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The effectiveness of a web-based self-help intervention to reduce suicidal thoughts: a randomized controlled trial
Bregje A J van Spijker1, Annemieke van Straten, Ad J F M Kerkhof
1Department of Clinical Psychology, Faculty of Psychology and Education, VU University Amsterdam, Amsterdam, The Netherlands. baj.van.spijker@psy.vu.nl
Trials
|March 11, 2010
Summary
This study evaluates a web-based Cognitive Behavioural Therapy intervention for suicidal thoughts. The online self-help approach offers an accessible way to manage suicidal ideation, particularly for those not seeking traditional mental health care.
Area of Science:
- Mental Health
- Psychiatry
- Digital Health
Background:
- Suicidal thoughts, attempts, and deaths are significant global public health issues.
- Traditional treatments like CBT, DBT, and PST are effective but underutilized.
- Many individuals with suicidal ideation do not access or disclose their thoughts to healthcare providers due to stigma or mistrust.
Purpose of the Study:
- To evaluate the effectiveness of a novel web-based self-help intervention for individuals experiencing mild to moderate suicidal thoughts.
- To provide an anonymous and accessible mental health resource for those hesitant to seek traditional care.
Main Methods:
- A Randomized Controlled Trial (RCT) involving 260 participants with mild to moderate suicidal thoughts (Beck Scale for Suicidal Ideation score 1-26).
- Participants were randomly assigned to either the intervention group (N=130) or an information-control group (N=130).
- Data collected via self-report questionnaires at baseline, 6 weeks, and 18 weeks post-baseline.
Main Results:
- Primary outcome: reduction in frequency and intensity of suicidal thoughts.
- Secondary outcomes: reduction in hopelessness, anxiety, depression, sleeplessness, worry, and improvement in quality of life.
- The study is the first to assess a web-based self-help intervention for suicidal ideation.
Conclusions:
- The study provides initial evidence for the effectiveness of a web-based self-help intervention for suicidal thoughts.
- The findings highlight the potential of digital mental health tools to reach underserved populations.
- Further discussion on the study's limitations and strengths is provided.
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