Circle of Life. Improving Capacity of Swampy Cree Community Members to Recognize People at Risk for Suicide

This study has been completed.
Sponsor:
Collaborator:
Canadian Institutes of Health Research (CIHR)
Information provided by (Responsible Party):
Dr. Jitinder Sareen, University of Manitoba
ClinicalTrials.gov Identifier:
NCT01287416
First received: January 10, 2011
Last updated: January 15, 2013
Last verified: January 2013
  Purpose

Primary Hypothesis: Participants in the Applied Suicide Intervention Skills Training (ASIST) gatekeeper training will be significantly more likely to have increased knowledge and preparedness to help people with suicidal ideation than participants who receive the resilience retreat.

Secondary Hypotheses:

  1. Participants in ASIST gatekeeper training will not have higher levels of post-intervention distress or suicidal ideation compared to the resilience retreat.
  2. High levels of distress, grief, and alcohol abuse will significantly impact on the learning and retention of suicide intervention skills.

Condition Intervention
Suicide
Behavioral: ASIST Suicide Skills Training
Behavioral: Resilience Retreat

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Circle of Life.Improving Capacity of Swampy Cree Community Members to Recognize People at Risk for Suicide: A Randomized Controlled Pilot Study

Resource links provided by NLM:


Further study details as provided by University of Manitoba:

Primary Outcome Measures:
  • SIRI-2 questionnaire Pre-Test [ Time Frame: July 19-20, 2010 (baseline) ] [ Designated as safety issue: No ]
    The Suicide Intervention Response Inventory (SIRI-2) will be used to detect enhancement of intervention skills in participants. The 25-item SIRI-2 is a self-administered test that was designed to measure competence in choosing appropriate response to a series of clinical scenarios with suicidal individuals. Research on the SIRI-2 has shown its good psychometric properties, freedom from social desirabiity effects and responsiveness to training in suicide prevention.

  • SIRI-2 questionnaire (post test) [ Time Frame: July 22-23, 2010 ] [ Designated as safety issue: No ]
    The Suicide Intervention Response Inventory (SIRI-2) will be used to detect enhancement of intervention skills in participants. The 25-item SIRI-2 is a self-administered test that was designed to measure competnce in choosing appropriate response to a series of clinical scenarios with suicidal individuals. Research on the SIRI-2 has shown its good psychometric properties, freedom from social desirabiity effects and responsiveness to training in suicide prevention.

  • SIRI-2 questionnaire (6-month follow-up) [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: No ]
    The Suicide Intervention Response Inventory (SIRI-2) will be used to detect enhancement of intervention skills in participants. The 25-item SIRI-2 is a self-administered test that was designed to measure competnce in choosing appropriate response to a series of clinical scenarios with suicidal individuals. Research on the SIRI-2 has shown its good psychometric properties, freedom from social desirabiity effects and responsiveness to training in suicide prevention.


Secondary Outcome Measures:
  • Self-perceived knowledge about suicide [ Time Frame: July 19-20, 2010 ] [ Designated as safety issue: No ]
    Measures the level of knowledge about suicide that the individual believes they have

  • Self-perceived confidence in helping a suicidal individual [ Time Frame: July 19-20, 2010 ] [ Designated as safety issue: No ]
    Meaures the level of confidence that the individual believes they have in helping a suicidal person

  • Whether the individual has helped someone who is suicidal since the last time point [ Time Frame: July 19-20, 2010 ] [ Designated as safety issue: No ]
    Assess whether the individual has helped someone who is suicidal since the last time point

  • Attitudes towards suicide [ Time Frame: July 19-20, 2010 ] [ Designated as safety issue: No ]
    Measures attitudes toward suicide

  • Self-perceived skill in helping a suicidal individual [ Time Frame: July 19-20, 2010 ] [ Designated as safety issue: No ]
    Measures the level of ability that the individual believes they have in helping a suicidal person

  • Self-perceived confidence in helping a suicidal individual [ Time Frame: July 22-23, 2010 ] [ Designated as safety issue: No ]
    Measures the level of confidence that the individual believes they have in helping a suicidal person

  • Whether the individual has helped someone who is suicidal since the last time point [ Time Frame: July 22-23, 2010 ] [ Designated as safety issue: No ]
    Assess whether the person has helped someone who is suicidal since the last time point

  • Attitudes towards suicide [ Time Frame: July 22-23, 2010 ] [ Designated as safety issue: No ]
    Measures attitudes toward suicide

  • Self-perceived knowledge [ Time Frame: July 22-23, 2010 ] [ Designated as safety issue: No ]
    Measures the level of knowledge about suicide that the individual believes they have

  • Self-perceived skill in helping a suicidal individual [ Time Frame: July 22-23, 2010 ] [ Designated as safety issue: No ]
    Measures the level of ability that the individual believes they have in helping a suicidal person

  • Self-perceived knowledge [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: No ]
    Measures the level of knowledge about suicide that the individual believes they have

  • Self-perceived skill in helping a suicidal individual [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: No ]
    Measures the level of ability that the individual believes they have in helping a suicidal person

  • Self-perceived confidence in helping a suicidal individual [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: No ]
    measures the level of confidence that the individual believes they have in helping a suicidal person

  • Whether the individual has helped someone who is suicidal since the last time point [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: No ]
    Assess whether the person has helped someone who is suicidal

  • Attitudes towards suicide [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: No ]
    Measures attitudes toward suicide

  • Self-perceived resiliency [ Time Frame: July 19-20, 2010 ] [ Designated as safety issue: No ]
    Measures the level of perceived resiliency an individual believes they have

  • Self-perceived resiliency [ Time Frame: July 22-23, 2010 ] [ Designated as safety issue: No ]
    Measures the level of perceived resiliency an individual believes they have

  • Self-perceived resiliency [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: No ]
    Measures the level of perceived resiliency an individual believes they have

  • Self-reported depression [ Time Frame: July 19-20, 2010 ] [ Designated as safety issue: No ]
    Measures the level of depression an individual believes they have

  • Self-reported depression [ Time Frame: July 22-23, 2010 ] [ Designated as safety issue: No ]
    Measures the level of depression an individual believes they have

  • Self-reported depression [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: No ]
    Measures the level of depression an individual believes they have

  • Self-reported anxiety [ Time Frame: July 19-20, 2010 ] [ Designated as safety issue: No ]
    Measures the level of anxiety an individual feels they have

  • Self-reported anxiety [ Time Frame: July 22-23, 2010 ] [ Designated as safety issue: No ]
    Measures the level of anxiety an individual feels they have

  • Self-reported anxiety [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: No ]
    Measures the level of anxiety an individual feels they have

  • Self-reported alcohol use [ Time Frame: July 19-20, 2010 ] [ Designated as safety issue: No ]
    Measures the amount of alcohol an individual believes they have consumed (if any)

  • Self-reported alcohol use [ Time Frame: July 22-23, 2010 ] [ Designated as safety issue: No ]
    Measures the amount of alcohol an individual believes they have consumed (if any)

  • Self-reported alcohol use [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: No ]
    Measures the amount of alcohol an individual believes they have consumed (if any)


Enrollment: 55
Study Start Date: July 2010
Study Completion Date: February 2011
Primary Completion Date: February 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: ASIST Suicide Skills Training
ASIST is a 2-day intensive, interactive and practice-dominated course aimed at enabling people to recognize risk and learn how to intervene immediately to prevent suicide. The training is designed for anyone (especially those in a position of trust), from professionals and volunteers to members of the community. Participants range from those in caring roles to people concerned about family members or friends. The theory is that suicide can be pre¬vented with the help of prepared caregivers. ASIST is designed to help all caregivers become more willing, ready and able to help persons at risk. Just as "CPR" skills make physical first aid possible, training in suicide intervention develops the skills used in suicide first aid.
Behavioral: ASIST Suicide Skills Training
Applied suicide Intervention Skills Training (ASIST) is a 2-day, 14 hour suicide intervention skills training workshop.
Other Name: ASIST
Active Comparator: Resilience Retreat
The two days will be divided into cultural activities, sharing circles, small group discussions, story telling and dance. Two First Nations community leaders will be identified to lead each of the two retreats.
Behavioral: Resilience Retreat
The Resilience Retreat is a 2-day, 14 hour session

Detailed Description:

Inclusion criterion: All members of the Swampy Cree Tribal communities who are currently residing on the reserves will be eligible to participate in the study.

Exclusion criterion: Exclusion criteria for the study include being less than 16 years of age, prior training in SafeTALK or ASIST, being an elected official in a First Nations community, and inability to read or write.

Primary outcome: Skills in Suicide Intervention: Suicide Intervention Response Inventory.The Suicide Intervention Response Inventory (SIRI) will be used to detect enhancement of intervention skills in participants. The SIRI is a self-administered test that was designed to measure competence in choosing appropriate response to a series of clinical scenarios with suicidal individuals. Research on the SIRI has shown its good psychometric properties, freedom from social desirability effects, and responsiveness to training in suicide prevention. It contains 25 items, each of which consists of a "client" remark and two "helper" responses. Responses are judged based on response options made by highly expert suicidologists. The SIRI has shown good internal consistency with alpha of 0.834, and good test-retest reliability.

Secondary Outcomes:

  • Knowledge about suicide, attitudes toward suicide, and self-reported preparedness to intervene with suicidal behavior will be measured by a series of questions that were developed by LivingWorks Inc.
  • Gatekeeper behaviors will be measured similar to questions utilized by Wyman in the school-based study that assess how many people had the person asked others about suicide.
  Eligibility

Ages Eligible for Study:   16 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • All members of the Swampy Cree Tribal communities who are currently residing on the reserves will be eligible to participate in the study.

Exclusion Criteria:

  • being less than 16 years of age
  • prior training in SafeTALK or ASIST
  • being an elected official in a First Nations community
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01287416

Locations
Canada, Manitoba
University of Manitoba Department of Psychiatry
Winnipeg, Manitoba, Canada, R3E 3N4
Sponsors and Collaborators
University of Manitoba
Canadian Institutes of Health Research (CIHR)
Investigators
Principal Investigator: Jitender Sareen, MD Department of Psychiatry, Faculty of Medicine, University of Manitoba
  More Information

No publications provided by University of Manitoba

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Dr. Jitinder Sareen, Professor, Department of Psychiatry, University of Manitoba
ClinicalTrials.gov Identifier: NCT01287416     History of Changes
Other Study ID Numbers: H2010:192
Study First Received: January 10, 2011
Last Updated: January 15, 2013
Health Authority: Canada: Canadian Institutes of Health Research

Keywords provided by University of Manitoba:
Suicide Intervention
Applied Suicide Intervention Skills Training (ASIST)
Resilience Retreat
First Nations
Suicide Intervention and Response Inventory (SIRI)

Additional relevant MeSH terms:
Suicide
Self-Injurious Behavior
Behavioral Symptoms

ClinicalTrials.gov processed this record on April 17, 2014