Format

Send to

Choose Destination
PLoS One. 2014 Feb 27;9(2):e90118. doi: 10.1371/journal.pone.0090118. eCollection 2014.

Effectiveness of online self-help for suicidal thoughts: results of a randomised controlled trial.

Author information

1
Centre for Mental Health Research, Australian National University, Canberra, Australia ; Department of Clinical Psychology and the EMGO Institute for Health and Care Research, Faculty of Psychology and Education, VU University Amsterdam, Amsterdam, the Netherlands.
2
Department of Clinical Psychology and the EMGO Institute for Health and Care Research, Faculty of Psychology and Education, VU University Amsterdam, Amsterdam, the Netherlands.

Abstract

BACKGROUND:

Many people with suicidal thoughts do not receive treatment. The Internet can be used to reach more people in need of support.

OBJECTIVE:

To test the effectiveness of unguided online self-help to reduce suicidal thoughts.

METHOD:

236 adults with mild to moderate suicidal thoughts were randomised to the intervention (n=116) or a waitlist control group (n=120). Assessments took place at baseline, and 2, 4 and 6 weeks later. Primary outcome was suicidal thoughts. Secondary outcomes were depressive symptoms, anxiety, hopelessness, worry, and health status.

RESULTS:

The intervention group showed a small significant effect in reducing suicidal thoughts (d=0.28). Effects were more pronounced for those with a history of repeated suicide attempts. There was also a significant reduction in worry (d=0.33). All other secondary outcomes showed small but non-significant improvements.

CONCLUSIONS:

Although effect sizes were small, the reach of the internet could enable this intervention to help many people reduce their suicidal thoughts.

TRIAL REGISTRATION:

Netherlands Trial Register NTR1689.

PMID:
24587233
PMCID:
PMC3937447
DOI:
10.1371/journal.pone.0090118
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Public Library of Science Icon for PubMed Central
Loading ...
Support Center