@article{ref1,
title="Testing the effectiveness of a blended intervention to reduce suicidal ideation among school adolescents in Chile: a protocol for a cluster randomized controlled trial",
journal="International journal of environmental research and public health",
year="2022",
author="Núñez, Daniel and Gaete, Jorge and Meza, Daniela and Andaur, Javiera and Robinson, Jo",
volume="19",
number="7",
pages="e3947-e3947",
abstract="Suicidal ideation is prevalent in adolescents and is a marker for subsequent psychiatric vulnerability and symptom severity. Literature shows that blended care (integrating online and offline components in a treatment process) could improve the effectiveness and adherence of interventions targeting suicidal ideation in adolescents, but the evidence is inconclusive. Thus, we will test the effectiveness of a blended intervention to reduce suicidal ideation (primary outcome) in school settings using a single-blind two-armed cluster randomized controlled trial (cRCT). The internet-based component corresponds to the Reframe-IT, a program encompassing eight online sessions based on cognitive-behavioral therapy (CBT) principles. The face-to-face intervention will be delivered through four CBT sessions. Additionally, we will assess the effect of the intervention on the following secondary outcomes: suicidal attempts, depressive symptoms, hopelessness, emotional regulation, and problem-solving skills. Primary and secondary outcomes will be assessed at post-intervention, 3-month, 6-month, and 12-month follow-up. Finally, we will explore the mediation role of cognitive, emotional, and behavioral correlates of suicide on the effect of the intervention. <br><br>RESULTS will inform whether the intervention can reduce suicide among school adolescents and be implemented on a large scale in Chile.<p /> <p>Language: en</p>",
language="en",
issn="1661-7827",
doi="10.3390/ijerph19073947",
url="http://dx.doi.org/10.3390/ijerph19073947"
}