Suicidality Mental and Behavioural Disorders
Conditions
Interventions
The unit of randomisation is the schools. After baseline data collection is complete, 6 schools will be randomised into one of two study groups. Both study arms will be compared to test which, if any,
Sponsors
Liverpool John Moores University
Eligibility
Sex/Gender
All
Age
14 Years to 15 Years
Inclusion criteria
Inclusion criteria: 1. Pupils in Year 10 at school, aged 14-15 years 2. Attending a mainstream secondary school or pupil referral unit 3. For Reframe IT-UK only: a score of 21 or above on the SIDAS
Exclusion criteria
Exclusion criteria: 1. Age below 14 or over 15 years 2. Attending a special school or other specialist education provision 3. No significant learning disability 4. For Reframe IT-UK: a score below 21 on the SIDAS
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Acceptability: Operationalised in terms of the acceptability and safety of the intervention. A mixed-methods approach will be used to determine the acceptability and safety of trialling a suicide prevention programme in UK schools. The proportion of pupils who complete all agreed sessions will be recorded (>60% excellent. 40%-60% acceptable; <40% not acceptable) on the Reframe IT-UK website. Acceptability of the suicide prevention lesson, including whether participants thought it was “useful”, “interesting”, or “upsetting”, will be assessed at T2 only using purpose-designed items. Participant views on the Reframe IT-UK intervention will be assessed at T3. 2. Social validity measured using a process evaluation of bespoke quantitative surveys following the delivery of each component of the MAPSS programme at T2 and T3. Qualitative interviews will also be conducted with staff and focus groups with pupils across the study period. 3. Feasibility of the trial: Data will be collected on the following: 3.1. The missing data on completed assessment (<15%) 3.2. Change or variability on outcome measures (e.g., suicide ideation, depressive or hopelessness symptoms) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Past four-week suicidal ideation measured using the Suicidal Ideation Attributes Scale (SIDAS) at T2, T3 and T4 2. Symptoms of depression measured using the Patient Health Questionnaire – 9 item version at T1, T2, T3 and T4 3. Hopelessness measured using the positively worded brief measure of hopelessness (Brief-H-Pos) at T2, T3 and T4 4. Health service use and other resource use (education and local authority) comparing intervention and control groups measured using a bespoke questionnaire adapted from the Young Mind Matters Service Use questionnaire at T2, T3 and T4 5. Intentions to seek help measured using purposefully designed questions from informal sources T2, T3 and T4 6. Health-related quality of life during the trial measured using the Child Health Utility–9 (CHU9D) at T1, T2, T3, and T4. The CHU9D can be used to derive quality-adjusted life years (QALYs). These data will be used in combination with data from 3) above, to assess the feasibility of the full economic evaluation. 7. Suicide literacy measured using an adapted version of the Literacy of Suicide Scale (LOSS) at T1, T2, T3 and T4 8. Current provision (i.e., establish a clear counterfactual), identify the level of programme differentiation, and account for any potential compensatory rivalry or contamination in control schools measured using a usual practice survey completed by school staff (key contact or safeguarding lead) at T1 and T4 | — |
Countries
England, United Kingdom
Contacts
Public ContactMolly McCarthy
Outcome results
None listed