Suicidal Ideation
Conditions
Keywords
Suicidal ideation, Suicide, Cognitive behavioral therapy, Online intervention
Brief summary
The objective of the Think Life study is to test the effect of an online, unguided self-help intervention, i.e. Think Life. The primary hypothesis is that Think Life will reduce suicidal ideation. The secondary hypothesis is that Think Life will lead to improvements in depressive symptoms, hopelessness, rumination, and anxiety. Positive changes are expected after completing Think Life and at follow-up, twelve weeks after baseline.
Interventions
The intervention was originally developed by van Spijker, van Straten, and Kerkhof (2010). For this study, it was adapted to the Flemish context and called Think Life. Think Life is mainly based Cognitive Behaviour Therapy (CBT). Additionally, it encompasses elements from Dialectical Behaviour Therapy (DBT), Problem Solving Therapy (PST), and Mindfulness Based Cognitive Therapy (MBCT). It encompasses six modules and every module starts with a psycho-educational section followed by a weekly assignment, core exercises and optional exercises. The participant weekly receives access to a new module. A more detailed description of the intervention is described elsewhere (Kerkhof, van Spijker, & Mokkenstorm, 2013; van Spijker et al., 2010; van Spijker, van Straten, et al., 2014).
Sponsors
Study design
Eligibility
Inclusion criteria
* 18 years or older * Have internet access and an e-mail account
Exclusion criteria
* No suicidal thoughts (i.e. baseline score on Beck Scale for Suicide Ideation = 0)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Beck Scale for Suicide Ideation | Baseline, and 2, 4, 6 (post-test) and 12 weeks (follow-up) after baseline | Changes in severity of suicidal ideation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Suicidal Ideation Attributes | Baseline, and 2, 4, 6 (post-test) and 12 weeks (follow-up) after baseline | Changes in severity of suicidal ideation |
| Beck Depression Inventory - second edition | Baseline, and 2, 4, 6 (post-test) and 12 weeks (follow-up) after baseline | Changes in symptoms and severity of depression |
| Beck Hopelessness Scale | Baseline, and 6 (post-test) and 12 weeks (follow-up) after baseline | Changes in one's negative attitude towards the future |
| Penn State Worry Questionnaire - Past Week | Baseline, and 6 (post-test) and 12 weeks (follow-up) after baseline | Changes in degree of worrying |
| Hospital Anxiety and Depression Scale | Baseline, and 6 (post-test) and 12 weeks (follow-up) after baseline | Changes in anxiety |