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Selective personality‐targeted prevention of suicidal ideation in young adolescents: post hoc analysis of data collected in a cluster randomised controlled trial

OBJECTIVE: To assess the efficacy of a selective, personality‐targeted intervention for reducing suicidal ideation in adolescents. DESIGN: Post hoc analysis of survey data collected in the Climate and Preventure (CAP) study, a cluster randomised controlled trial that compared strategies for reducing...

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Autores principales: Grummitt, Lucinda R, Debenham, Jennifer, Kelly, Erin, Barrett, Emma L, Champion, Katrina, Conrod, Patricia, Teesson, Maree, Newton, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542662/
https://www.ncbi.nlm.nih.gov/pubmed/35568380
http://dx.doi.org/10.5694/mja2.51536
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author Grummitt, Lucinda R
Debenham, Jennifer
Kelly, Erin
Barrett, Emma L
Champion, Katrina
Conrod, Patricia
Teesson, Maree
Newton, Nicola
author_facet Grummitt, Lucinda R
Debenham, Jennifer
Kelly, Erin
Barrett, Emma L
Champion, Katrina
Conrod, Patricia
Teesson, Maree
Newton, Nicola
author_sort Grummitt, Lucinda R
collection PubMed
description OBJECTIVE: To assess the efficacy of a selective, personality‐targeted intervention for reducing suicidal ideation in adolescents. DESIGN: Post hoc analysis of survey data collected in the Climate and Preventure (CAP) study, a cluster randomised controlled trial that compared strategies for reducing alcohol misuse by adolescents, 2012–2015. SETTING, PARTICIPANTS: Year 8 students at 16 New South Wales non‐government schools and one Victorian non‐government school. INTERVENTION: Preventure, a selective, personality‐targeted intervention designed to help adolescents with personality risk factors for alcohol misuse, comprising two 90‐minute sessions, one week apart. For our post hoc analysis, we combined data from the two CAP trial groups in which Preventure was offered (the Preventure and the Preventure/Climate Schools [a non‐selective prevention strategy] groups) as the intervention group; and data from the two groups in which Preventure was not offered (usual health education only [control] and Climate Schools groups) as the control group. MAIN OUTCOME MEASURE: Difference between post hoc control and intervention groups in the change in proportions of students reporting suicidal ideation during the preceding six months (single item of Brief Symptom Inventory depression subscale) over three years. RESULTS: A total of 1636 students (mean age at baseline, 13.3 years; standard deviation, 0.5 years) were included in our analysis, of whom 1087 (66%) completed the suicidal ideation item in the three‐year follow‐up assessment. The post hoc control group included 755 students (nine schools), the intervention group 881 students (eight schools). After adjusting for nesting of students in schools and sex, reporting of suicidal ideation by students who had received Preventure had declined over three years, compared with the control group (per year: adjusted odds ratio, 0.80; 95% CI, 0.66–0.97). CONCLUSION: Personality‐targeted selective prevention during early secondary school can have a lasting impact on suicidal ideation during adolescence. TRIAL REGISTRATION (CAP STUDY ONLY): Australian and New Zealand Clinical Trials Registry, ACTRN12612000026820 (prospective).
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spelling pubmed-95426622022-10-14 Selective personality‐targeted prevention of suicidal ideation in young adolescents: post hoc analysis of data collected in a cluster randomised controlled trial Grummitt, Lucinda R Debenham, Jennifer Kelly, Erin Barrett, Emma L Champion, Katrina Conrod, Patricia Teesson, Maree Newton, Nicola Med J Aust Research and Reviews OBJECTIVE: To assess the efficacy of a selective, personality‐targeted intervention for reducing suicidal ideation in adolescents. DESIGN: Post hoc analysis of survey data collected in the Climate and Preventure (CAP) study, a cluster randomised controlled trial that compared strategies for reducing alcohol misuse by adolescents, 2012–2015. SETTING, PARTICIPANTS: Year 8 students at 16 New South Wales non‐government schools and one Victorian non‐government school. INTERVENTION: Preventure, a selective, personality‐targeted intervention designed to help adolescents with personality risk factors for alcohol misuse, comprising two 90‐minute sessions, one week apart. For our post hoc analysis, we combined data from the two CAP trial groups in which Preventure was offered (the Preventure and the Preventure/Climate Schools [a non‐selective prevention strategy] groups) as the intervention group; and data from the two groups in which Preventure was not offered (usual health education only [control] and Climate Schools groups) as the control group. MAIN OUTCOME MEASURE: Difference between post hoc control and intervention groups in the change in proportions of students reporting suicidal ideation during the preceding six months (single item of Brief Symptom Inventory depression subscale) over three years. RESULTS: A total of 1636 students (mean age at baseline, 13.3 years; standard deviation, 0.5 years) were included in our analysis, of whom 1087 (66%) completed the suicidal ideation item in the three‐year follow‐up assessment. The post hoc control group included 755 students (nine schools), the intervention group 881 students (eight schools). After adjusting for nesting of students in schools and sex, reporting of suicidal ideation by students who had received Preventure had declined over three years, compared with the control group (per year: adjusted odds ratio, 0.80; 95% CI, 0.66–0.97). CONCLUSION: Personality‐targeted selective prevention during early secondary school can have a lasting impact on suicidal ideation during adolescence. TRIAL REGISTRATION (CAP STUDY ONLY): Australian and New Zealand Clinical Trials Registry, ACTRN12612000026820 (prospective). John Wiley and Sons Inc. 2022-05-14 2022-06 /pmc/articles/PMC9542662/ /pubmed/35568380 http://dx.doi.org/10.5694/mja2.51536 Text en © 2022 The Authors. Medical Journal of Australia published by John Wiley & Sons Australia, Ltd on behalf of AMPCo Pty Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research and Reviews
Grummitt, Lucinda R
Debenham, Jennifer
Kelly, Erin
Barrett, Emma L
Champion, Katrina
Conrod, Patricia
Teesson, Maree
Newton, Nicola
Selective personality‐targeted prevention of suicidal ideation in young adolescents: post hoc analysis of data collected in a cluster randomised controlled trial
title Selective personality‐targeted prevention of suicidal ideation in young adolescents: post hoc analysis of data collected in a cluster randomised controlled trial
title_full Selective personality‐targeted prevention of suicidal ideation in young adolescents: post hoc analysis of data collected in a cluster randomised controlled trial
title_fullStr Selective personality‐targeted prevention of suicidal ideation in young adolescents: post hoc analysis of data collected in a cluster randomised controlled trial
title_full_unstemmed Selective personality‐targeted prevention of suicidal ideation in young adolescents: post hoc analysis of data collected in a cluster randomised controlled trial
title_short Selective personality‐targeted prevention of suicidal ideation in young adolescents: post hoc analysis of data collected in a cluster randomised controlled trial
title_sort selective personality‐targeted prevention of suicidal ideation in young adolescents: post hoc analysis of data collected in a cluster randomised controlled trial
topic Research and Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9542662/
https://www.ncbi.nlm.nih.gov/pubmed/35568380
http://dx.doi.org/10.5694/mja2.51536
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