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Protocol

Testing the Effectiveness of a Blended Intervention to Reduce Suicidal Ideation among School Adolescents in Chile: A Protocol for a Cluster Randomized Controlled Trial

1
Faculty of Psychology, Universidad de Talca, Talca 3460000, Chile
2
Millennium Nucleus to Improve the Mental Health of Adolescents and Youths, Imhay, Santiago 8320000, Chile
3
Associative Research Program, Center of Cognitive Sciences, Faculty of Psychology, Universidad de Talca, Talca 3460000, Chile
4
Faculty of Education, Universidad de los Andes, Monseñor Álvaro del Portillo, 12455 Santiago, Chile
5
Orygen, Parkville, VIC 3052, Australia
6
Centre for Youth Mental Health, University of Melbourne, Parkville, VIC 3010, Australia
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(7), 3947; https://doi.org/10.3390/ijerph19073947
Submission received: 4 March 2022 / Revised: 16 March 2022 / Accepted: 21 March 2022 / Published: 26 March 2022
(This article belongs to the Section Global Health)

Abstract

Suicidal ideation is prevalent in adolescents and is a marker for subsequent psychiatric vulnerability and symptom severity. Literature shows that blended care (integrating online and offline components in a treatment process) could improve the effectiveness and adherence of interventions targeting suicidal ideation in adolescents, but the evidence is inconclusive. Thus, we will test the effectiveness of a blended intervention to reduce suicidal ideation (primary outcome) in school settings using a single-blind two-armed cluster randomized controlled trial (cRCT). The internet-based component corresponds to the Reframe-IT, a program encompassing eight online sessions based on cognitive-behavioral therapy (CBT) principles. The face-to-face intervention will be delivered through four CBT sessions. Additionally, we will assess the effect of the intervention on the following secondary outcomes: suicidal attempts, depressive symptoms, hopelessness, emotional regulation, and problem-solving skills. Primary and secondary outcomes will be assessed at post-intervention, 3-month, 6-month, and 12-month follow-up. Finally, we will explore the mediation role of cognitive, emotional, and behavioral correlates of suicide on the effect of the intervention. Results will inform whether the intervention can reduce suicide among school adolescents and be implemented on a large scale in Chile.
Keywords: suicidal ideation; adolescents; cognitive-behavioral therapy; blended intervention; randomized controlled trial; protocol suicidal ideation; adolescents; cognitive-behavioral therapy; blended intervention; randomized controlled trial; protocol

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MDPI and ACS Style

Núñez, D.; Gaete, J.; Meza, D.; Andaur, J.; Robinson, J. Testing the Effectiveness of a Blended Intervention to Reduce Suicidal Ideation among School Adolescents in Chile: A Protocol for a Cluster Randomized Controlled Trial. Int. J. Environ. Res. Public Health 2022, 19, 3947. https://doi.org/10.3390/ijerph19073947

AMA Style

Núñez D, Gaete J, Meza D, Andaur J, Robinson J. Testing the Effectiveness of a Blended Intervention to Reduce Suicidal Ideation among School Adolescents in Chile: A Protocol for a Cluster Randomized Controlled Trial. International Journal of Environmental Research and Public Health. 2022; 19(7):3947. https://doi.org/10.3390/ijerph19073947

Chicago/Turabian Style

Núñez, Daniel, Jorge Gaete, Daniela Meza, Javiera Andaur, and Jo Robinson. 2022. "Testing the Effectiveness of a Blended Intervention to Reduce Suicidal Ideation among School Adolescents in Chile: A Protocol for a Cluster Randomized Controlled Trial" International Journal of Environmental Research and Public Health 19, no. 7: 3947. https://doi.org/10.3390/ijerph19073947

APA Style

Núñez, D., Gaete, J., Meza, D., Andaur, J., & Robinson, J. (2022). Testing the Effectiveness of a Blended Intervention to Reduce Suicidal Ideation among School Adolescents in Chile: A Protocol for a Cluster Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 19(7), 3947. https://doi.org/10.3390/ijerph19073947

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