Joseph Tighe|Fiona Shand|Rebecca Ridani|Andrew Mackinnon|Nicole De La Mata|Helen Christensen
Ibobbly mobile health intervention for suicide prevention in Australian Indigenous youth: a pilot randomised controlled trial
Black Dog Institute|UNSW Sydney|Black Dog Institute|UNSW Sydney|Black Dog Institute|UNSW Sydney|Black Dog Institute|UNSW Sydney|UNSW Sydney|Black Dog Institute|UNSW Sydney
h3objectivesh3 rates youth suicide australian indigenous communities 4 times national youth average demand innovative interventions historical persistent disadvantage coupled multiple barriers help seeking mobile phone applications offer opportunity deliver therapeutic interventions directly individuals remote communities pilot study aimed evaluate effectiveness selfhelp mobile app ibobbly targeting suicidal ideation depression psychological distress impulsivity among indigenous youth remote australia h3settingh3 remote remote communities kimberley region north western australia h3participantsh3 indigenous australians aged 1835 years h3interventionsh3 61 participants recruited randomised receive either app ibobbly delivered acceptancebased therapy 6 weeks waitlisted 6 weeks received app following 6 weeks h3primary secondary outcome measuresh3 primary outcome depressive symptom inventorysuicidality subscale dsiss identify frequency intensity suicidal ideation previous weeks secondary outcomes patient health questionnaire 9 phq9 kessler psychological distress scale k10 barratt impulsivity scale bis11 h3resultsh3 although preintervention postintervention changes dsiss significant ibobbly arm t240 df581 p00195 differences significant compared waitlist arm t105 df578 p02962 however participants ibobbly group showed substantial statistically significant reductions phq9 k10 scores compared waitlist differences observed impulsivity waitlist participants improved 6 weeks app use h3conclusionsh3 apps suicide prevention reduce distress depression show significant reductions suicide ideation impulsivity feasible acceptable means lowering symptoms mental health disorders remote communities via appropriately designed selfhelp apps h3trial registration numberh3 actrn12613000104752