Suicidal Ideation, Suicide Attempt
Conditions
Brief summary
The main goal of this study is to evaluate the effectiveness of a Future-oriented Group training 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. Participants will also be asked to evaluate the group training. The study is a multicentre randomized controlled trial conducted in out-patient Flemish mental healthcare facilities.
Interventions
This study's experimental condition consisted of a Future Oriented Group Training (FOGT), originally developed in 2008 by van Beek et al. (2009). Participants followed this training weekly, over a period of 9 weeks in groups of 6 to 10 participants. The sessions, which lasted one and a half hours each, were each led by one trainer.
Sponsors
Study design
Intervention model description
Randomized Controlled Trial comparing an experimental condition (Treatment As Usual + Future Oriented Group Training) and a control condition (Treatment As Usual)
Eligibility
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 (9 weeks after start of intervention), follow-up (3 months after the end of the intervention) | 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 (9 weeks after start of intervention), follow-up (3 months after the end of the intervention) | 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 (9 weeks after start of intervention), follow-up (3 months after the end of the intervention) | 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 (9 weeks after start of intervention), follow-up (3 months after the end of the intervention) | 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 (9 weeks after start of intervention), follow-up (3 months after the end of the intervention) | 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). |
| Future-oriented thinking | Baseline (2 weeks before the intervention), posttest (9 weeks after start of intervention), follow-up (3 months after the end of the intervention) | A 22-item self-report questionnaire to measure repeated thinking about the future, specifically about the likelihood of negative and positive events happening. Each item is rated on a 4-point Likert scale ranging from 0 (never) to 3 (almost always). |
| Entrapment: the Entrapment Scale | Baseline (2 weeks before the intervention), posttest (9 weeks after start of intervention), follow-up (3 months after the end of the intervention) | A 16-item self-report questionnaire to measure entrapment on a five-point Likert scale. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Treatment evaluation | Posttest (9 weeks after start of intervention) | 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 training. Of these statements, 4 were rated on a 3-point Likert scale, and 6 on a 5-point likert scale |
Countries
Belgium