Suicidal Ideation, Suicide Attempt
Conditions
Brief summary
The main goal of this study is to evaluate the effectiveness ofMindfulness-Based Cognitive Therapy aimed at reducing suicidality in adults. This will test the effectiveness by studying the effect on suicidal ideation and related outcomes, compared to Treatment As Usual. The study is a multicentre randomized controlled trial conducted in out-patient Flemish mental healthcare facilities.
Interventions
BEHAVIORALMindfulness-Based Cognitive Therapy for Suicidal individuals (MBCT-S)
MBCT-S is a group intervention of 8 weekly sessions of 2 hours combining techniques of mindfulness with important elements of cognitive therapy (e.g. safety plan and homework).
Sponsors
University Ghent
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Randomized Controlled Trial comparing an experimental condition (Treatment As Usual + Mindfulness-Based Cognitive Therapy) and a control condition (Treatment As Usual)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Speak Dutch * Be at least 18 years old * Have access to internet * Be suitable for group therapy * Have mild to severe suicidal thoughts (BSS score of minimum 1)
Exclusion criteria
* Conditions expected to severely hinder group participation, comprehension of the training content or adherence
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Suicidal ideation: The Beck Scale for Suicide Ideation | Baseline (2 weeks before the intervention), posttest (2 months after baseline assessment), follow-up (5 months after baseline assessment) | A 21-item self-report questionnaire to measure (the severity of) suicidal ideation in adolescents and adults. Each item is rated on a scale from 0 to 2, resulting in a total score ranging from 0 to 38, with higher scores indicating more (severe) suicidal ideation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Depressive symptoms: The second edition of the Beck Depression Inventory | Baseline (2 weeks before the intervention), posttest (2 months after baseline assessment), follow-up (5 months after baseline assessment) | A 21-item self-report questionnaire to measure depressive symptoms and attitudes in the past week. Each item is rated on a scale from 0 to 3, resulting in a total score ranging from 0 to 63, with higher scores indicating more depressive symptoms. |
| Hopelessness: The Beck Hopelessness Scale | Baseline (2 weeks before the intervention), posttest (2 months after baseline assessment), follow-up (5 months after baseline assessment) | A 20-item self-report questionnaire to measure hopelessness in adolescents and adults. Each item is rated as 'true' (score = 1) or 'false' (score = 0) for them over the past week, resulting in a total score ranging from 0 to 20, with higher scores indicating higher levels of hopelessness. |
| Defeat: the Defeat Scale | Baseline (2 weeks before the intervention), posttest (2 months after baseline assessment), follow-up (5 months after baseline assessment) | A 16-item self-report questionnaire to measure defeat on a five-point Likert scale. |
| Worrying: The Penn State Worry Questionnaire - past week | Baseline (2 weeks before the intervention), posttest (2 months after baseline assessment), follow-up (5 months after baseline assessment) | A 15-item self-report questionnaire to measure worrying in the past week. Each item is rated on a 7-point Likert scale ranging from 0 (never) to 6 (almost always). |
| Mindfulness: Five Facet Mindfulness Questionnaire | Baseline (2 weeks before the intervention), posttest (2 months after baseline assessment), follow-up (5 months after baseline assessment) | A 24-item self-report questionnaire to measure five distinct facets of mindfulness: observing, describing, acting with awareness, nonjudging and nonreactivity. Each item is rated on a 5-point Likert scale ranging from 1 (never/very rarely true) to 5 (very often/always true), resulting in a total score ranging from 1 to 120. |
| Entrapment: the Entrapment Scale | Baseline (2 weeks before the intervention), posttest (2 months after baseline assessment), follow-up (5 months after baseline assessment) | A 16-item self-report questionnaire to measure entrapment on a five-point Likert scale. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Treatment evaluation | Posttest (2 months after baseline assessment) | Rating of the general training (score ranging from 0 to 10) and 10 statements about several aspects of the format, content and effect of the group treatment. Of these statements, 5 were rated on a 3-point Likert scale, and 5 on a 5-point likert scale |
Countries
Belgium
Outcome results
None listed