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van CCT (UK)

van CCT (UK)

Future Oriented Group Training for Suicidal Patients.

- candidate number2271
- NTR NumberNTR786
- Date ISRCTN created28-dec-2006
- date ISRCTN requested18-dec-2006
- Date Registered NTR28-sep-2006
- Secondary IDsN/A 
- Public TitleFuture Oriented Group Training for Suicidal Patients.
- Scientific TitleFuture Oriented Group Training for Suicidal Patients.
- hypothesis1. The level of suicide ideation is correlated with al ow level of positive future expectencies
2. Our future oriented training will help people to predict a more positive future
3. And this will lead to less suicide ideation
- Healt Condition(s) or Problem(s) studiedSuicide
- Inclusion criteria1. suicide ideation (BDI-II, question 9>0)
2. lifetime affective disorder
- Exclusion criteria1. primairy psychotic disorder
2. primairy substance abuse disorder
3. current manic state
4. inability to read or write Dutch
5. IQ<85
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type-
- Studytypeintervention
- planned startdate 1-jan-2007
- planned closingdate1-jan-2010
- Target number of participants225
- InterventionsWe developed a manual-based group training, including elements from:
1. motivational interviewing
2. cognitive behavioural therapy
3. problem solving treatment
4. future thinking
5. positive psychology

We compare three groups:
1. treatment as usual
2. TAU + experimental training
3. non suicidal control group
- Primary outcome1. level of suicide ideations
2. level of suicidal behaviour
- Secondary outcome1. depression (BDI-II)
2. quality of life (OQ45)
3. coping (CISS)
4. problem solving (SPSI-R)
5. hopelessness (BHS)
6. worrying (PSWQ)
- Timepoints
- Trial web site
- statusplanned
- Sponsor/Initiator Symfora groep
- Funding
(Source(s) of Monetary or Material Support)
Stichting De Open Ankh
- PublicationsN/A
- Brief summaryResearch shows that hopelessness contributes to suicidality. Especially lack of positive future expectancies (as part of hopelessness) appears to be an important factor in developing suicidal ideations and behavior (MacLeod, Rose & Williams, 1993). Different forms of treatment for underlying mechanisms in suicidality have been developed and tested, but research in the United States (Kessler, Berglund, Borges, Nock Wang, 2005) showed that we can hardly observe consistent decrease in suicidal thoughts, plans, gestures or attempts after treatment. Suicidality on an individual level decreases after some forms of treatment, but the overall picture is not much different from that of two decades ago. Studying the effects of treatment is difficult, becasue suicide is rather unusual. Suicide has a low prevalence in the general population (0.01%), but suicide ideation is remarkably common (Gaynes, West, Ford, Frame, Klein & Lohr, 2004). We therefore choose to develop a program for this group of people. Suicide ideations precedes suicide most of the time and we expect this aspect to be better treatable and measurable, in an earlier stage of the suicidal process.
Our intervention consists of ten weekly group based training sessions of one and a half hour each. The central goals of the training are to help participants focus on a more positive future, to improve the skills needed to reach their personal goals and change their negative automatic thoughts and expectancies about their futures.
Our training method is based upon three major elements that have been discribed and investigated in research on suicidality and have been proven to be useful:
1. Cognitive Behavioral Therapy (Brown, G.K., Ten Have, T., Henriques, G.R., Xie, S.X., Hollander, J.E. & Beck, A.T.,2005).
2. Problem Solving Therapy (DīZurilla, 1986).
3. Future Directed Thinking (MacLeod, Tata, Tyrer, Schmidt, Davidson, & Thompson, 2004).
We will use additional material from Positive Psychology and Time Perspective theory (Zimbardo & Boyd, 1999).
- Main changes (audit trail)
- RECORD28-sep-2006 - 29-dec-2006

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