dc.contributor.author |
Hetrick, Sarah E |
|
dc.contributor.author |
Yuen, Hok P |
|
dc.contributor.author |
Bailey, Eleanor |
|
dc.contributor.author |
Cox, Georgina R |
|
dc.contributor.author |
Templer, Kate |
|
dc.contributor.author |
Rice, Simon M |
|
dc.contributor.author |
Bendall, Sarah |
|
dc.contributor.author |
Robinson, Jo |
|
dc.coverage.spatial |
England |
|
dc.date.accessioned |
2024-01-09T02:36:22Z |
|
dc.date.available |
2024-01-09T02:36:22Z |
|
dc.date.issued |
2017-08 |
|
dc.identifier.citation |
(2017). Evidence-Based Mental Health, 20(3), 76-82. |
|
dc.identifier.issn |
1362-0347 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/67070 |
|
dc.description.abstract |
<h4>Background</h4>Suicide-related behaviours are common in young people and associated with a range of negative outcomes. There are few evidence-based interventions; however, cognitive behavioural therapy (CBT) shows promise. Internet delivery of CBT is popular, with potential to increase reach and accessibility.<h4>Objective</h4>To test the effectiveness of an internet-based CBT program (Reframe-IT) in reducing suicide-related behaviours, depression, anxiety, hopelessness and improving problem solving and cognitive and behavioural skills in school students with suicide-related behaviours.<h4>Methods</h4>A parallel randomised controlled trial testing the effectiveness of Reframe-IT plus treatment as usual (TAU) compared with TAU alone in reducing suicidal ideation, suicide attempts, depression, hopelessness, symptoms of anxiety, negative problem orientation and cognitive and behavioural skill acquisition was undertaken. We recruited students experiencing suicidal ideation from 18 schools in Melbourne, Australia, between August 2013 and December 2016. The intervention comprised eight modules of CBT delivered online over 10 weeks with assessments conducted at baseline, 10 weeks and 22 weeks.<h4>Findings</h4>Only 50 of the planned 169 participants were recruited. There were larger improvements in the Reframe-IT group compared with the TAU group for the primary outcome of suicidal ideation (intervention -61.6, SD 41.6; control -47.1, SD 42.3, from baseline to 22-week follow-up intervention); however, differences were non-significant (p=0.593). There were no increases in distress in the majority of participants (91.1%) after completion of each module. Changes in depression and hopelessness partly mediated the effect of acquisition of CBT skills on suicidal ideation.<h4>Conclusions</h4>The trial was underpowered due to difficulties recruiting participants as a result of the complex recruitment procedures that were used to ensure safety of participants. Although there were no significant differences between groups, young people were safely and generally well engaged in Reframe-IT and experienced decreases in suicidal ideation and other symptoms as well as improvements in CBT skills. The study is the first online intervention trial internationally to include young people demonstrating all levels of suicide risk.<h4>Clinical implications</h4>Integration of internet-delivered interventions for young people with suicide-related behaviour may result in reductions in these behaviours. Further research is needed, but researchers should feel more confident about being able to safely undertake research with young people who experience these behaviours.<h4>Trial registration number</h4>ACTRN12613000864729. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
BMJ |
|
dc.relation.ispartofseries |
Evidence-based mental health |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Adolescent Behavior |
|
dc.subject |
Depression |
|
dc.subject |
Anxiety |
|
dc.subject |
Internet |
|
dc.subject |
Adolescent |
|
dc.subject |
Adult |
|
dc.subject |
Female |
|
dc.subject |
Male |
|
dc.subject |
Young Adult |
|
dc.subject |
Suicidal Ideation |
|
dc.subject |
Cognitive Behavioral Therapy |
|
dc.subject |
Outcome Assessment, Health Care |
|
dc.subject |
Suicide Prevention |
|
dc.subject |
mental health |
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dc.subject |
5203 Clinical and Health Psychology |
|
dc.subject |
52 Psychology |
|
dc.subject |
Prevention |
|
dc.subject |
Comparative Effectiveness Research |
|
dc.subject |
Behavioral and Social Science |
|
dc.subject |
Suicide |
|
dc.subject |
Mind and Body |
|
dc.subject |
Clinical Research |
|
dc.subject |
Clinical Trials and Supportive Activities |
|
dc.subject |
3 Prevention of disease and conditions, and promotion of well-being |
|
dc.subject |
6 Evaluation of treatments and therapeutic interventions |
|
dc.subject |
3.1 Primary prevention interventions to modify behaviours or promote wellbeing |
|
dc.subject |
6.6 Psychological and behavioural |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Psychiatry |
|
dc.subject |
INTERVENTION |
|
dc.subject |
HOPELESSNESS |
|
dc.subject |
IDEATION |
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dc.subject |
RISK |
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dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
1701 Psychology |
|
dc.subject |
Clinical |
|
dc.subject |
Public Health |
|
dc.subject |
3.1 Primary prevention interventions to modify behaviours or promote well-being |
|
dc.subject |
3202 Clinical sciences |
|
dc.subject |
4202 Epidemiology |
|
dc.title |
Internet-based cognitive behavioural therapy for young people with suicide-related behaviour (Reframe-IT): a randomised controlled trial. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1136/eb-2017-102719 |
|
pubs.issue |
3 |
|
pubs.begin-page |
76 |
|
pubs.volume |
20 |
|
dc.date.updated |
2023-12-28T20:57:25Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
28701336 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/28701336 |
|
pubs.end-page |
82 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
research-article |
|
pubs.subtype |
Randomized Controlled Trial |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
650266 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Psychological Medicine Dept |
|
dc.identifier.eissn |
1468-960X |
|
dc.identifier.pii |
eb-2017-102719 |
|
pubs.record-created-at-source-date |
2023-12-29 |
|
pubs.online-publication-date |
2017-07-12 |
|