Online Self-help for Students With Suicidal Ideation

Study Overview
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Brief Summary
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The main goal of this study is to evaluate the effectiveness of an unguided web-based intervention for (college/university) students with suicidal ideation. This study will test the effectiveness by studying the effect on suicidal ideation and related outcomes (hopelessness and worrying) through a pre-post study design.

Official Title
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Evaluation of an Unguided Web-based Intervention for Students With Suicidal Ideation

Conditions
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Suicidal Ideation

Intervention / Treatment
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* Behavioral: Unguided web-based intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Be student at a university or college Have suicidal thoughts ≥ 18 years old Have access to internet and a computer/laptop/smartphone Speak Dutch Exclusion Criteria: /

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention group<br>Participants in this group (all participants) were asked to complete a questionnaire before and after (6 weeks after baseline) using the online self-help intervention (unguided web-based intervention). | Behavioral: Unguided web-based intervention<br>* An online unguided intervention based on Cognitive Behavioural Therapy and elements of Dialectical Behaviour Therapy, Problem Solving Therapy, and Mindfulness Based Cognitive Therapy. The intervention consists of 6 modules with each a theoretical part, a weekly assignment and (optional and mandatory) exercises. Participants are advised to complete one module weekly. The original intervention was adapted to students (language, addition of podcasts, examples that were more suited to their lives).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Suicidal ideation: Beck Scale for Suicide Ideation | A 21-item self-report questionnaire to measure (the severity of) suicidal ideation in adolescents and adults. Each item is rated on a scale from 0 to 2, resulting in a total score ranging from 0 to 38, with higher scores indicating more (severe) suicidal ideation. | Baseline (right before the intervention) | 
| Suicidal ideation: Beck Scale for Suicide Ideation | A 21-item self-report questionnaire to measure (the severity of) suicidal ideation in adolescents and adults. Each item is rated on a scale from 0 to 2, resulting in a total score ranging from 0 to 38, with higher scores indicating more (severe) suicidal ideation. | posttest (6 weeks after baseline) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hopelessness: The Beck Hopelessness Scale, 4-item version | A 4-item self-report questionnaire to measure hopelessness in adolescents and adults. Each item is rated as 'true' (score = 1) or 'false' (score = 0) for them over the past week, resulting in a total score ranging from 0 to 4, with higher scores indicating higher levels of hopelessness. | Baseline (right before the intervention) | 
| Hopelessness: The Beck Hopelessness Scale, 4-item version | A 4-item self-report questionnaire to measure hopelessness in adolescents and adults. Each item is rated as 'true' (score = 1) or 'false' (score = 0) for them over the past week, resulting in a total score ranging from 0 to 4, with higher scores indicating higher levels of hopelessness. | posttest (6 weeks after baseline) | 
| Worrying: Penn State Worry Questionnaire Past Week | A 15-item self-report questionnaire to measure worrying in the past week. Each item is rated on a 7-point Likert scale ranging from 0 (never) to 6 (almost always). | Baseline (right before the intervention) | 
| Worrying: Penn State Worry Questionnaire Past Week | A 15-item self-report questionnaire to measure worrying in the past week. Each item is rated on a 7-point Likert scale ranging from 0 (never) to 6 (almost always). | posttest (6 weeks after baseline) |