiety and hopelessness 3. Increase help-seeking 4. Improve coping and problem solving skills 5. Participants will find the receipt of this intervention acceptable, and 6. The intervention will not cause undue distress.
Interventions
The intervention will take the form of a personalized and interactive web-site which will deliver 8 modules of psychological therapy, employing a cognitive behavioural approach, over an 8-week period.
Each module will be uploaded on a weekly basis. So on week 1 the participant will only have access to 1 module but by week 8 they will have all 8 modules on their page. This means they can review the content as much as they wish.
The modules are as follows:
Week 1: Introduction / engagement an
The intervention will take the form of a personalized and interactive web-site which will deliver 8 modules of psychological therapy, employing a cognitive behavioural approach, over an 8-week period. Each module will be uploaded on a weekly basis. So on week 1 the participant will only have access to 1 module but by week 8 they will have all 8 modules on their page. This means they can review the content as much as they wish. The modules are as follows: Week 1: Introduction / engagement and agenda setting Week 2: Emotional recognition and distress tolerance Week 3: Identification of automatic thinking Week 4: Behavioural activation: help-seeking Week 5: Behavioural activation: activity scheduling (including relaxation techniques) Week 6: Problem solving: specific focus on self harming or SI Week 7: Detecting & challenging problematic thinking and cognitive restructuring Week 8: Wrap up and review It is anticipated that each module will take between 15 and 20 minutes to complete. The website will be moderated by a member of the study team. In addition participants will receive 2 SMS messages per week, the first will remind the young person to check the website and the second will reinforce the content of that week's module. These messages will be automatically generated by the system.
Sponsors
Orygen Youth Health Research Centre
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Investigator)
Eligibility
Sex/Gender
All
Age
14 Years to 18 Years
Healthy volunteers
Yes
Inclusion criteria
School students who have presented to the school welfare team for support and who report a recent history of suicidal ideation.
Exclusion criteria
Exclusion criteria include; known organic cause for presentation, intellectual disability, psychotic symptoms and inability to speak English.
Outcome results
None listed