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: April 9, 2014
Last verified: April 2014
  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: Applied Suicide Intervention 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 Questionnaire Score [ Time Frame: pre-training, post-training and 6 mo follow up ] [ 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 Confidence in Helping a Suicidal Individual [ Time Frame: pre-training, post-training and 6 month follow-up ] [ Designated as safety issue: No ]
    Meaures the level of confidence that the individual believes they have in helping a suicidal person based on a 4 point Likert scale ranging from 1 (not at all confident) to 4 (very confident).

  • Self-perceived Skill in Helping a Suicidal Individual [ Time Frame: pre-training, post-training and 6 month follow-up ] [ Designated as safety issue: No ]
    Measures the level of ability that the individual believes they have in helping a suicidal person based on a 4 point Likert scale ranging from 1 (not at all skilled) to 4 (very skilled).

  • Self-perceived Knowledge About Suicide [ Time Frame: pre-training, post-training and 6 month follow-up ] [ Designated as safety issue: No ]
    Measures the level of knowledge about suicide that the individual believes they have based on a 4 point Likert scale ranging from 1 (not at all knowledgeable) to 4 (very knowledgeable).

  • Self-perceived Preparedness [ Time Frame: pre-training, post-training and 6 month follow-up ] [ Designated as safety issue: No ]
    Measures the level of preparedness of the individual to help someone who is suicidal based on a 4 point Likert scale ranging from 1 (not at all prepared) to 4 (very prepared).

  • Self-reported Distress [ Time Frame: pre-training and 6 month follow-up ] [ Designated as safety issue: No ]
    Measures the level of distress in the participant using the K6 distress scale. The scale is comprised of six questions which are scored from 0 (none of the time) to 4 (all of the time). The sum of the scores from all six questions was used to determine a total scale score which ranges from 0 (not at all distressed) to 24 (very distressed).

  • Self-reported Alcohol Use [ Time Frame: pre-training and 6 month follow-up ] [ Designated as safety issue: No ]
    Details participants' level of alcohol consumption and if it may be harmful according to the AUDIT. The AUDIT scale is comprised of ten questions with most questions being scored from 0 (never) to 4 (4 or more times per week). The sum of the scores from all ten questions was used to determine a total scale score which ranges from 0 (no risk related to alcohol) to 40 (high risk related to alcohol). Total scores of 8 or more are recommended as indicators of hazardous and harmful alcohol use, as well as possible alcohol dependence.

  • Self-reported Resiliency Score [ Time Frame: pre-training and 6 month follow-up ] [ Designated as safety issue: No ]
    Assesses resiliency in the participant according to the Connor-Davidson Resilience Scale, 10-item. The CD-RISC 10 is comprised of ten questions scored from 0 (Not at all true) to 4 (True nearly all of the time). The sum of the scores from all ten questions was used to determine a total scale score which ranges from 0 (low resiliency) to 40 (highly resilient).

  • Lifetime Suicidal Ideation at Baseline [ Time Frame: July 19-20, 2010 ] [ Designated as safety issue: Yes ]
    Number of people who endorsed having thought about suicide in their lifetime as measured at baseline

  • Lifetime Suicide Attempt at Baseline [ Time Frame: July 19-20, 2010 ] [ Designated as safety issue: Yes ]
    Number of people who endorsed having made a suicide attempt in their lifetime as measured at baseline

  • Suicidal Ideation in Past 2 Days at Baseline [ Time Frame: July 19-20, 2010 ] [ Designated as safety issue: Yes ]
    Number of people who endorsed having thought about suicide in the past 2 days as measured at baseline (not at all vs a little to a lot)

  • Number of People With Suicidal Ideation in Past 2 Days Immediately Post Training [ Time Frame: July 22-23, 2010 ] [ Designated as safety issue: Yes ]
    Number of people who endorsed having thought about suicide in the past 2 days as measured immediately post training (not at all vs a little to a lot)

  • Suicidal Ideation Since Training at 6 mo Follow-up [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: Yes ]
    Number of people who endorsed having thought about suicide since the training as measured at 6 month follow-up (not at all vs a little to a lot)

  • Attempted Suicide Since Training at 6 mo Follow-up [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: Yes ]
    Number of people who endorsed having made a suicide attempt since the training as measured at 6 month follow-up

  • Gatekeeper Behaviors - Asked Person at Risk About Suicidal Thoughts [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: No ]
    Number of participants who have asked someone that they thought was at risk about suicidal thoughts since the training, measured at 6 month follow-up assessment.

  • Gatekeeper Behaviours - Did Not Ask Person at Risk [ Time Frame: January 28-31, 2011 ] [ Designated as safety issue: No ]
    Number of participants who did not ask someone about their suicidal thoughts even though they thought they were at risk, measured at 6 month follow-up assessment based on time since training.


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: Applied Suicide Intervention Skills Training (ASIST)
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: Applied Suicide Intervention 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
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

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
Results First Received: November 7, 2013
Last Updated: April 9, 2014
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
Behavioral Symptoms
Self-Injurious Behavior

ClinicalTrials.gov processed this record on October 30, 2014