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The online treatment of suicidal ideation : a randomised controlled trial of an unguided web-based intervention

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Abstract
Suicide is a major public health issue, and treatment of suicidal thoughts may contribute to its prevention. Provision of online treatment of suicidal ideation may reduce barriers that suicidal individuals experience in face-to-face treatment. We therefore aimed at evaluating the effectiveness of a web-based intervention targeting a reduction of suicidal ideation. We carried out a two-arm, parallel-design, randomised controlled trial in the general population in Flanders (Belgium) (registered as NCT03209544). Participants who were 18 years or older and experienced suicidal ideation were included. The intervention group (n = 365) received access to the unguided web-based intervention, and the control group (n = 359) was placed on a waitlist. Assessments were carried out at baseline and at 6 and 12 weeks. Participants reported high levels of suicidal ideation, depression, hopelessness, worrying, and anxiety at baseline. Compared to the control group, participants in the intervention group experienced a significant decline in suicidal ideation, depression, hopelessness, worrying, and anxiety both at post-test and at follow-up. An important limitation of the study was a high dropout rate, in particular in the intervention group. Our findings suggest that the online self-help intervention was more effective in reducing suicidal ideation and suicide-related symptoms than a waitlist control in a severely affected population. It can help in filling the gap between crisis help and face-to-face treatment.
Keywords
Suicide, Suicidal ideation, Randomised controlled trial, Online therapy, Self-help, COGNITIVE-BEHAVIORAL THERAPY, HOSPITAL ANXIETY, PSYCHOLOGICAL TREATMENTS, DEPRESSION SCALE, CLINICAL-TRIAL, HELP-SEEKING, INTERNET, VALIDATION, PREVENTION, VALIDITY

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MLA
De Jaegere, Eva, et al. “The Online Treatment of Suicidal Ideation : A Randomised Controlled Trial of an Unguided Web-Based Intervention.” BEHAVIOUR RESEARCH AND THERAPY, vol. 119, 2019, doi:10.1016/j.brat.2019.05.003.
APA
De Jaegere, E., van Landschoot, R., Van Heeringen, C., van Spijker, B. A., Kerkhof, A. J., Mokkenstorm, J. K., & Portzky, G. (2019). The online treatment of suicidal ideation : a randomised controlled trial of an unguided web-based intervention. BEHAVIOUR RESEARCH AND THERAPY, 119. https://doi.org/10.1016/j.brat.2019.05.003
Chicago author-date
De Jaegere, Eva, Renate van Landschoot, Cornelis Van Heeringen, Bregje AJ van Spijker, Ad JFM Kerkhof, Jan K Mokkenstorm, and Gwendolyn Portzky. 2019. “The Online Treatment of Suicidal Ideation : A Randomised Controlled Trial of an Unguided Web-Based Intervention.” BEHAVIOUR RESEARCH AND THERAPY 119. https://doi.org/10.1016/j.brat.2019.05.003.
Chicago author-date (all authors)
De Jaegere, Eva, Renate van Landschoot, Cornelis Van Heeringen, Bregje AJ van Spijker, Ad JFM Kerkhof, Jan K Mokkenstorm, and Gwendolyn Portzky. 2019. “The Online Treatment of Suicidal Ideation : A Randomised Controlled Trial of an Unguided Web-Based Intervention.” BEHAVIOUR RESEARCH AND THERAPY 119. doi:10.1016/j.brat.2019.05.003.
Vancouver
1.
De Jaegere E, van Landschoot R, Van Heeringen C, van Spijker BA, Kerkhof AJ, Mokkenstorm JK, et al. The online treatment of suicidal ideation : a randomised controlled trial of an unguided web-based intervention. BEHAVIOUR RESEARCH AND THERAPY. 2019;119.
IEEE
[1]
E. De Jaegere et al., “The online treatment of suicidal ideation : a randomised controlled trial of an unguided web-based intervention,” BEHAVIOUR RESEARCH AND THERAPY, vol. 119, 2019.
@article{8629132,
  abstract     = {{Suicide is a major public health issue, and treatment of suicidal thoughts may contribute to its prevention. Provision of online treatment of suicidal ideation may reduce barriers that suicidal individuals experience in face-to-face treatment. We therefore aimed at evaluating the effectiveness of a web-based intervention targeting a reduction of suicidal ideation. We carried out a two-arm, parallel-design, randomised controlled trial in the general population in Flanders (Belgium) (registered as NCT03209544). Participants who were 18 years or older and experienced suicidal ideation were included. The intervention group (n = 365) received access to the unguided web-based intervention, and the control group (n = 359) was placed on a waitlist. Assessments were carried out at baseline and at 6 and 12 weeks. Participants reported high levels of suicidal ideation, depression, hopelessness, worrying, and anxiety at baseline. Compared to the control group, participants in the intervention group experienced a significant decline in suicidal ideation, depression, hopelessness, worrying, and anxiety both at post-test and at follow-up. An important limitation of the study was a high dropout rate, in particular in the intervention group. Our findings suggest that the online self-help intervention was more effective in reducing suicidal ideation and suicide-related symptoms than a waitlist control in a severely affected population. It can help in filling the gap between crisis help and face-to-face treatment.}},
  articleno    = {{103406}},
  author       = {{De Jaegere, Eva and van Landschoot, Renate and Van Heeringen, Cornelis and van Spijker, Bregje AJ and Kerkhof, Ad JFM and Mokkenstorm, Jan K and Portzky, Gwendolyn}},
  issn         = {{0005-7967}},
  journal      = {{BEHAVIOUR RESEARCH AND THERAPY}},
  keywords     = {{Suicide,Suicidal ideation,Randomised controlled trial,Online therapy,Self-help,COGNITIVE-BEHAVIORAL THERAPY,HOSPITAL ANXIETY,PSYCHOLOGICAL TREATMENTS,DEPRESSION SCALE,CLINICAL-TRIAL,HELP-SEEKING,INTERNET,VALIDATION,PREVENTION,VALIDITY}},
  language     = {{eng}},
  pages        = {{8}},
  title        = {{The online treatment of suicidal ideation : a randomised controlled trial of an unguided web-based intervention}},
  url          = {{http://dx.doi.org/10.1016/j.brat.2019.05.003}},
  volume       = {{119}},
  year         = {{2019}},
}

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