Effectiveness of Online Self-Help for Suicidal Thoughts: Results of a Randomised Controlled Trial

Spijker, Bregje A. J. van; Straten, Annemieke van; Kerkhof, A.J.F.M.

doi:10.1371/journal.pone.0090118

Cited by 126 publications

(156 citation statements)

References 36 publications

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“…To that extent, it is also encouraging that we found higher help seeking for STB among college students relative to the general population [21]. This underscores the importance of screening college students for mental health issues [20], and then, providing access to personalized interventions (e.g., face-to-face, internet-based prevention and treatment programs) [22]. Collectively, this dual approach may, ultimately, lead to improved educational attainment and reduce the loss of life among this important population segment.…”

Section: Discussionmentioning

confidence: 76%

Suicidal thoughts and behaviors among college students and same-aged peers: results from the World Health Organization World Mental Health Surveys

Mortier

Auerbach

Alonso

et al. 2018

Soc Psychiatry Psychiatr Epidemiol

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PURPOSE The primary aims are to (1) obtain representative prevalence estimates of suicidal thoughts and behaviors (STB) among college students worldwide and (2) investigate whether STB is related to matriculation to and attrition from college. METHODS Data from the WHO World Mental Health Surveys were analyzed, which include face-to-face interviews with 5,750 young adults aged 18–22 spanning 21 countries (weighted mean response rate = 71.4%). Standardized STB prevalence estimates were calculated for four well-defined groups of same-aged peers: college students, college attriters (i.e., dropouts), secondary school graduates who never entered college, and secondary school non-graduates. Logistic regression assessed the association between STB and college entrance as well as attrition from college. RESULTS Twelve-month STB in college students was 1.9%, a rate significantly lower than same-aged peers not in college (3.4%; OR=0.5; p<0.01). Lifetime prevalence of STB with onset prior to age 18 among college entrants (i.e., college students or attriters) was 7.2%, a rate significantly lower than among non-college attenders (i.e., secondary school graduates or non-graduates; 8.2%; OR=0.7; p=0.03). Pre-matriculation onset STB (but not post-matriculation onset STB) increased the odds of college attrition (OR=1.7; p<0.01). CONCLUSION STB with onset prior to age 18 is associated with reduced likelihood of college entrance as well as greater attrition from college. Future prospective research should investigate the causality of these associations and determine whether targeting onset and persistence of childhood-adolescent onset STB leads to improved educational attainment.

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Section: Discussionmentioning

confidence: 76%

Suicidal thoughts and behaviors among college students and same-aged peers: results from the World Health Organization World Mental Health Surveys

Mortier

Auerbach

Alonso

et al. 2018

Soc Psychiatry Psychiatr Epidemiol

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“…A Dutch RCT of an online suicide specific intervention that featured an unguided self help approach based in CBT, DBT, mindfulness, and problem solving therapy found a small but significant reduction in suicidal thinking (effect size d=0.28, 0.03 to 0.54). 138 This finding was more pronounced in people with a history of suicidal behavior. However, among people calling a suicide helpline, augmentation of treatment with internet CBT This protective effect was also seen when compared with the patient's own history before starting the drug.…”

Section: Self Poisoningmentioning

confidence: 94%

Suicide risk assessment and intervention in people with mental illness

Bolton

Gunnell

Turecki

2015

BMJ

230

174

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Suicide is the 15th most common cause of death worldwide. Although relatively uncommon in the general population, suicide rates are much higher in people with mental health problems. Clinicians often have to assess and manage suicide risk. Risk assessment is challenging for several reasons, not least because conventional approaches to risk assessment rely on patient self reporting and suicidal patients may wish to conceal their plans. Accurate methods of predicting suicide therefore remain elusive and are actively being studied. Novel approaches to risk assessment have shown promise, including empirically derived tools and implicit association tests. Service provision for suicidal patients is often substandard, particularly at times of highest need, such as after discharge from hospital or the emergency department. Although several drug based and psychotherapy based treatments exist, the best approaches to reducing the risk of suicide are still unclear. Some of the most compelling evidence supports long established treatments such as lithium and cognitive behavioral therapy. Emerging options include ketamine and internet based psychotherapies. This review summarizes the current science in suicide risk assessment and provides an overview of the interventions shown to reduce the risk of suicide, with a focus on the clinical management of people with mental disorders.

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“…Both were fluent in English, but their primary language was Dutch; 2) both translations were compared to create a consensus version; 3) the consensus version was then translated back into English by an independent translator whose primary language is English and who had no knowledge of the questionnaire; 4) the final version was reviewed by an expert in suicide prevention (Professor Kerkhof) and final adjustments were made. This final version was recently used in a trial (van Spijker et al, 2012(van Spijker et al, , 2014.…”

Section: Translation Proceduresmentioning

confidence: 99%

Longitudinal measurement invariance of the Beck Scale for Suicide Ideation

Beurs¹,

Fokkema²,

Groot³

et al. 2015

Psychiatry Research

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In mental health care, both clinical and scientific decisions are based on within-subject comparisons of test scores on the same self-report questionnaire at different points in time. To establish the validity of test score comparisons over time, longitudinal measurement invariance should be established. The current study tested whether the 19 item Beck Scale for Suicide Ideation (BSS) is measurement invariant (MI) over time. As the first five items of the scale are often used to screen for the presence of suicidal thoughts, we also tested a model consisting of only the first five items. Psychiatric in- and out-patients (n=475) completed the questionnaire upon admission and after 3 months. By means of confirmatory factor analysis (CFA) we tested whether the parameters of a single factor model were equal over time. All fit indices indicated that both the 19-item questionnaire and the five-item screener were measurement invariant over time. This means that changes in test-scores over time can be attributed to true changes in the construct of interest. These findings legitimate the use of the 19 item scale and the five-item screener in longitudinal assessments.

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Effectiveness of Online Self-Help for Suicidal Thoughts: Results of a Randomised Controlled Trial

Cited by 126 publications

References 36 publications

Suicidal thoughts and behaviors among college students and same-aged peers: results from the World Health Organization World Mental Health Surveys

Suicidal thoughts and behaviors among college students and same-aged peers: results from the World Health Organization World Mental Health Surveys

Suicide risk assessment and intervention in people with mental illness

Longitudinal measurement invariance of the Beck Scale for Suicide Ideation

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