Circle of Life.Improving Capacity of Swampy Cree Community Members to Recognize People at Risk for Suicide: A Randomized Controlled Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 55
- 试验地点
- 1
- 主要终点
- SIRI Questionnaire Score
研究概览
简要总结
Primary Hypothesis: Participants in the Applied Suicide Intervention Skills Training (ASIST) gatekeeper training will be significantly more likely to have increased knowledge and preparedness to help people with suicidal ideation than participants who receive the resilience retreat.
Secondary Hypotheses:
- Participants in ASIST gatekeeper training will not have higher levels of post-intervention distress or suicidal ideation compared to the resilience retreat.
- High levels of distress, grief, and alcohol abuse will significantly impact on the learning and retention of suicide intervention skills.
详细描述
Inclusion criterion: All members of the Swampy Cree Tribal communities who are currently residing on the reserves will be eligible to participate in the study.
Exclusion criterion: Exclusion criteria for the study include being less than 16 years of age, prior training in SafeTALK or ASIST, being an elected official in a First Nations community, and inability to read or write.
Primary outcome: Skills in Suicide Intervention: Suicide Intervention Response Inventory.The Suicide Intervention Response Inventory (SIRI) will be used to detect enhancement of intervention skills in participants. The SIRI is a self-administered test that was designed to measure competence in choosing appropriate response to a series of clinical scenarios with suicidal individuals. Research on the SIRI has shown its good psychometric properties, freedom from social desirability effects, and responsiveness to training in suicide prevention. It contains 25 items, each of which consists of a "client" remark and two "helper" responses. Responses are judged based on response options made by highly expert suicidologists. The SIRI has shown good internal consistency with alpha of 0.834, and good test-retest reliability.
Secondary Outcomes:
- Knowledge about suicide, attitudes toward suicide, and self-reported preparedness to intervene with suicidal behavior will be measured by a series of questions that were developed by LivingWorks Inc.
- Gatekeeper behaviors will be measured similar to questions utilized by Wyman in the school-based study that assess how many people had the person asked others about suicide.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All members of the Swampy Cree Tribal communities who are currently residing on the reserves will be eligible to participate in the study.
排除标准
- •being less than 16 years of age
- •prior training in SafeTALK or ASIST
- •being an elected official in a First Nations community
研究组 & 干预措施
Applied Suicide Intervention Skills Training (ASIST)
ASIST is a 2-day intensive, interactive and practice-dominated course aimed at enabling people to recognize risk and learn how to intervene immediately to prevent suicide. The training is designed for anyone (especially those in a position of trust), from professionals and volunteers to members of the community. Participants range from those in caring roles to people concerned about family members or friends. The theory is that suicide can be pre¬vented with the help of prepared caregivers. ASIST is designed to help all caregivers become more willing, ready and able to help persons at risk. Just as "CPR" skills make physical first aid possible, training in suicide intervention develops the skills used in suicide first aid.
干预措施: Applied Suicide Intervention Skills Training (Behavioral)
Resilience Retreat
The two days will be divided into cultural activities, sharing circles, small group discussions, story telling and dance. Two First Nations community leaders will be identified to lead each of the two retreats.
干预措施: Resilience Retreat (Behavioral)
结局指标
主要结局
SIRI Questionnaire Score
时间窗: pre-training, post-training and 6 mo follow up
The Suicide Intervention Response Inventory (SIRI-2) will be used to detect enhancement of intervention skills in participants. The 25-item SIRI-2 is a self-administered test that was designed to measure competnce in choosing appropriate response to a series of clinical scenarios with suicidal individuals. Research on the SIRI-2 has shown its good psychometric properties, freedom from social desirabiity effects and responsiveness to training in suicide prevention.
次要结局
- Self-perceived Knowledge About Suicide(pre-training, post-training and 6 month follow-up)
- Self-perceived Preparedness(pre-training, post-training and 6 month follow-up)
- Gatekeeper Behaviours - Did Not Ask Person at Risk(January 28-31, 2011)
- Self-reported Alcohol Use(pre-training and 6 month follow-up)
- Suicidal Ideation Since Training at 6 mo Follow-up(January 28-31, 2011)
- Attempted Suicide Since Training at 6 mo Follow-up(January 28-31, 2011)
- Self-reported Distress(pre-training and 6 month follow-up)
- Self-perceived Confidence in Helping a Suicidal Individual(pre-training, post-training and 6 month follow-up)
- Lifetime Suicidal Ideation at Baseline(July 19-20, 2010)
- Lifetime Suicide Attempt at Baseline(July 19-20, 2010)
- Suicidal Ideation in Past 2 Days at Baseline(July 19-20, 2010)
- Self-perceived Skill in Helping a Suicidal Individual(pre-training, post-training and 6 month follow-up)
- Self-reported Resiliency Score(pre-training and 6 month follow-up)
- Number of People With Suicidal Ideation in Past 2 Days Immediately Post Training(July 22-23, 2010)
- Gatekeeper Behaviors - Asked Person at Risk About Suicidal Thoughts(January 28-31, 2011)
研究者
Dr. Jitinder Sareen
Professor, Department of Psychiatry
University of Manitoba