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ID
Source
Brief title
Health condition
suicide, suicidal behaviour, depressive symptoms, depression
Sponsors and support
Intervention
Outcome measures
Primary outcome
VOZZ
Secondary outcome
VOZZ-Screen suicidal behaviour risk (screening)
CDI2 depressive symptoms (screening)
Rosenberg’s self-esteem scale
DSS personal depression stigma
DSS perceived depression stigma
PSWQ worry
PMS mastery
EQ-5D-5Y quality adjusted life year (QALY) health gains
Social connectedness
Background summary
The current study examines the effectiveness of the multimodal prevention program for suicidality and depressive symptoms using a cluster randomized trial. This includes a combination of preventive interventions, such as (1) early detection and identification with subsequent clinical referral, (2) a safety net consisting of gatekeepers at school, (3) universal prevention focusing on stigma reduction, (4) screening to identify students that have elevated signs of the most important risk factor for suicidal behaviour, i.e. depression and subsequent indicated prevention for screen-positive students. The primary outcome will be suicidal behaviours, i.e. suicidal thoughts and plans, deliberate self-harm and suicide attempts as measured with the VOZZ. Secondary study outcomes are depressive feelings, self-esteem, self-efficacy, children’s quality adjusted life year (QALY) health gains, worry, mastery, stigma, school-related factors. Measurements of primary and secondary outcomes will be conducted in intervention and control condition at baseline and at 6-, 12- and 18-months after baseline.
Study objective
It is expected that students receiving the multimodal school-based stepped approach towards preventing suicidality and depression, show a clinically significant reduction in severity of suicidality when compared to students receiving enhanced usual care.
Study design
Screening
T0; baseline
T1; 6-month follow-up
T2; 12 month follow-up
T3; 18-month follow-up
Intervention
Screening
Gatekeepers training for school mentors
Universal preventive intervention focused on depression stigma in the form of a serious game
indicated preventive intervention focused on depressive symptoms in the form of a cbt-based skills training and an e-mental health mobile application.
Inclusion criteria
Participation in the first grade of secondary vocational education
Providing informed consent, including parental consent when the student is younger than 16 years
Sufficient command of the Dutch language
In order to be eligible to participate in the indicated intervention (‘OVK MBO’):
Providing informed consent, including parental consent when the student is younger than 16 years
Sufficient command of the Dutch language
Presenting with elevated severity of depressive symptoms (CDI-2 >14)
Willing and able to download and use the ‘Boost My Mood’ application (mobile phone with operating system Android version 6+ or IOS 9+)
Exclusion criteria
For the study:
None
For the indicated intervention (‘OVK MBO’):
Engaged in present depression treatment
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL7719 |
| CCMO | NL65756.091.18 |
| OMON | NL-OMON46146 |