Effects of `It Gets Better´ Suicide Prevention Videos Targeting LGBTQ Adolescents

Not Applicable

• Conditions: SuicidalityHelp-seeking behaviour, sexual identity, hopelessness, depression; R45.8; Other symptoms and signs involving emotional state

• Registration Number: DRKS00019913
• Lead Sponsor: Medizinische Universität Wien, Zentrum für Public Health, Abteilung für Sozial- und Präventivmedizin

Brief Summary

There was no evidence of an effect of the videos on suicidal ideation in the total intervention group. Nonbinary/transgender youth experienced a small- sized improvement in suicidal ideation [T2: mean change (MC) from T1 MC=-0.20 (95% CI -0.39 to -0.02); P=0.01, mean difference (MD) compared with the control group MD=-0.54 (95% CI -1.01 to -0.08); P=0.02; d=-0.10]. Effects appeared pronounced for nonbinary/transgender youth with severe depressive symptoms. There was a positive indirect effect on suicidal ideation through identification with the protagonist. A short-lived improvement in help-seeking intentions could be observed for the total intervention group [T2: MC=0.25 (95% CI 0.15 to 0.35); P<0.001, MD=0.28 (95% CI 0.01 to 0.54); P<0.05; d=0.09].

Detailed Description

Not available

Study Timeline

• Study Start: 2020-01-02
• Study Completion: 2020-11-05
• Results First Posted: 2022-05-16
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 516

Inclusion Criteria

Adolescent defines him or herself to be LGBTQ (lesbian, gay, bisexual, queer, transgender or questioning)
- sufficient language skills in German
- Adolescent did not participate in the study yet

Exclusion Criteria

- adolescent acutely suicidal

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Suicidality (Reasons for Living Inventory for Adolescents, Osman, Downs, Kopper, Barrios, Baker, & Osman, 1998; measured at T1, T2, and T3)<br><br>(T1: prior to exposure to video; T2: immediately following exposure to video; T3: follow up 4 weeks later)

Secondary Outcome Measures

Name	Time	Method
- Hopelessness (Beck Hopelessness Scale, Beck, 1988; measured at T1, T2 and T3)<br><br>- Help Seeking Behaviour (General Help Seeking Questionnaire, Wilson, Deane, Ciarrochi, & Rickwood, 2005; measured at T1, T2 and T3)<br><br>- Sexual Identity (Lesbian, Gay, and Bisexual Identity Scale, Mohr & Kendra, 2011; measured at T1, T2 and T3)<br><br>- Depression (Patient Health Questionnaire, Richardson, McCauley, Grossman, McCarty, Richards, Russo, Rockhill, & Katon, 2010; measured at T1 and T3)<br><br>- Current mood, subscale low vs. high mood (Becker, 1988; measured at T1, T2 and T3)<br><br>- Identification (Identification Scale, Cohen, 2001; measured at T2)<br><br><br>(T1: prior to exposure to video; T2: immediately following exposure to video; T3: follow up 4 weeks later)