Study protocol for the Multimodal Approach to Preventing Suicide in Schools (MAPSS) project: A regionally based feasibility trial of an integrated response to suicide risk among UK secondary school pupils.

Autor: Ashworth E; School of Psychology, Liverpool John Moores University, Liverpool, United Kingdom., McCarthy M; School of Psychology, Liverpool John Moores University, Liverpool, United Kingdom., Wynne S; School of Psychology, Liverpool John Moores University, Liverpool, United Kingdom., Robinson J; Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Victoria, Australia., McKay S; Orygen Youth Health Research Centre, Centre for Youth Mental Health, University of Melbourne, Victoria, Australia., Lane S; Institute of Population Health, University of Liverpool, Liverpool, United Kingdom., Richardson G; Centre for Health Economics, University of York, York, United Kingdom., Boardman N; Champs Public Health Collaborative, Cheshire and Merseyside, United Kingdom., Henderson K; Growth Mindset Therapy & Solutions, United Kingdom., Crosbie V; Child and Adolescent Mental Health Services, Alder Hey Children's NHS Foundation Trust, Liverpool, United Kingdom., Humphrey N; Manchester Institute of Education, University of Manchester, Manchester, United Kingdom., York S; Calderstones School, Liverpool, United Kingdom., Michail M; School of Psychology, University of Birmingham, Birmingham, United Kingdom., Hart D; Merseyside Youth Association, Liverpool, United Kingdom., Clacy D; Public Advisors, United Kingdom., Jalota M; Public Advisors, United Kingdom., Saini P; School of Psychology, Liverpool John Moores University, Liverpool, United Kingdom.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2024 Jul 26; Vol. 19 (7), pp. e0302873. Date of Electronic Publication: 2024 Jul 26 (Print Publication: 2024).
DOI: 10.1371/journal.pone.0302873
Abstrakt: Background: Suicide is the leading cause of death of children and young people under 35 in the UK, and suicide rates are rising in this age group. Schools are considered an appropriate and logical setting for youth suicide prevention activities, with universal, selective, and indicated approaches all demonstrating efficacy. Given that international best practice recommends suicide prevention programmes combine these approaches, and that to date this has not been done in school settings in the UK, this study aims to evaluate the feasibility of delivering a suicide prevention programme incorporating universal, selective, and indicated components in UK schools.
Methods: This study is a feasibility cluster-randomised controlled trial (RCT) of an adapted version of the Multimodal Approach to Preventing Suicide in Schools (MAPSS) programme. The programme, initially developed in Australia, involves delivering universal psychoeducation to all pupils, screening them for suicide risk, and delivering Internet-based Cognitive Behavioural Therapy (Reframe IT-UK) to those students identified as being at high-risk for suicide. The programme will be trialled in six secondary schools in Northwest England and will target Year 10 students (14- and 15-year-olds). The primary aims are to assess: 1) the acceptability and safety of delivering MAPSS in a school setting in the UK; 2) the social validity of the MAPSS programme; and 3) the feasibility of delivering a large-scale, appropriately powered, cluster-RCT and economic evaluation of this intervention in the future. Secondary aims are to assess changes over time in mental health and wellbeing outcomes.
Discussion: This study is the first to evaluate a suicide prevention programme comprising universal, selective, and indicated components in UK schools. If the programme is found to be feasible, it could be more widely tested in schools and may ultimately lead to reduced rates of suicide and suicidal behaviour in young people.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2024 Ashworth et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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