Study protocol for the Multimodal Approach to Preventing Suicide in Schools (MAPSS) project: a regionally based randomised trial of an integrated response to suicide risk among secondary school students
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Abstract
Background: Suicide is the leading cause of death among young Australians, accounting for one-third of all deaths in those under 25. Schools are a 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, this study aims to evaluate a suicide prevention programme incorporating universal, selective and indicated components in schools. Methods: This study is a trial of a multimodal suicide prevention programme for young people. The programme involves delivering universal psychoeducation (safeTALK) to all students, screening them for suicide risk, and delivering internet-based Cognitive Behavioural Therapy (Reframe IT) to those students identified as being at high risk for suicide. The programme will be trialled in secondary schools in Melbourne, Australia, and target year 10 students (15 and 16 year-olds). safeTALK and screening will be evaluated using a single group pre-test/post-test case series, and Reframe IT will be evaluated in a Randomised Controlled Trial. The primary outcome is change in suicidal ideation; other outcomes include help-seeking behaviour and intentions, and suicide knowledge and stigma. The programme’s cost-effectiveness will also be evaluated. Discussion: This study is the first to evaluate a suicide prevention programme comprising universal, selective and indicated components in Australian schools. If the programme is found to be efficacious and cost-effective, it could be more widely disseminated in schools and may ultimately lead to reduced rates of suicide and suicidal behaviour in school students across the region.
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- Authors
- Byrne, S. J., Bailey, E., Lamblin, M., McKay, S., Pirkis, J., Mihalopoulos, C., Spittal, M. J., Rice, S., Hetrick, S., Hamilton, M., Yuen, H. P., Lee, Y. Y., Boland, A., & Robinson, J.
- Affiliations
- The University of Melbourne (AU)
- Deakin University (AU)
- University of Auckland (NZ)
- Corresponding author
- Robinson, Jo
- ORCID
- Venue
- Trials
- Published
- 2022-03-02
- Volume
- 23
- Issue
- 1
- Pages
- 186-186
- ISSN
- 1745-6215 (ISSN-L)
- PMC
- PMC8889397
- OpenAlex
- W4214866680
- Cited by
- 26
- References
- 54
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 9 · 2023: 3 · 2022: 1 · 2021: 1
- FWCI
- 4.79
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Trials (publishedVersion, cc-by)
- Research Square (acceptedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Maynooth University ePrints and eTheses Archive (Maynooth University) (acceptedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Deakin Research Online (Deakin University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- ResearchSpace (University of Auckland) (submittedVersion, cc-by)
- Funders
- National Health and Medical Research Council (GNT1153051)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Health Professions › Speech and Hearing › School Health and Nursing Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Injury Epidemiology and Prevention
- Keywords
- youth suicide prevention, school-based intervention, psychoeducation, suicide risk screening, internet-based cognitive behavioral therapy, suicidal ideation, help-seeking, suicide stigma, cost-effectiveness, high school students, Melbourne
- MeSH terms
- Suicide Prevention, Adolescent, Australia, Humans, Schools, Students, Suicide, Randomized Controlled Trials as Topic, Suicidal Ideation
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