Prevention of suicidal behaviour and depression and promotion of wellbeing in the community (general population and vulnerable groups) Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Participants must belong to one of the four study levels: Level 1: Healthcare professionals involved in depression care. Level 2: General population, including the five vulnerable groups: Young people: 15–24 years; Older people: 65+ years, Long-term unemployed, Migrants/refugees and people with an existing mental disorder. Level 3: Community gatekeepers Level 4: People with mild to moderate depression using the iFightDepression® tool. Participants in Level 2 (general population survey) must be 18 years or older. Participants in Level 4 (iFightDepression® tool users) must be 15 years or older.
Exclusion criteria
Exclusion criteria: 1. Individuals under 18 years of age for the general population survey. 2. Individuals under 15 years of age for using the iFightDepression® tool.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Rate of completed suicides measured using official mortality data from national authorities and suicide registers following WHO ICD-10/11 classifications at baseline (pre-intervention) and 24 months 2. Rate of hospitalizations caused by attempted suicides measured using hospital admission records and suicide registers following WHO ICD-10/11 classifications at baseline (pre-intervention) and 24 months 3. Rate of completed suicides measured using official mortality data from national authorities and suicide registers following WHO ICD-10/11 classifications at the pre-baseline period (2018–2024) and the intervention period (2025–2026) 4. Rate of attempted suicides measured using hospital admission records and suicide registers following WHO ICD-10/11 classifications at the pre-baseline period (2018–2024) and the intervention period (2025–2026) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Knowledge and attitudes about depression measured using the Personal Stigma Subscale of the Depression Stigma Scale (DSS; Griffiths et al., 2004) and attitudes towards help-seeking using the the Attitudes Towards Seeking Professional Psychological Help-Short Form (ATSPPH-SF; Fischer & Farina, 1995) at baseline (pre-intervention) and 24 months 2. Wellbeing measured using the World Health Organisation Five Well-Being Index (WHO-5; World Health Organisation, 1998) and and depressive and anxiety symptoms using the Patient Health Questionnaire-4 (PHQ-4; Kroenke et al., 2009) at baseline (pre-intervention) and 24 months 3. Competencies of Level 1 and Level 3 trainees measured using the Literacy of Suicide Scale (LOSS; Calear et al., 2022) and the Revised Depression Attitude Questionnaire (R-DAQ; Haddad et al., 2015), at pre-training and immediately post-training, as well as a bespoke satisfaction survey at post-training 4. Depressive symptoms of users of the iFightDepression® tool measured using the Patient Health Questionnaire-9 (PHQ-9, 2001) at registration and six weeks after registration | — |
Countries
Albania, Estonia, Greece, Ireland, Spain