MYPLAN –mobile phone application to manage crisis of persons at risk of suicide: study protocol for a randomized controlled trial

Abstract Background Persons with a past episode of self-harm or severe suicidal ideation are at elevated risk of self-harm as well as dying by suicide. It is well established that suicidal ideation fluctuates over time. Previous studies have shown that a personal safety plan can assist in providing...

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Main Authors: Kate Andreasson, Jesper Krogh, Per Bech, Hanne Frandsen, Niels Buus, Barbara Stanley, Ad Kerkhof, Merete Nordentoft, Annette Erlangsen
Format: Article
Language:English
Published: BMC 2017-04-01
Series:Trials
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13063-017-1876-9
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author Kate Andreasson
Jesper Krogh
Per Bech
Hanne Frandsen
Niels Buus
Barbara Stanley
Ad Kerkhof
Merete Nordentoft
Annette Erlangsen
author_facet Kate Andreasson
Jesper Krogh
Per Bech
Hanne Frandsen
Niels Buus
Barbara Stanley
Ad Kerkhof
Merete Nordentoft
Annette Erlangsen
author_sort Kate Andreasson
collection DOAJ
description Abstract Background Persons with a past episode of self-harm or severe suicidal ideation are at elevated risk of self-harm as well as dying by suicide. It is well established that suicidal ideation fluctuates over time. Previous studies have shown that a personal safety plan can assist in providing support, when a person experiences suicide ideation, and help seeking professional assistance if needed. The aim of the trial is to determine whether a newly developed safety mobile app is more effective in reducing suicide ideation and other symptoms, compared to a safety plan on paper. Methods/design The trial is designed as a two-arm, observer-blinded, parallel-group randomized clinical superiority trial, where participants will either receive: (1) Experimental intervention: the safety plan provided as the app MyPlan, or (2) Treatment as Usual: the safety plan in the original paper format. Based on a power calculation, a total of 546 participants, 273 in each arm will be included. They will be recruited from Danish Suicide Prevention Clinics. Both groups will receive standard psychosocial therapeutic care, up to 8–10 sessions of supportive psychotherapy. Primary outcome will be reduction in suicide ideation after 12 months. Follow-up interviews will be conducted at 3, 6, 9, and 12 months after date of inclusion. Discussion A safety plan is a mandatory part of the treatment in the Suicide Prevention Clinics in Demark. There are no studies investigating the effectiveness of a safety plan app compared to a safety plan on paper on reducing suicide ideation in patients with suicide ideation and suicidal behavior. The trial will gain new knowledge of whether modern technology can augment the effects of traditional personalized safety planning. Trial registration ClinicalTrials.gov, NCT02877316 . Registered on 19 August 2016.
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spelling doaj.art-f240476985b04e37b743c9894877a0222022-12-22T01:26:50ZengBMCTrials1745-62152017-04-011811710.1186/s13063-017-1876-9MYPLAN –mobile phone application to manage crisis of persons at risk of suicide: study protocol for a randomized controlled trialKate Andreasson0Jesper Krogh1Per Bech2Hanne Frandsen3Niels Buus4Barbara Stanley5Ad Kerkhof6Merete Nordentoft7Annette Erlangsen8Psychiatric Centre North Zealand, University Hospital of HillerødMental Health Centre CopenhagenPsychiatric Centre North Zealand, University Hospital of HillerødMental Health Centre CopenhagenFaculty of Nursing and Midwifery, University of Sydney, St. Vincent’s Hospital Sydney & St. Vincent Private Hospital SydneyColumbia University College of Physicians and Surgeons and New York State Psychiatric InstituteDepartment of Clinical Psychology, Vrije UniversityMental Health Centre CopenhagenMental Health Centre CopenhagenAbstract Background Persons with a past episode of self-harm or severe suicidal ideation are at elevated risk of self-harm as well as dying by suicide. It is well established that suicidal ideation fluctuates over time. Previous studies have shown that a personal safety plan can assist in providing support, when a person experiences suicide ideation, and help seeking professional assistance if needed. The aim of the trial is to determine whether a newly developed safety mobile app is more effective in reducing suicide ideation and other symptoms, compared to a safety plan on paper. Methods/design The trial is designed as a two-arm, observer-blinded, parallel-group randomized clinical superiority trial, where participants will either receive: (1) Experimental intervention: the safety plan provided as the app MyPlan, or (2) Treatment as Usual: the safety plan in the original paper format. Based on a power calculation, a total of 546 participants, 273 in each arm will be included. They will be recruited from Danish Suicide Prevention Clinics. Both groups will receive standard psychosocial therapeutic care, up to 8–10 sessions of supportive psychotherapy. Primary outcome will be reduction in suicide ideation after 12 months. Follow-up interviews will be conducted at 3, 6, 9, and 12 months after date of inclusion. Discussion A safety plan is a mandatory part of the treatment in the Suicide Prevention Clinics in Demark. There are no studies investigating the effectiveness of a safety plan app compared to a safety plan on paper on reducing suicide ideation in patients with suicide ideation and suicidal behavior. The trial will gain new knowledge of whether modern technology can augment the effects of traditional personalized safety planning. Trial registration ClinicalTrials.gov, NCT02877316 . Registered on 19 August 2016.http://link.springer.com/article/10.1186/s13063-017-1876-9Suicide preventionRCTSafety planSuicide ideationSuicide behavior
spellingShingle Kate Andreasson
Jesper Krogh
Per Bech
Hanne Frandsen
Niels Buus
Barbara Stanley
Ad Kerkhof
Merete Nordentoft
Annette Erlangsen
MYPLAN –mobile phone application to manage crisis of persons at risk of suicide: study protocol for a randomized controlled trial
Trials
Suicide prevention
RCT
Safety plan
Suicide ideation
Suicide behavior
title MYPLAN –mobile phone application to manage crisis of persons at risk of suicide: study protocol for a randomized controlled trial
title_full MYPLAN –mobile phone application to manage crisis of persons at risk of suicide: study protocol for a randomized controlled trial
title_fullStr MYPLAN –mobile phone application to manage crisis of persons at risk of suicide: study protocol for a randomized controlled trial
title_full_unstemmed MYPLAN –mobile phone application to manage crisis of persons at risk of suicide: study protocol for a randomized controlled trial
title_short MYPLAN –mobile phone application to manage crisis of persons at risk of suicide: study protocol for a randomized controlled trial
title_sort myplan mobile phone application to manage crisis of persons at risk of suicide study protocol for a randomized controlled trial
topic Suicide prevention
RCT
Safety plan
Suicide ideation
Suicide behavior
url http://link.springer.com/article/10.1186/s13063-017-1876-9
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