Suicidality, major risk factors, suicide prevention Signs and Symptoms Suicidal ideation (tendencies)
Conditions
Interventions
Arm 1 (Intervention/treatment condition) - Intervention website promotion by ?peer? & minimal intervention: At baseline, the participants are given a detailed description of the intervention website,
Sponsors
Karolinska Institute (Sweden)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: In this multicenter study, each center (i.e. country) selects a catchment area to create a pool of schools. The catchment area can be defined by its geographical location and/or demographical and/or political variables (e.g. a municipality, city, etc.) and which of these variables should be applied is decided by the individual center. First, a list of all schools within that area is obtained, and the following inclusion criteria is then applied, in order to create a pool of schools which are eligible for study recruitment: 1. The school authority agrees to participate 2. The school is public 3. The school contains at least 100 pupils within the age range of 14-16 4. The school has more than two teachers for pupils aged 15 5. No more than 70% of the pupils are of either sex (within those school class/es where pupils will be recruited) 6. Informed consent from pupils (and parents when applicable) is obtained Remaining is a list eligible schools. This list is then randomized so that the schools appear in a random ?contact order? and they are then contacted accordingly and asked to participate in the study. If the first school declines the request (school participation is voluntary), the second school on the list is contacted, and so forth. When the target sample size is (estimated to be) reached, an information session is organized in the respective schools where pupils (14-16 years old) and their teachers are informed about the study and asked to participate. All participants are thus registered pupils of the selected schools. Only pupils who voluntarily agree to participate by supplying written consent are included. No further participant inclusion or exclusion criteria are used.
Exclusion criteria
Exclusion criteria: Does not meet inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hypothesis one, regarding the efficacy of the intervention: Primary data will be collected using a questionnaire which is administered to participants at baseline evaluation (day 0), post evaluation (month 2) and follow-up evaluation (month 4). Post and follow-up measures occur after the participants have been exposed to the intervention website (arm 1, 2) or the minimal intervention contact leaflet (arm 3). The questions are sometimes administered on ordinary paper and sometimes as an electronic online questionnaire. The questionnaire consists of 5 different types of questions/scales, and the questionnaires used in post and follow-up evaluation also includes a 6th part with follow-up questions on the intervention. 1. Background questions/demographic variables: Specific items for measurement of life and family situation, socioeconomic status (SES), help-seeking behavior. 2. Internet use: Specific items for the measurement of the participant?s internet use; frequency and intensity of daily internet use, as well as descriptive information of the most common internet activities is gathered. 3. The Depression, Anxiety and Stress scale-42 (DASS-42) (Lovibond & Lovibond, 1995) is a 42 item scale used for the measurement of (clinical) depression, anxiety and stress 4. Paykel's suicide ladder (Paykel et al. 1972) is a 5 item scale used for the measurement of the suicide risk. Suicide-risk behaviors and suicidal ideation is measured. 5. Risk behaviors: Specific items on mental health related risk behaviors are measured. Items relate to alcohol and drug use, tobacco use, bullying and decision making (Gächter et al. 2007). 6. Post and follow-up questions relate to the intervention website and the minimal intervention contact leaflet: If it was used by the participant, and if so, how helpful it was perceived. The second type of outcome data is inte | — |
Secondary
| Measure | Time frame |
|---|---|
| Data is collected from the user?s interactions on the intervention website. These include chat, forum and blog entries made by users. | — |
Countries
Estonia, Hungary, Italy, Lithuania, Spain, Sweden, United Kingdom
Outcome results
None listed