TY  - JOUR
PY  - 2022//
TI  - Testing the effectiveness of a blended intervention to reduce suicidal ideation among school adolescents in Chile: a protocol for a cluster randomized controlled trial
JO  - International journal of environmental research and public health
A1  - Núñez, Daniel
A1  - Gaete, Jorge
A1  - Meza, Daniela
A1  - Andaur, Javiera
A1  - Robinson, Jo
SP  - e3947
EP  - e3947
VL  - 19
IS  - 7
N2  - 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>
LA  - en
SN  - 1661-7827
UR  - http://dx.doi.org/10.3390/ijerph19073947
ID  - ref1
ER  -