Trial document




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  DRKS00015071

Trial Description

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Title

Development and evaluation of e-mental-health interventions to reduce stigmatization of suicidality

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Trial Acronym

4E

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URL of the Trial

https://psychenet.de/de/ueber-uns/projekte.html

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Brief Summary in Lay Language

Worldwide, approximately 800,000 persons die by suicide every year; rates of suicide attempts are estimated to be much higher. Suicidal persons often suffer from a mental disorder but fear of being stigmatized, lack of suitable help offers, and insufficient information on mental health impede people to get help. The use of internet-based applications can help persons informing themselves about mental disorders, assessing the extent of their own concerns, finding local treatment options, and preparing for contacts with health care professionals. This project aims at developing and evaluating e-mental-health interventions to improve knowledge about suicidality and to reduce stigmatization of those affected.
First, a national representative telephone survey with 2,000 participants in Germany explores knowledge and attitudes towards suicidality.
Second, e-mental-health interventions are developed to address knowledge gaps and stigmatization detected in the survey. These comprise an evidence-based health information about suicidality, information on regional help offers, and an interactive online intervention including personal stories. The development is based on a trialogical exchange between persons affected by suicidality, relatives of affected persons, and health care professionals.
Third, the online intervention is evaluated in a mixed methods design with three measures, evaluating knowledge as well as self- and perceived stigma. Follow-up telephone interviews are conducted 12-26 weeks after the intervention.

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Brief Summary in Scientific Language

Worldwide, approximately 800,000 persons die by suicide every year; rates of suicide attempts are estimated to be much higher. Suicidal persons often suffer from a mental disorder but fear of being stigmatized, lack of suitable help offers, and insufficient information on mental health impede people to get help. The use of internet-based applications can help persons informing themselves about mental disorders, assessing the extent of their own concerns, finding local treatment options, and preparing for contacts with health care professionals. This project aims at developing and evaluating e-mental-health interventions to improve knowledge about suicidality and to reduce stigmatization of those affected.
First, a national representative telephone survey with N = 2,000 participants in Germany explores knowledge and attitudes towards suicidality. For that purpose, the questionnaire includes short forms of the Stigma of Suicide Scale (SOSS-SF) and Literacy of Suicide Scale (LOSS-SF).
Second, e-mental-health interventions are developed to address knowledge gaps and stigmatization detected in the survey. These comprise an evidence-based health information about suicidality, information on regional help offers, and an interactive online intervention including personal stories. The development is based on a trialogical exchange of experience between persons affected by suicidality, relatives of affected persons, and experts.
Third, the online intervention is evaluated in a mixed methods design with three measures. SOSS-SF and LOSS-SF are used prior and after participation in the intervention. An interval-scaled questionnaire will also be developed and used to assess self-efficacy expectations when dealing with psychologically difficult situations. Follow-up telephone interviews are conducted 12-26 weeks after the intervention.

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Organizational Data

  •   DRKS00015071
  •   2018/08/06
  •   [---]*
  •   yes
  •   Approved
  •   PV5750, Ethik-Kommission der Ärztekammer Hamburg
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Secondary IDs

  • [---]*
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Health Condition or Problem studied

  •   Suicidality
  •   R45.8 -  Other symptoms and signs involving emotional state
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Interventions/Observational Groups

  •   A mixed methods design with three times of measurement (pre, post, follow-up) will be realized.

    Target group are adults (18 years or older) who have had experiences with suicidality either being affected by suicidality themselves or as close persons of those affected. Other interested people can participate as well.

    In order to participate in the intervention, participants need internet access. Due to the fact that the materials are in German language, an exclusion criterion is non-speaking and understanding the German language. Participants are aquired via the e-mental health portal www.psychenet.de. Teasers in several areas of the portal (e.g. homepage, disease-specific fact sheets, help section), refer to the online intervention and the linked study.

    The interactive online intervention consists of five chapters about psychoeducation (evidence-based health information, information on stigmatization of suicidality and taboo, falsities concerning suicidality and other), experience reports on suicidality by persons with a experience of suicide (videos and text messages), strategies to deal with stigmatization of suicidality developed on cognitive-behavioral principles, communication tips, personal goal setting.

    Content of the interactive online intervention is tailored for all five chapters depending on the kind of affiliation.

    Moreover, referral to external help offers are provided via links and telephone numbers of nationwide and regional help offers, crisis lines and casualties for mental crises. Information on help offers is always available during online intervention. Participants of the interactive online intervention can read and/or write digital postcard messages about individual experiences of suicide and leave a message to other participants. Immediately after completion of the intervention, the post measurement takes place. Follow-up-interviews are 12-26 weeks after completion of the intervention.

    The participants can successively work on five chapters of the interactive online intervention and divide their time individually. Overall, the participant will need 1.5 - 4 hours to complete the intervention. Participants can pause at any time and continue working at the point where they left off. The period in which the participants work on the interventions is individually selectable, with a rough guideline of two to four weeks being recommended. The processing of questions pre- and post-intervention takes about 15 minutes each.
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Characteristics

  •   Interventional
  •   [---]*
  •   Single arm study
  •   Open (masking not used)
  •   [---]*
  •   Uncontrolled/Single arm
  •   Prevention
  •   Single (group)
  •   0
  •   N/A
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Primary Outcome

Self-stigma and perceived stigma: Stigma of Suicide Scale (SOSS-SF) as well as knowledge on suicidality:
Literacy of Suicide Scale (LOSS-SF) after the completition of the intervention

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Secondary Outcome

Self-efficacy expectations; Satisfaction with the intervention quantitatively by use of Likert-scales and qualitatively by use of free-text responses immediately after completion of the intervention (t1) and qualitatively by semi-structured follow-up interviews

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • University Medical Center 
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Recruitment

  •   Planned
  •   2019/04/01
  •   344
  •   Monocenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   no maximum age
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Additional Inclusion Criteria

Target group are persons with suicidal thoughts or suicide attempts in the past, their relatives, and persons generally interested in the topic.
The own experience with the topic (self-affected, relatives affected, otherwise interested in the topic) is requested at the beginning of the intervention and taken into account in the evaluation.
Prerequisite for participation in the intervention is Internet access.

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Exclusion Criteria

Since the materials are available in German, an exclusion criterion is non-speaking and understanding German language.

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Addresses

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    • Universitätsklinikum Hamburg-Eppendorf
    • Martinistraße 52
    • 20246  Hamburg
    • Germany
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    •   [---]*
    •   [---]*
    •   [---]*
    •   [---]*
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    • Universitätsklinikum Hamburg-Eppendorf, Institut und Poliklinik für Medizinische Psychologie
    • Ms.  Dr.  Sarah  Liebherz 
    • Martinistraße 52
    • 20246  Hamburg
    • Germany
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    • Universitätsklinikum Hamburg-Eppendorf, Institut und Poliklinik für Medizinische Psychologie
    • Ms.  Mareike  Dreier 
    • Martinistraße 52
    • 20246  Hamburg
    • Germany
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Sources of Monetary or Material Support

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    • Bundesministerium für Gesundheit (BMG)
    • Friedrichstraße 108
    • 11055  Berlin
    • Germany
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    • Universitätsklinikum Hamburg-Eppendorf
    • Martinistr. 52
    • 20246  Hamburg
    • Germany
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Status

  •   Recruiting planned
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Trial Publications, Results and other Documents

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* This entry means the parameter is not applicable or has not been set.