Online self-help for suicidal thoughts: 3-month follow-up results and participant evaluation

Abstract

a b s t r a c tBackground: As a substantial proportion of people with suicidal thoughts does not receive treatment, the internet can be a utilized to reach more people who need support. Aims: To examine maintenance of effects of online self-help for suicidal thoughts at 3-month follow-up within the intervention group of a randomized controlled trial (of which between-group 6-week post-test results have previously been reported, showing a small effect of 0.28 for suicidal thoughts in favour of the intervention group), and to investigate acceptability of the intervention through participant evaluation. Methods: 236 adults with mild to moderate suicidal thoughts were randomized to the intervention (n = 116) or a waitlist control group (n = 120). Assessments took place at baseline, post-test (6 weeks later), and follow-up (3 months after post-test). This paper reports on the intervention group and follow-up assessment only. Results: Effects established at 6-week post-test were generally maintained at 3-month follow-up in the intervention group. Participant evaluation revealed that a majority thought their suicidal thoughts had decreased during the study, that adherence to the intervention was below average, and that levels of satisfaction were acceptable. Limitations: The control group could not serve as a comparator as they had received access to the intervention at post-test. Conclusions: Effects of online self-help for suicidal thoughts can be maintained for up to three months. Participant evaluation indicated that online self-help for suicidal thoughts is acceptable, but there is also room for improvement.

Effectiveness of online and mobile telephone applications (‘apps’) for the self-management of suicidal ideation and self-harm: a systematic review and meta-analysis

“…Given that both studies included in this analysis were RCTs, neither tests for subgroup differences nor sensitivity analyses could be undertaken. One further RCT presented data on outcomes at final follow-up for the intervention group only [ 65 ]. Analyzing these data as pre-test/post-test comparisons suggested a significant reduction in suicidal ideation scores at the final follow-up assessment in this trial (MD -4.90, 95% CI -7.07 to −2.73, 1 study, I 2 = not applicable, p < 0.001).…”

Suicide and Self-Harm Related Internet Use

“…While some evidence indicates an increase in the accessibility of suicide-promoting information online ( Biddle et al., 2016 ), the Internet also increases access to helpful information such as links to support services and advice about managing mental health problems ( Daine et al., 2013 ; Mars et al., 2015 ). Additionally, it provides opportunities to deliver suicide prevention interventions, particularly to populations that may otherwise be difficult to engage ( Lai, Maniam, Chan, & Ravindran, 2014 ; Mewton & Andrews, 2015 ; van Spijker, van Straten, & Kerkhof, 2014 , 2015 ).…”

Terapi Kognitif Perilaku Untuk Menurunkan Ide Bunuh Diri Pada Dewasa: Tinjauan Literatur Sistematis

“…Hasil asesmen kualitas menggunakan Quality Assessment Tool for Quantitative Studies (QATFQS) menemukan kualitas buruk pada beberapa studi pada aspek confounders, blinding, dan withdrawals/dropout. Artikel milik Sheaves et al (2019) memiliki kualitas yang kurang pada cofounders, artikel milik Van Spijker et al (2015) kurang dalam aspek blinding, dan artikel milik Christensen et al (2013) kurang dalam aspek withdrawls and dropouts.…”

“…Penulis mengabaikan kondisi usia tersebut karena di luar kendali tim dan menjadikannya sebagai catatan. Partisipan memiliki latar belakang yang bervariasi seperti pengguna layanan kesehatan umum (Birchwood et al, 2014;Christensen et al, 2013;Sheaves et al, 2019;Watts et al, 2012), masyarakat umum (Van Spijker et al, 2015), dan tentara (Bryan et al, 2018;Rudd et al, 2015).…”