Multimodal Approach to Preventing Suicide in Schools (MAPSS): A regionally-based trial of safeTALK and Reframe IT among secondary school students (Reframe IT component)

The Reframe IT intervention comprises eight modules to be delivered during a 10-week intervention period. Each module is takes approximately 15-20 minutes to complete. The program takes the form of an adult ‘host’ character who delivers the therapy verbally, and a series of video diaries made by young people. There are two activities per week plus suggested homework (homework tasks take approximately 5-10 minutes per day to complete). The activities and homework tasks are based on standard CBT commonly used with young people and have a specific focus on suicidal thinking and behaviours. The content covered by the modules is as follows: • Week 1 - problem identification • Week 2 - emotion recognition and distress tolerance • Week 3 - thought recognition • Week 4 - help-seeking • Week 5 - activity scheduling (including relaxation) • Week 6 - problem solving • Week 7 - cognitive restructuring • Week 8 - summary of Reframe IT program, create coping cards Each participant will have access to their own personalised webpage accessed via secure login. To maximise the chances of follow-up in the unlikely event that Reframe IT is associated with any adverse events, each self-administered module will be completed in the participant’s school, in the presence of the student wellbeing staff member. Once each individual module has been completed in the presence of the school staff member, participants will be able to access it from home, 24 hours a day. The program has no social networking function. Reframe IT has a message board through which the participants can communicate with the site moderator/s. It is moderated once a day on weekdays by a member of the research team, who will monitor the site for any communication from participants and respond accordingly if required. It also contains links to a series of factsheets covering a range of related topics. The factsheets are those developed for general use by mental health organisations such as headspace and Orygen, and were not specifically developed for the Reframe IT platform (e.g., the fact sheet on suicidal thoughts is located at https://headspace.org.au/assets/Uploads/Resource-library/Health-professionals/suicidal-ideation-mythbusterv2.pdf). As the weeks progress, additional items are added to the site, (e.g. an activity diary). Finally, there is a ‘Getting help’ tab, which lists a range of local and national helplines and services that the participant can access if in crisis. Log-ins, time spent logged in, modules completed and progress within modules are automatically tracked by the Reframe IT system and will be used to monitor adherence to the intervention.