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Trial registered on ANZCTR
Registration number
ACTRN12616000266460
Ethics application status
Approved
Date submitted
25/02/2016
Date registered
29/02/2016
Date last updated
28/03/2022
Date data sharing statement initially provided
20/12/2018
Date results provided
28/03/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
A feasibility study of a text message brief intervention following a suicide attempt
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Scientific title
A feasibility study of an SMS-based brief intervention following a suicide attempt
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Secondary ID [1]
288556
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Nil known
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Universal Trial Number (UTN)
U1111-1179-7122
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Trial acronym
RAFT (Reconnecting after a suicide attempt)
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Suicide attempt
297667
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Condition category
Condition code
Mental Health
297850
297850
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0
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Suicide
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participants will receive a series of text messages related to key strategies for reducing suicidal behaviour (safety planning, emotional regulation, coping with suicidal thoughts, interpersonal problem solving, and a brief alcohol intervention). The messages will contain a link to a web site, allowing participants to find out more information and to link to other resources. Participants will receive 6 x weekly text messages, then reminders of the previous content will be sent monthly until 12 months. Messages will be automatically sent to participants, and the system will collect information on which links are followed and which online pages are viewed.
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Intervention code [1]
293934
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Treatment: Devices
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Intervention code [2]
293935
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Behaviour
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Episodes of deliberate self-harm in the previous 12 months as assessed by data linkage to medical records
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Assessment method [1]
297375
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Timepoint [1]
297375
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12 months
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Secondary outcome [1]
320879
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Episodes of deliberate self-harm in the previous 12 months self-reported by participant via study-specific online questionnaire
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Assessment method [1]
320879
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Timepoint [1]
320879
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Baseline, 6 months, 12 months
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Secondary outcome [2]
320880
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Suicidal ideation measured by the Suicidal Ideation Attributes Scale (SIDAS)
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Assessment method [2]
320880
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Timepoint [2]
320880
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Baseline, 6 months, 12 months
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Secondary outcome [3]
320881
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Social connectedness measured by the Interpersonal Needs Questionnaire (INQ)
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Assessment method [3]
320881
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Timepoint [3]
320881
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Baseline, 6 months, 12 months
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Secondary outcome [4]
321239
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Acceptability of the intervention assessed through a semi-structured interview, offered to participants either face-to-face or by telephone
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Assessment method [4]
321239
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Timepoint [4]
321239
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12 months
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Secondary outcome [5]
321240
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Usage of the intervention assessed through automatically collected usage data, including number of links within the text messages opened
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Assessment method [5]
321240
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Timepoint [5]
321240
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12 months
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Eligibility
Key inclusion criteria
Participants must:
* Be aged 16-65
* Have access to a mobile phone
* Have presented to an emergency department in the previous 7 days for deliberate self harm or suicidal behaviours
* Be willing to contact a crisis service should they feel distressed
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Minimum age
16
Years
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Maximum age
65
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Participants must not have a psychotic disorder such as schizophrenia
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data analysis is complete
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Reason for early stopping/withdrawal
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
1/05/2016
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Actual
23/03/2017
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Date of last participant enrolment
Anticipated
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Actual
18/05/2018
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Date of last data collection
Anticipated
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Actual
11/07/2019
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Sample size
Target
50
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Accrual to date
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Final
16
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Recruitment in Australia
Recruitment state(s)
NSW,QLD
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Recruitment hospital [1]
5283
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Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [2]
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Toowoomba Hospital - Toowoomba
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Recruitment hospital [3]
9831
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Royal Brisbane & Womens Hospital - Herston
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Recruitment postcode(s) [1]
18612
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4029 - Herston
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Funding & Sponsors
Funding source category [1]
292901
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Charities/Societies/Foundations
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Name [1]
292901
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Society for Mental Health Research
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Address [1]
292901
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35 Poplar Road
Parkville
VIC 3052
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Country [1]
292901
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Australia
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Funding source category [2]
292974
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Charities/Societies/Foundations
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Name [2]
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Ottomin Foundation
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Address [2]
292974
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Level 3
88 George Street
The Rocks
NSW 2000
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Country [2]
292974
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Australia
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Primary sponsor type
University
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Name
Black Dog Institute / University of New South Wales
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Address
Hospital Road
Randwick
NSW 2031
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Country
Australia
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Secondary sponsor category [1]
291746
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None
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Name [1]
291746
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Address [1]
291746
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Country [1]
291746
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294401
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SLHD Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
294401
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Research Ethics and Governance Office Royal Prince Alfred Hospital Camperdown NSW 2050
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Ethics committee country [1]
294401
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Australia
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Date submitted for ethics approval [1]
294401
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Approval date [1]
294401
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15/02/2016
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Ethics approval number [1]
294401
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X15-0390
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Summary
Brief summary
Suicide is a leading cause of death in Australia, and is the leading cause of death for young people. A previous suicide attempt is a strong predictor of death by suicide, and hospital-treated deliberate self-harm (DSH) is the single strongest risk factor for subsequent suicide. The one-year repetition rate for hospital-treated DSH is 16%, which increases to 30% for those with a history of previous suicidal behaviour. Following a suicide attempt, the first days after discharge from hospital is a particularly high-risk period. Continuity of care is critical, yet this is a time where individuals often lose contact with healthcare services. There is considerable uncertainty about the most effective post-discharge interventions to reduce repetition, with non-significant reductions attained using a variety of techniques. Brief contact interventions, including post-discharge letters, green cards, telephone calls, and postcards, have reduced the number of repeat events, but digital delivery of brief contact interventions, such as SMS, email or social media, has not yet been evaluated. The RAFT project is a single group, pre-post pilot study of a digitally-delivered brief intervention aimed at reducing repeat suicide attempts. RAFT will deliver text messages containing links to information and therapeutic content via mobile telephone, at specified intervals. To pilot this intervention, individuals aged 18 years or older who present to a participating hospital following a suicide attempt will be offered this intervention. After informed consent, baseline measures will be administered online. Follow-up measures will assess suicidal ideation and behaviour, and social connectedness. In addition, feasibility and acceptability of the intervention will be assessed by examining participants' use of the intervention materials and through semi-structured interviews.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
63602
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Dr Mark Larsen
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Address
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Black Dog Institute
Hospital Road
Randwick
NSW 2031
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Country
63602
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Australia
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Phone
63602
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+61 2 93828508
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Fax
63602
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Email
63602
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[email protected]
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Contact person for public queries
Name
63603
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Mark Larsen
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Address
63603
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Black Dog Institute
Hospital Road
Randwick
NSW 2031
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Country
63603
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Australia
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Phone
63603
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+61 2 93828508
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Fax
63603
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Email
63603
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[email protected]
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Contact person for scientific queries
Name
63604
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Mark Larsen
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Address
63604
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Black Dog Institute
Hospital Road
Randwick
NSW 2031
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Country
63604
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Australia
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Phone
63604
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+61 2 93828508
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Fax
63604
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Email
63604
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Data sharing not included in participant consent.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
A pilot study of a text message and online brief contact intervention following self-harm or a suicide attempt: A mixed methods evaluation.
2022
https://dx.doi.org/10.1016/j.genhosppsych.2022.03.002
N.B. These documents automatically identified may not have been verified by the study sponsor.
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