Study protocol: the development of a randomised controlled trial testing a postcard intervention designed to reduce suicide risk among young help-seekers

BMC Psychiatry. 2009 Sep 23:9:59. doi: 10.1186/1471-244X-9-59.

Abstract

Background: Suicidal behaviour and deliberate self harm are common among adolescents. Limited evidence exists regarding interventions that can reduce risk; however research indicates that maintaining contact either via letter or postcard with at-risk adults following discharge from services can reduce risk. The aim of the study is to test a postcard intervention among people aged 15-24 who presented to mental health services but are not accepted, yet are at risk of suicide.

Methods/design: The study is a 3-year randomised controlled trial conducted at Orygen Youth Health Research Centre in Melbourne Australia. Participants are young help-seekers aged 15-24 who are at risk of suicide. Participants will be recruited over a 12 month period. The intervention comprises a regular postcard to be sent monthly for 12 months. The postcard enquires after their well being and includes information regarding individual sources of help and evidence-based self help strategies. Participants are assessed at baseline, 12 and 18 months.

Discussion: This paper describes the development of a study which aims to reduce suicide risk in a sample of young help-seekers. If effective, this intervention could have significant clinical and research implications for a population who can be hard to treat and difficult to research.

Trial registration: The study was registered with the Australian Clinical Trials Registry; number: ACTRN012606000274572.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Australia / epidemiology
  • Community Mental Health Services / methods
  • Female
  • Humans
  • Interviews as Topic
  • Male
  • Mental Disorders / epidemiology
  • Mental Disorders / psychology
  • Mental Disorders / therapy
  • Patient Acceptance of Health Care
  • Patient Discharge
  • Postal Service / methods*
  • Program Development / methods*
  • Research Design
  • Risk Assessment
  • Risk Factors
  • Self Concept
  • Self-Help Groups
  • Self-Injurious Behavior / prevention & control
  • Self-Injurious Behavior / psychology
  • Social Support
  • Suicide / psychology
  • Suicide Prevention*
  • Suicide, Attempted / prevention & control
  • Suicide, Attempted / psychology
  • Surveys and Questionnaires
  • Treatment Outcome