Evaluating Primary Suicide Prevention in Adolescents With Risk Factors
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 240
- 试验地点
- 20
- 主要终点
- Composite measure of suicide awareness
研究概览
简要总结
Suicide is one of the main causes of death among teenagers. Because it is preventable, primary prevention of suicide has become a public health priority, with encouraging results in promoting suicide awareness and reducing suicidal thoughts among adolescents. However, the lack of studies conducted among vulnerable populations (i.e., marginalised, disengaged and disadvantaged) is a major gap, even though these populations present an increased risk of suicidal behaviour.
The aim of this project is to test the effectiveness of a brief primary suicide prevention intervention for vulnerable adolescents, using a randomised controlled trial. Vulnerable adolescents include those 1) detained in juvenile detention centres, 2) at risk of dropping out of school, 3) undergoing treatment for psychiatric disorders, 4) belonging to a sexual or gender diversity, 5) affected by chronic conditions, or 6) with relational/familial problems. The main aim is to test the effectiveness of the intervention on a composite measure of suicide awareness, psychological distress and suicidal thoughts. The project will also explore other issues that present challenges for vulnerable populations: access to primary suicide prevention and non-response bias. The study will provide relevant results to address the current lack of high-quality evidence for primary suicide prevention in adolescents.
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
- 14 Years 至 25 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Vulnerable adolescents defined as being: 1) detained in juvenile detention centers, 2) disconnected from school, 3) in treatment for psychiatric disorders, 4) belonging to a sexual or gender minority, 5) affected by chronic conditions, or 6) with relational/familial problems.
- •Age 14 to 25 years old.
- •Good knowledge of French.
- •Accepting to sign the informed consent.
排除标准
- •The medical/educational staff considers that the intervention will interfere with appropriate management of acute psychiatric disorder or may cause harm to self or other.
- •Being enrolled in another suicide prevention intervention during the study period.
研究组 & 干预措施
Primary suicide prevention intervention
The framework of the primary suicide prevention intervention is psychoeducation. The intervention lasts for 90 minutes and is conducted in groups of 5 to 15 (on average 10) participants. It provides general information on suicidal behaviors, information about facts and myths about suicide, identification of risk factors and warning signs of suicidal behaviors, and information on ways to seek for help and get support for themselves and others in the canton. The intervention includes a lecture, group discussions based on case examples, and a quiz on facts and myths about suicide. It is conducted by a trained staff member with the support of a psychologist trained in suicide prevention for children and adolescents. It follows a standardized format.
干预措施: Primary suicide prevention intervention (Behavioral)
Art-based control intervention
The control intervention will be an art-based activity, a workshop on slam poetry. At the end of the study, participants will get a flyer containing information on suicide prevention with the participants of the control group. Therefore, they will have a low-threshold intervention.
干预措施: Art-based control intervention (Behavioral)
结局指标
主要结局
Composite measure of suicide awareness
时间窗: One-week post-baseline
Nine-item perceived suicide awareness scale (PSAS-9), assessed on a 5-point scale, score ranging from 0 to 36, with a higher score indicating a higher suicide awareness
次要结局
- Access to primary suicide prevention(Baseline)
- Composite measure of suicide awareness(Three-month post-baseline)
- Knowledge on suicide(One-week post-baseline; three-month post-baseline)
- Knowledge of local resources(One-week post-baseline; three-month post-baseline)
- Suicidal thoughts(One-week post-baseline; three-month post-baseline)
- Psychological distress(One-week post-baseline; three-month post-baseline)
- Access to primary suicide prevention(Baseline)
- Attrition(Three-month post-baseline)
研究者
Stephanie Baggio
Associate Professor
University of Lausanne