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OpenTrials
Completed

NCT Number: NCT04756219

Beneficial and Harmful Effects of Reducing Public Suicide Stigma

There is growing evidence that negative attitudes towards persons affected by suicide (i.e. persons who experience suicidality, persons who lost a loved one to suicide), so called public suicide stigma, is harmful for suicide prevention, for example by reducing social support, inhibiting help-seeking for suicidality and increasing distress as well as suicidality among stigmatized persons. Reducing public suicide stigma could therefore be an important factor of successful suicide prevention. However, reducing public suicide stigma could also be harmful, for example by increasing attitudes that suicidal behaviour is a normal and acceptable solution for crisis situations, which could decrease help-seeking for suicidality and encourage suicidal behaviour. This project will (1) develop four interventions (contact-based vs. education based, video vs. text) hypothesized to reduce public suicide stigma, (2) determine the efficacy of the four interventions with regard to reducing public suicide stigma, (3) identify additional harmful (e.g. normalization of suicidal behaviour) and beneficial intervention effects (e.g. improved attitudes to seek help) and (4) investigate pathways explaining intervention effects.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ulm University

Ulm, 89075, Germany

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Participants need to be at least 18 years old, speak German and provide online informed consent.

Exclusion criteria

Persons who self-report to have experienced suicidality within three months before baseline will be excluded.

Treatment and study plan

Contact Video

Other

No additional information necessary.

Contact Text

Other

No additional information necessary.

education video

Other

No additional information necessary.

Education Text

Other

No additional information necessary.

Primary outcomes

  1. Stigma subscale of the Stigma of Suicide Scale short form (SOSS-SF)

    Time frame: Immediately after the intervention (t1)

    Batterham al. (2013) The Stigma of Suicide Scale. Psychometric properties and correlates of the stigma of suicide. Crisis 34(1):13-21

Secondary outcomes

  1. Stigma subscale of the Stigma of Suicide Scale short form (SOSS-SF)

    Time frame: Two weeks after the intervention (t2)

    Batterham al. (2013) The Stigma of Suicide Scale. Psychometric properties and correlates of the stigma of suicide. Crisis 34(1):13-21

  2. Literacy of Suicide Scale (LOSS)

    Time frame: Immediately after the intervention (t1); Two weeks after the intervention (t2)

    Batterham et al. (2013) Correlates of suicide stigma and suicide literacy in the community. Suicide Life Threat Behav 43(4):406-417

  3. Cognitions Concerning Suicide Scale (CCSS)

    Time frame: Immediately after the intervention (t1); Two weeks after the intervention (t2)

    Cwik et al. (2017) Measuring attitudes towards suicide: Preliminary evaluation of an attitude towards suicide scale. Compr Psychiatry 72:56-65

  4. General help-seeking questionnaire suicidal ideation subscale (GHSQ-SI)

    Time frame: Immediately after the intervention (t1); Two weeks after the intervention (t2)

    Wilson et al. (2005) Measuring help-seeking intentions: Properties of the General Help-Seeking Questionnaire. Canadian Journal of Counselling 39(1):15-28

  5. Current suicidality

    Time frame: Immediately after the intervention (t1); Two weeks after the intervention (t2)

    One item adapted from the PHQ-9 (Kroenke et al. 2001; "Do you currently experience thoughts that you would be better off dead or of hurting yourself?" response scale from 1 (not at all) to 7 (very much)

  6. Positive and Negative Affect Schedule (PANAS), negative affect subscale

    Time frame: Immediately after the intervention (t1); Two weeks after the intervention (t2)

    Breyer & Bluemke (2016) Deutsche Version der Positive and Negative Affect Schedule PANAS (GESIS Panel). ZIS - GESIS Leibniz Institute for the Social Sciences

  7. Patient Health Questionnaire (PHQ-2)

    Time frame: Two weeks after the intervention (t2)

    Löwe et al. (2005) Detecting and monitoring depression with a two-item questionnaire (PHQ-2). Journal of Psychosomatic Research 58(2):163-171

Sponsors and collaborators

Lead sponsor

University of Ulm

Other

Registry information

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Feb 16, 2021
Registry last updated
Jun 10, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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