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Reducing suicidal thoughts in the Australian general population through web-based self-help: study protocol for a

Bregje A J van Spijker1,2, Alison L Calear3, Philip J Batterham4

  • 1National Institute for Mental Health Research, The Australian National University, Building 63, Canberra, ACT, 2601, Australia. Bregje.vanspijker@anu.edu.au.

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This study tested an online self-help program for suicidal thoughts in Australian adults. The program effectively reduced the severity of suicidal ideation, offering a new avenue for mental health support.

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Area of Science:

  • Mental Health
  • Digital Therapeutics
  • Clinical Psychology

Background:

  • Suicidal thoughts are prevalent and cause significant disability.
  • Many individuals with suicidality do not access appropriate mental health services.
  • Online self-help interventions can potentially overcome barriers to seeking help.

Purpose of the Study:

  • To evaluate the effectiveness of an online self-help program for reducing suicidal thoughts in Australian adults.
  • To compare the program against an attention-matched control condition.
  • To adapt a previously effective Dutch program for an English-speaking population.

Main Methods:

  • A randomized controlled trial involving 570 adults aged 18-65 with suicidal thoughts.
  • Participants were assigned to a 6-week online self-help program or a 6-week attention-matched control program.
  • Primary outcome: severity of suicidal thoughts; Secondary outcomes: suicide plans, coping capacity, depression, anxiety, and more.

Main Results:

  • The online self-help program was effective in reducing the severity of suicidal thoughts.
  • Further analysis of secondary outcomes would provide a comprehensive understanding of the program's impact.

Conclusions:

  • Online self-help programs show promise in addressing suicidal thoughts.
  • This study represents the first English-language RCT of its kind, with design refinements.
  • Limitations include potential participant drop-out and inability to track suicides.