Suicidal behaviour Mental and Behavioural Disorders Suicidal ideation
Conditions
Interventions
WP3:
Intervention Arm [PROSPECT programme plus TAU]: In addition to Treatment As Usual the intervention arm will receive targeted psychological therapy comprising of a preparatory phase which aims to
Sponsors
University of Manchester
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 14/03/2022: For the RCT (WP3): 1. Male Prisoner (defined as a person sentenced to imprisonment in a male prison) 2. Aged over 18 years - updated 07/03/2022: aged 18 years or over 3. At current risk of suicide behaviour as indicated by currently being on the host prison's ACCT system, or on the ACCT system within the four weeks prior to consent. 4. Able to complete a battery of self-report measures with breaks if needed 5. Willing to consent to being subject to a 'holding order' to require them to remain within the host prison for the duration of their participation in the trial. For the Process Evaluation Interviews (WP4) Prison participants: 1. Is a participant on the Prospect RCT randomised to receive the Prospect programme. Staff participants: 2. Is a member of staff currently working in the prison in a role that involves the care and/or management of prisoners who engage in suicide behaviour. OR 3. Is a member of staff directly involved in delivering the Prospect programme. Observation study: Shadowing of prisoner participants: 1. Is a participant on the Prospect RCT randomised to receive the Prospect programme. Staff participants: 2. Is a member of staff currently working in the prison in a role that involve the care and/or management of prisoners who engage in suicide behaviour. 3. Has taken part in the process evaluation interviews But observation could also include: Any prisoner or member of staff present during an observation session and not having asked to be excluded. _____ Previous inclusion criteria: For the RCT (WP3): 1. Male Prisoner (defined as a person sentenced to imprisonment in a male prison) 2. Aged over 18 years - updated 07/03/2022: aged 18 years or over 3. At current risk of suicide behaviour according to the host prison’s ACCT system 4. Able to complete a battery of self-report measures with breaks if needed 5. Willing to be placed on a holding order to remain in the host prison for the duration of their participation. For the Process Evaluation Interviews (WP4) Prison participants: 1. Is a participant on the Prospect RCT randomised to receive the Prospect programme. Staff participants: 2. Is a member of staff currently working in the prison in a role that involves the care and/or management of prisoners who engage in suicide behaviour. OR 3. Is a member of staff directly involved in delivering the Prospect programme. Observation study: Shadowing of prisoner participants: 1. Is a participant on the Prospect RCT randomised to receive the Prospect programme. Staff participants: 2. Is a member of staff currently working in the prison in a role that involve the care and/or management of prisoners who engage in suicide behaviour. 3. Has taken part in the process evaluation interviews But observation could also include: Any prisoner or member of staff present during an observation session and not having asked to be excluded.
Exclusion criteria
Exclusion criteria: For the RCT (WP3): 1. Planned release within next 9 months 2. Insufficient knowledge of English to enable adequate participation in the assessment process 3. Deemed by prison staff to be too dangerous/elevated risk of harm to the researcher 4. Lacking capacity to provide informed consent For the process evaluation (WP4): Prison participants: 1. Deemed by prison staff to be too dangerous/elevated risk of harm to the researcher Staff participants: There are no exclusion criteria for staff participants Observation study: 1. Any member of staff or prisoner who informs the researcher that they do not wish to be included in the observation study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Suicidal ideation as measured by the Beck Scale for Suicide Ideation at 6 months post randomisation 2. Number of occurrences of suicidal behaviour during the last 6 months collected via self-report from participants with researchers using an adapted version of the Suicide Attempt – Self-Injury Interview to improve recall and reporting of suicide behaviour | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 07/03/2022: WP3: 1. Number of days from randomisation to first suicidal behaviour as measured participant self-report at 6 months post randomisation 2. Future suicide potential as measured by the Suicide Probability Scale at 6 months post randomisation 3. Suicide schema as measured by the Brief Suicide Cognitions Scale at 6 months post randomisation 4. Depression as measured by the Beck Depression Inventory II at 6 months post randomisation 5. General psychopathology as measured by the Brief Symptom Inventory at 6 months post randomisation 6. Personality dysfunction as measured by the Standardised Assessment of Personality – Abbreviated Scale at 6 months post randomisation 7. Hopelessness as measured by the Beck Hopelessness Scale at 6 months post randomisation 8. Defeat as measured by the Defeat Scale at 6 months post randomisation 9. Entrapment as measured by the Entrapment Scale at 6 months post randomisation 10. Self-esteem as measured by the Robson Self Concept Questionnaire at 6 months post randomisation 11. Coping as measured by the Coping Inventory for Stressful Situations at 6 months post randomisation 12. Wellbeing as measured by the ICEpop CAPability measure for adults at 6 months post randomisation 13. Therapeutic alliance as measured by the Working Alliance Inventory at regular intervals during the 6 months of intervention delivery NB: The 6-month follow-up will take place between 6-9 months post randomisation WP4: 14. Prisoner and staff experiences of receiving the Prospect programme (for prisoner participants), or their experience of managing suicide behaviour in prison (for staff participants) measured using interviews during the trial and after 6 month follow up Previous secondary outcome measures: WP3: 1. Future suicide potential as measured by the Suicide Probability Scale at 6 months post randomisation 2. Depression as measured by the Beck Depression Inventory II at 6 months post randomisation 3. General | — |
Countries
England, United Kingdom
Outcome results
None listed