The online treatment of suicidal ideation: A randomised controlled trial of an unguided web-based intervention

De Jaegere, Eva; van Landschoot, Renate; van Heeringen, Kees; van Spijker, Bregje A.J.; Kerkhof, Ad J.F.M.; Mokkenstorm, Jan K.; Portzky, Gwendolyn

doi:10.1016/j.brat.2019.05.003

Cited by 71Digital Mental Health InterventionsSuicide and Self-Harm StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The online treatment of suicidal ideation: A randomised controlled trial of an unguided web-based intervention

De Jaegere, Eva, van Landschoot, Renate, van Heeringen, Kees, van Spijker, Bregje A.J., Kerkhof, Ad J.F.M., Mokkenstorm, Jan K., Portzky, Gwendolyn·2019·Behaviour Research and Therapy

DOI 10.1016/j.brat.2019.05.003

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Abstract

Suicide is a major public health issue, and treatment of suicidal thoughts may contribute to its prevention. Provision of online treatment of suicidal ideation may reduce barriers that suicidal individuals experience in face-to-face treatment. We therefore aimed at evaluating the effectiveness of a web-based intervention targeting a reduction of suicidal ideation. We carried out a two-arm, parallel-design, randomised controlled trial in the general population in Flanders (Belgium) (registered as NCT03209544). Participants who were 18 years or older and experienced suicidal ideation were included. The intervention group (n = 365) received access to the unguided web-based intervention, and the control group (n = 359) was placed on a waitlist. Assessments were carried out at baseline and at 6 and 12 weeks. Participants reported high levels of suicidal ideation, depression, hopelessness, worrying, and anxiety at baseline. Compared to the control group, participants in the intervention group experienced a significant decline in suicidal ideation, depression, hopelessness, worrying, and anxiety both at post-test and at follow-up. An important limitation of the study was a high dropout rate, in particular in the intervention group. Our findings suggest that the online self-help intervention was more effective in reducing suicidal ideation and suicide-related symptoms than a waitlist control in a severely affected population. It can help in filling the gap between crisis help and face-to-face treatment.

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Similar trials also report high rates of prior treatment engagement (60% or higher).
“This finding is not new but has not received much attention; similar trials also report high rates of prior treatment engagement (60% or higher; [31,44]).”
From The effect of a therapeutic smartphone application on suicidal ideation in young adults: Findings from a randomized controlled trial in Australia. (2022) · cites this paper as [44]

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Additional file 1 of Needs for mobile and internet-based psychological intervention in patients with self-injury and suicide-related behaviors: a qualitative systematic review
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Self-citation

Authors: De Jaegere, E., van Landschoot, R., van Heeringen, K., van Spijker, B. A. J., Kerkhof, A. J. F. M., Mokkenstorm, J. K., & Portzky, G.
Affiliations: Vrije Universiteit Amsterdam (NL)
Amsterdam Public Health (NL)
Ghent University (BE)
ORCID: De Jaegere, Eva
van Heeringen, Kees
Kerkhof, Ad J.F.M.
Mokkenstorm, Jan K.
Portzky, Gwendolyn
Venue: Behaviour Research and Therapy
Publisher: Elsevier BV
Published: 2019-08
Volume: 119
Pages: 103406
ISSN: 0005-7967 (ISSN-L)
DOI: 10.1016/j.brat.2019.05.003
OpenAlex: W2945246335
Cited by: 71
References: 45
Citations by year: 2026: 4 · 2025: 5 · 2024: 25 · 2023: 14 · 2022: 5 · 2021: 8 · 2020: 7 · 2019: 2 · 2018: 1
FWCI: 6.23
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Behaviour Research and Therapy (publishedVersion)
PubMed (publishedVersion)
VU Research Portal (publishedVersion)
Ghent University Academic Bibliography (Ghent University) (submittedVersion)
ANU Open Research (Australian National University) (submittedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
Funders: Vlaamse regering
Topics: Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: suicidal ideation, online self-help intervention, online intervention, suicide prevention, depression, hopelessness, anxiety, worry, waitlist control, dropout, general population
MeSH terms: Treatment Adherence and Compliance, Internet-Based Intervention, Adolescent, Adult, Anxiety, Depression, Female, Humans, Male, Young Adult, Suicidal Ideation

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The online treatment of suicidal ideation: A randomised controlled trial of an unguided web-based intervention

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