Clinical trial NCT01287416: Circle of Life. Improving Capacity of Swampy Cree Community Members to Recognize People at Risk for Suicide
Official title: Circle of Life.Improving Capacity of Swampy Cree Community Members to Recognize People at Risk for Suicide: A Randomized Controlled Pilot Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Suicide
Keywords: Suicide Intervention
Applied Suicide Intervention Skills Training (ASIST)
Resilience Retreat
First Nations
Suicide Intervention and Response Inventory (SIRI)
Lead sponsor: University of Manitoba
Sponsor class: OTHER
Collaborators: name: Canadian Institutes of Health Research (CIHR)
First posted: 2011-02-01
Enrollment: 55
Sex: ALL
Minimum age (years): 16
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: Primary Hypothesis: Participants in the Applied Suicide Intervention Skills Training (ASIST) gatekeeper training will be significantly more likely to have increased knowledge and preparedness to help people with suicidal ideation than participants who receive the resilience retreat.

Secondary Hypotheses:

1. Participants in ASIST gatekeeper training will not have higher levels of post-intervention distress or suicidal ideation compared to the resilience retreat.
2. High levels of distress, grief, and alcohol abuse will significantly impact on the learning and retention of suicide intervention skills.

Detailed description: Inclusion criterion: All members of the Swampy Cree Tribal communities who are currently residing on the reserves will be eligible to participate in the study.

Exclusion criterion: Exclusion criteria for the study include being less than 16 years of age, prior training in SafeTALK or ASIST, being an elected official in a First Nations community, and inability to read or write.

Primary outcome: Skills in Suicide Intervention: Suicide Intervention Response Inventory.The Suicide Intervention Response Inventory (SIRI) will be used to detect enhancement of intervention skills in participants. The SIRI is a self-administered test that was designed to measure competence in choosing appropriate response to a series of clinical scenarios with suicidal individuals. Research on the SIRI has shown its good psychometric properties, freedom from social desirability effects, and responsiveness to training in suicide prevention. It contains 25 items, each of which consists of a "client" remark and two "helper" responses. Responses are judged based on response options made by highly expert suicidologists. The SIRI has shown good internal consistency with alpha of 0.834, and good test-retest reliability.

Secondary Outcomes:

* Knowledge about suicide, attitudes toward suicide, and self-reported preparedness to intervene with suicidal behavior will be measured by a series of questions that were developed by LivingWorks Inc.
* Gatekeeper behaviors will be measured similar to questions utilized by Wyman in the school-based study that assess how many people had the person asked others about suicide.

Eligibility criteria: Inclusion Criteria:

* All members of the Swampy Cree Tribal communities who are currently residing on the reserves will be eligible to participate in the study.

Exclusion Criteria:

* being less than 16 years of age
* prior training in SafeTALK or ASIST
* being an elected official in a First Nations community

Primary outcomes:
measure: SIRI Questionnaire Score
timeFrame: pre-training, post-training and 6 mo follow up
Secondary outcomes:
measure: Self-perceived Confidence in Helping a Suicidal Individual
timeFrame: pre-training, post-training and 6 month follow-up
measure: Self-perceived Skill in Helping a Suicidal Individual
timeFrame: pre-training, post-training and 6 month follow-up
measure: Self-perceived Knowledge About Suicide
timeFrame: pre-training, post-training and 6 month follow-up
measure: Self-perceived Preparedness
timeFrame: pre-training, post-training and 6 month follow-up
measure: Self-reported Distress
timeFrame: pre-training and 6 month follow-up
measure: Self-reported Alcohol Use
timeFrame: pre-training and 6 month follow-up
measure: Self-reported Resiliency Score
timeFrame: pre-training and 6 month follow-up
measure: Lifetime Suicidal Ideation at Baseline
timeFrame: July 19-20, 2010
measure: Lifetime Suicide Attempt at Baseline
timeFrame: July 19-20, 2010
measure: Suicidal Ideation in Past 2 Days at Baseline
timeFrame: July 19-20, 2010
measure: Number of People With Suicidal Ideation in Past 2 Days Immediately Post Training
timeFrame: July 22-23, 2010
measure: Suicidal Ideation Since Training at 6 mo Follow-up
timeFrame: January 28-31, 2011
measure: Attempted Suicide Since Training at 6 mo Follow-up
timeFrame: January 28-31, 2011
measure: Gatekeeper Behaviors - Asked Person at Risk About Suicidal Thoughts
timeFrame: January 28-31, 2011
measure: Gatekeeper Behaviours - Did Not Ask Person at Risk
timeFrame: January 28-31, 2011
Other outcomes:
Locations:
city: Winnipeg
country: Canada
facility: University of Manitoba Department of Psychiatry
state: Manitoba
Study officials:
affiliation: Department of Psychiatry, Faculty of Medicine, University of Manitoba
name: Jitender Sareen, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Sareen J, Isaak C, Bolton SL, Enns MW, Elias B, Deane F, Munro G, Stein MB, Chateau D, Gould M, Katz LY. Gatekeeper training for suicide prevention in First Nations community members: a randomized controlled trial. Depress Anxiety. 2013 Oct;30(10):1021-9. doi: 10.1002/da.22141. Epub 2013 Jun 12.