Sarah Hetrick|Hok Pan Yuen|Eleanor Bailey|Georgina Cox|Kate Templer|Simon Rice|Sarah Bendall|Jo Robinson
Internet-based cognitive behavioural therapy for young people with suicide-related behaviour (Reframe-IT): a randomised controlled trial
Orygen Youth Health|Orygen Youth Health|University of Melbourne|Orygen Youth Health|University of Melbourne|Orygen Youth Health|University of Melbourne|Orygen Youth Health|University of Melbourne|Orygen Youth Health|University of Melbourne|Orygen Youth Health|University of Melbourne|Orygen Youth Health|University of Melbourne
suiciderelated behaviours common young people associated range negative outcomes evidencebased interventions however cognitive behavioural therapy cbt shows promise internet delivery cbt popular potential increase reach accessibilityto test effectiveness internetbased cbt program reframeit reducing suiciderelated behaviours depression anxiety hopelessness improving problem solving cognitive behavioural skills school students suiciderelated behavioursa parallel randomised controlled trial testing effectiveness reframeit plus treatment usual tau compared tau alone reducing suicidal ideation suicide attempts depression hopelessness symptoms anxiety negative problem orientation cognitive behavioural skill acquisition undertaken recruited students experiencing suicidal ideation 18 schools melbourne australia august 2013 december 2016 intervention comprised eight modules cbt delivered online 10 weeks assessments conducted baseline 10 weeks 22 weeksonly 50 planned 169 participants recruited larger improvements reframeit group compared tau group primary outcome suicidal ideation intervention 616 sd 416 control 471 sd 423 baseline 22week followup intervention however differences nonsignificant p0593 increases distress majority participants 911 completion module changes depression hopelessness partly mediated effect acquisition cbt skills suicidal ideationthe trial underpowered due difficulties recruiting participants result complex recruitment procedures used ensure safety participants although significant differences groups young people safely generally well engaged reframeit experienced decreases suicidal ideation symptoms well improvements cbt skills study first online intervention trial internationally include young people demonstrating levels suicide riskintegration internetdelivered interventions young people suiciderelated behaviour may result reductions behaviours research needed researchers feel confident able safely undertake research young people experience behavioursactrn12613000864729