The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Online suicide risk screening and intervention with college students: A pilot randomized controlled trial.
Open accessAbstract
OBJECTIVE: This pilot randomized controlled trial examined the effect of an online intervention for college students at risk for suicide, Electronic Bridge to Mental Health Services (eBridge), which included personalized feedback and optional online counseling delivered in accordance with motivational interviewing principles. Primary outcomes were readiness to seek information or talk with family and friends about mental health treatment, readiness to seek mental health treatment, and actual treatment linkage. METHOD: Participants were 76 college students (45 women, 31 men; mean age = 22.9 years, SD = 5.0 years) at a large public university who screened positive for suicide risk, defined by at least 2 of the following: suicidal thoughts, history of suicide attempt, depression, and alcohol abuse. Racial/ethnic self-identifications were primarily Caucasian (n = 54) and Asian (n = 21). Students were randomized to eBridge or the control condition (personalized feedback only, offered in plain report format). Outcomes were measured at 2-month follow-up. RESULTS: Despite relatively modest engagement in online counseling (29% of students posted ≥1 message), students assigned to eBridge reported significantly higher readiness for help-seeking scores, especially readiness to talk to family, talk to friends, and see a mental health professional. Students assigned to eBridge also reported lower stigma levels and were more likely to link to mental health treatment. CONCLUSIONS: Findings suggest that offering students personalized feedback and the option of online counseling, using motivational interviewing principles, has a positive impact on students' readiness to consider and engage in mental health treatment. Further research is warranted to determine the robustness of this effect, the mechanism by which improved readiness and treatment linkage occurs, and the longer term impact on student mental health outcomes.
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“However, other experimental evaluations of the effects of personalized risk feedback to increase treatment for mental health problems have yielded weak results (Chan et al., 2016; King et al., 2015; Quinlivan et al., 2014; Quinlivan et al., 2016), although one study reported an effect on utilization in some subgroups (Batterham, Calear, Sunderland, Carragher, & Brewer, 2016).”
From Increasing intentions to use mental health services among university students. Results of a pilot randomized controlled trial within the World Health Organization's World Mental Health International College Student Initiative (2019) · cites this paper as King et al., 2015
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“In several of these studies, while attrition rates were high, they were equal between groups (for e.g. 50) suggesting that drop out rates related more to recruitment methods than to non-engagement.”
From What Works and What Doesn’t Work? A Systematic Review of Digital Mental Health Interventions for Depression and Anxiety in Young People (2019) · cites this paper as [50]
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“Interestingly, only two interventions explicitly mentioned utilizing a health behavior model.28,38”
From Technology-Based Interventions to Improve Help-Seeking for Mental Health Concerns: A Systematic Review (2022) · cites this paper as [38]
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“King et al. 38 used the motivational interviewing approach”
From Technology-Based Interventions to Improve Help-Seeking for Mental Health Concerns: A Systematic Review (2022) · cites this paper as [38]
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Stigma and Help Seeking for Mental Health Among College Students
Eisenberg, D., Downs, M. F., Golberstein, E., & Zivin, K. (2009) · Medical Care Research and Review · doi:10.1177/1077558709335173 · Cited by 1,193 · cited 3×
“The adapted items have been used in a national analysis of stigma and help-seeking among university students (Eisenberg et al., 2009), have a significant negative correlation (r .58, p .001) with the sum of other items adapted from the Discrimination-Devaluation Scale, and was a significant…”
InfluentialSelf-citationHelp-Seeking and Access to Mental Health Care in a University Student Population
Eisenberg, D., Golberstein, E., & Gollust, S. E. (2007) · Medical Care · doi:10.1097/mlr.0b013e31803bb4c1 · Cited by 1,131
Self-citationThe US National Comorbidity Survey Replication (NCS‐R): design and field procedures
Kessler, R. C., Berglund, P. A., Chiu, W. T., Demler, O., Heeringa, S. G., Hiripi, E., Jin, R., Pennell, B., Walters, E. E., Zaslavsky, A. M., et al. (2004) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.167 · Cited by 858
Mental Health Service Utilization Among College Students in the United States
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Lattie, E. G., Adkins, E. C., Winquist, N., Stiles-Shields, C., Wafford, Q. E., & Graham, A. K. (2019) · Journal of Medical Internet Research · doi:10.2196/12869 · Cited by 843
Annual Research Review: Suicide among youth – epidemiology, (potential) etiology, and treatment
Cha, C. B., Franz, P. J., M. Guzmán, E., Glenn, C. R., Kleiman, E. M., & Nock, M. K. (2018) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12831 · Cited by 602
Hom, M. A., Stanley, I. H., & Joiner, T. E. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.05.006 · Cited by 462
Garrido, S., Millington, C., Cheers, D., Boydell, K., Schubert, E., Meade, T., & Nguyen, Q. V. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00759 · Cited by 400
Czyz, E. K., Horwitz, A. G., Eisenberg, D., Kramer, A., & King, C. A. (2013) · Journal of American College Health · doi:10.1080/07448481.2013.820731 · Cited by 388
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Metadata
- Authors
- King, C. A., Eisenberg, D., Zheng, K., Czyz, E., Kramer, A., Horwitz, A., & Chermack, S.
- Affiliations
- University of Michigan (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2015-06
- Volume
- 83
- Issue
- 3
- Pages
- 630-636
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- PMC
- PMC4446155
- OpenAlex
- W2109685175
- Cited by
- 147
- References
- 21
- Citations by year
- 2026: 9 · 2025: 6 · 2024: 11 · 2023: 9 · 2022: 13 · 2021: 26 · 2020: 19 · 2019: 14 · 2018: 13 · 2017: 12 · 2016: 11 · 2015: 2
- FWCI
- 15.71
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Mental Health (R34 MH083032; K24 MH077705)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- suicide risk screening, university students, online intervention, personalized feedback, motivational interviewing, mental health stigma, suicide prevention, online counseling
- MeSH terms
- Adolescent, Adult, Alcoholism, Counseling, Depression, Female, Humans, Male, Mental Health, Mental Health Services, Pilot Projects, Students, Suicide, Suicide, Attempted, Universities, Risk Assessment, Internet, Young Adult, Suicidal Ideation
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