Trajectories of Suicidal Ideation in People Seeking Web-Based Help for Suicidality: Secondary Analysis of a Dutch Randomized Controlled Trial
| Autor: | Madsen, Trine, van Spijker, Bregje, Karstoft, Karen-Inge, Nordentoft, Merete, Kerkhof, Ad JFM |
|---|---|
| Přispěvatelé: | Clinical Psychology, EMGO+ - Mental Health |
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
050103 clinical psychology Time Factors medicine.medical_treatment Poison control Suicide Attempted Suicide prevention Trajectories law.invention Help-Seeking Behavior 0302 clinical medicine Randomized controlled trial law Suicidal ideation Netherlands education.field_of_study Depression 05 social sciences SDG 10 - Reduced Inequalities Middle Aged Suicide Disease Progression Female medicine.symptom Psychology Social psychology Adult online self-help Population Health Informatics Suicidal Ideation 03 medical and health sciences Injury prevention medicine trajectories Humans 0501 psychology and cognitive sciences education Original Paper Internet Online self-help Cognitive Behavioral Therapy Latent growth mixture modeling Mental health 030227 psychiatry latent growth mixture modeling Cognitive therapy Demography |
| Zdroj: | Madsen, T, van Spijker, B, Karstoft, K-I, Nordentoft, M & Kerkhof, A J F M 2016, ' Trajectories of Suicidal Ideation in People Seeking Web-Based Help for Suicidality: Secondary Analysis of a Dutch Randomized Controlled Trial. ', Journal of Medical Internet Research, vol. 18, no. 6, pp. e178 . Journal of Medical Internet Research, 18(6). Journal of medical Internet Research Journal of Medical Internet Research Madsen, T, Van Spijker, B, Karstoft, K I, Nordentoft, M & Kerkhof, A J F M 2016, ' Trajectories of suicidal ideation in people seeking web-based help for suicidality : Secondary analysis of a Dutch randomized controlled trial ', Journal of Medical Internet Research, vol. 18, no. 6, e178 . https://doi.org/10.2196/jmir.5904 |
| ISSN: | 1438-8871 |
| DOI: | 10.2196/jmir.5904 |
| Popis: | Background: Suicidal ideation (SI) is a common mental health problem. Variability in intensity of SI over time has been linkedto suicidal behavior, yet little is known about the temporal course of SI.Objective: The primary aim was to identify prototypical trajectories of SI in the general population and, secondarily, to examinewhether receiving Web-based self-help for SI, psychiatric symptoms, or sociodemographics predicted membership in the identifiedSI trajectories.Methods: We enrolled 236 people, from the general Dutch population seeking Web-based help for SI, in a randomized controlledtrial comparing a Web-based self-help for SI group with a control group. We assessed participants at inclusion and at 2, 4, and 6weeks. The Beck Scale for Suicide Ideation was applied at all assessments and was included in latent growth mixture modelinganalysis to empirically identify trajectories.Results: We identified 4 SI trajectories. The high stable trajectory represented 51.7% (122/236) of participants and wascharacterized by constant high level of SI. The high decreasing trajectory (50/236, 21.2%) consisted of people with a high baselineSI score followed by a gradual decrease to a very low score. The third trajectory, high increasing (12/236, 5.1%), also had highinitial SI score, followed by an increase to the highest level of SI at 6 weeks. The fourth trajectory, low stable (52/236, 22.0%)had a constant low level of SI. Previous attempted suicide and having received Web-based self-help for SI predicted membershipin the high decreasing trajectory.Conclusions: Many adults experience high persisting levels of SI, though results encouragingly indicate that receiving Web-basedself-help for SI increased membership in a decreasing trajectory of SI. |
| Databáze: | OpenAIRE |
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