Evidence map›Paper›PMID 25886941›Full record

Trial reportTrials2015

Reducing suicidal thoughts in the Australian general population through web-based self-help: study protocol for a randomized controlled trial.

Bregje A J van Spijker, Alison L Calear, Philip J Batterham, Andrew J Mackinnon, John A Gosling, Ad J F M Kerkhof, Daniela Solomon, Helen Christensen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Bregje A J van SpijkerNational Institute for Mental Health Research, The Australian National University, Building 63, Canberra, ACT, 2601, Australia. Bregje.vanspijker@anu.edu.au.
Alison L CalearNational Institute for Mental Health Research, The Australian National University, Building 63, Canberra, ACT, 2601, Australia. Alison.Calear@anu.edu.au.
Philip J BatterhamNational Institute for Mental Health Research, The Australian National University, Building 63, Canberra, ACT, 2601, Australia. Philip.Batterham@anu.edu.au.
Andrew J MackinnonOrygen Youth Health Research Centre, University of Melbourne, 35 Poplar Road, Parkville, VIC, 3052, Australia. Andrew.Mackinnon@unimelb.edu.au.
John A GoslingNational Institute for Mental Health Research, The Australian National University, Building 63, Canberra, ACT, 2601, Australia. John.Gosling@anu.edu.au.
Ad J F M KerkhofDepartment of Clinical Psychology and the EMGO Institute for Health and Care Research, Faculty of Psychology and Education, VU University Amsterdam, van der Boechorststraat 1, 1081 BT, Amsterdam, the Netherlands. Ajfm.Kerkhof@vu.nl.
Daniela SolomonBlack Dog Institute, The University of New South Wales, Hospital Road, Prince of Wales Hospital, Randwick, NSW, 2031, Australia. D.Solomon@blackdog.org.au.
Helen ChristensenBlack Dog Institute, The University of New South Wales, Hospital Road, Prince of Wales Hospital, Randwick, NSW, 2031, Australia. H.Christensen@blackdog.org.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuicidal thoughts are common in the general population, causing significant disability. However, a substantial number of people struggling with suicidality do not access appropriate services. Online self-help may help overcome barriers to help-seeking. This study aims to examine the effectiveness of an online self-help program targeted at reducing suicidal thoughts compared with an attention-matched control condition in the Australian adult population. This trial is based on a Dutch self-help program, which was found to be effective in reducing suicidal thoughts. METHODS/

designA total of 570 community-dwelling adults (18 to 65 years old) with suicidal thoughts will be recruited via various media and randomly assigned to the 6-week online program aimed at reducing suicidal thoughts or a 6-week attention-matched control program. Primary outcome measure is the severity of suicidal thoughts. Secondary outcome measures include suicide plans, capacity to cope with suicidal thoughts, reasons for living, symptoms of depression, hopelessness, anxiety/worry, rumination, panic, perceived burdensomeness and thwarted belongingness, acquired capability, alcohol consumption, insomnia, and various cost-effectiveness measures. DISCUSSION: Although the original Dutch trial found web-based self-help to be effective in reducing suicidal thoughts, randomized controlled trials (RCT) of online programs for suicidal thoughts are rare. The present study extends previous research by running the first English language RCT of this sort. As a result of the original study, the current RCT includes refinements to the design, including greater levels of participant anonymity and longer follow-up periods. Limitations of this trial include the potential for high drop-out and the inability to ascertain whether any suicides occur during the study.

trial registrationAustralian New Zealand Clinical Trials Registry (ANZCTR) Registration number: ACTRN12613000410752 (15 April 2013). Universal Trial Number (UTN): U1111-1141-6595 (15 April 2013).

Indexed as

Clinical ProtocolsInternetSelf-Help GroupsSuicide PreventionAdolescentAdultAgedAustraliaCost-Benefit AnalysisHumansMiddle AgedOutcome Assessment, Health CareSample SizeSuicidal Ideation

Identifiers

PMID25886941
PMCPMC4348119

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.