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Completed

NCT Number: NCT01287416

Circle of Life. Improving Capacity of Swampy Cree Community Members to Recognize People at Risk for Suicide

Primary Hypothesis: Participants in the Applied Suicide Intervention Skills Training (ASIST) gatekeeper training will be significantly more likely to have increased knowledge and preparedness to help people with suicidal ideation than participants who receive the resilience retreat.

Secondary Hypotheses:

1. Participants in ASIST gatekeeper training will not have higher levels of post-intervention distress or suicidal ideation compared to the resilience retreat. 2. High levels of distress, grief, and alcohol abuse will significantly impact on the learning and retention of suicide intervention skills.

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Key information

Age range

16 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Manitoba Department of Psychiatry

Winnipeg, Manitoba, R3E 3N4, Canada

About this study

Inclusion criterion: All members of the Swampy Cree Tribal communities who are currently residing on the reserves will be eligible to participate in the study.

Exclusion criterion: Exclusion criteria for the study include being less than 16 years of age, prior training in SafeTALK or ASIST, being an elected official in a First Nations community, and inability to read or write.

Primary outcome: Skills in Suicide Intervention: Suicide Intervention Response Inventory.The Suicide Intervention Response Inventory (SIRI) will be used to detect enhancement of intervention skills in participants. The SIRI is a self-administered test that was designed to measure competence in choosing appropriate response to a series of clinical scenarios with suicidal individuals. Research on the SIRI has shown its good psychometric properties, freedom from social desirability effects, and responsiveness to training in suicide prevention. It contains 25 items, each of which consists of a "client" remark and two "helper" responses. Responses are judged based on response options made by highly expert suicidologists. The SIRI has shown good internal consistency with alpha of 0.834, and good test-retest reliability.

Secondary Outcomes:

  • Knowledge about suicide, attitudes toward suicide, and self-reported preparedness to intervene with suicidal behavior will be measured by a series of questions that were developed by LivingWorks Inc.
  • Gatekeeper behaviors will be measured similar to questions utilized by Wyman in the school-based study that assess how many people had the person asked others about suicide.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • All members of the Swampy Cree Tribal communities who are currently residing on the reserves will be eligible to participate in the study.

Exclusion criteria

  • being less than 16 years of age
  • prior training in SafeTALK or ASIST
  • being an elected official in a First Nations community

Treatment and study plan

Applied Suicide Intervention Skills Training

Behavioral

Applied Suicide Intervention Skills Training (ASIST) is a 2-day, 14 hour suicide intervention skills training workshop.

Other names: ASIST

Resilience Retreat

Behavioral

The Resilience Retreat is a 2-day, 14 hour session

Primary outcomes

  1. SIRI Questionnaire Score

    Time frame: pre-training, post-training and 6 mo follow up

    The Suicide Intervention Response Inventory (SIRI-2) will be used to detect enhancement of intervention skills in participants. The 25-item SIRI-2 is a self-administered test that was designed to measure competnce in choosing appropriate response to a series of clinical scenarios with suicidal individuals. Research on the SIRI-2 has shown its good psychometric properties, freedom from social desirabiity effects and responsiveness to training in suicide prevention.

Secondary outcomes

  1. Self-perceived Confidence in Helping a Suicidal Individual

    Time frame: pre-training, post-training and 6 month follow-up

    Meaures the level of confidence that the individual believes they have in helping a suicidal person based on a 4 point Likert scale ranging from 1 (not at all confident) to 4 (very confident).

  2. Self-perceived Skill in Helping a Suicidal Individual

    Time frame: pre-training, post-training and 6 month follow-up

    Measures the level of ability that the individual believes they have in helping a suicidal person based on a 4 point Likert scale ranging from 1 (not at all skilled) to 4 (very skilled).

  3. Self-perceived Knowledge About Suicide

    Time frame: pre-training, post-training and 6 month follow-up

    Measures the level of knowledge about suicide that the individual believes they have based on a 4 point Likert scale ranging from 1 (not at all knowledgeable) to 4 (very knowledgeable).

  4. Self-perceived Preparedness

    Time frame: pre-training, post-training and 6 month follow-up

    Measures the level of preparedness of the individual to help someone who is suicidal based on a 4 point Likert scale ranging from 1 (not at all prepared) to 4 (very prepared).

  5. Self-reported Distress

    Time frame: pre-training and 6 month follow-up

    Measures the level of distress in the participant using the K6 distress scale. The scale is comprised of six questions which are scored from 0 (none of the time) to 4 (all of the time). The sum of the scores from all six questions was used to determine a total scale score which ranges from 0 (not at all distressed) to 24 (very distressed).

  6. Self-reported Alcohol Use

    Time frame: pre-training and 6 month follow-up

    Details participants' level of alcohol consumption and if it may be harmful according to the AUDIT. The AUDIT scale is comprised of ten questions with most questions being scored from 0 (never) to 4 (4 or more times per week). The sum of the scores from all ten questions was used to determine a total scale score which ranges from 0 (no risk related to alcohol) to 40 (high risk related to alcohol). Total scores of 8 or more are recommended as indicators of hazardous and harmful alcohol use, as well as possible alcohol dependence.

  7. Self-reported Resiliency Score

    Time frame: pre-training and 6 month follow-up

    Assesses resiliency in the participant according to the Connor-Davidson Resilience Scale, 10-item. The CD-RISC 10 is comprised of ten questions scored from 0 (Not at all true) to 4 (True nearly all of the time). The sum of the scores from all ten questions was used to determine a total scale score which ranges from 0 (low resiliency) to 40 (highly resilient).

  8. Lifetime Suicidal Ideation at Baseline

    Time frame: July 19-20, 2010

    Number of people who endorsed having thought about suicide in their lifetime as measured at baseline

  9. Lifetime Suicide Attempt at Baseline

    Time frame: July 19-20, 2010

    Number of people who endorsed having made a suicide attempt in their lifetime as measured at baseline

  10. Suicidal Ideation in Past 2 Days at Baseline

    Time frame: July 19-20, 2010

    Number of people who endorsed having thought about suicide in the past 2 days as measured at baseline (not at all vs a little to a lot)

  11. Number of People With Suicidal Ideation in Past 2 Days Immediately Post Training

    Time frame: July 22-23, 2010

    Number of people who endorsed having thought about suicide in the past 2 days as measured immediately post training (not at all vs a little to a lot)

  12. Suicidal Ideation Since Training at 6 mo Follow-up

    Time frame: January 28-31, 2011

    Number of people who endorsed having thought about suicide since the training as measured at 6 month follow-up (not at all vs a little to a lot)

  13. Attempted Suicide Since Training at 6 mo Follow-up

    Time frame: January 28-31, 2011

    Number of people who endorsed having made a suicide attempt since the training as measured at 6 month follow-up

  14. Gatekeeper Behaviors - Asked Person at Risk About Suicidal Thoughts

    Time frame: January 28-31, 2011

    Number of participants who have asked someone that they thought was at risk about suicidal thoughts since the training, measured at 6 month follow-up assessment.

  15. Gatekeeper Behaviours - Did Not Ask Person at Risk

    Time frame: January 28-31, 2011

    Number of participants who did not ask someone about their suicidal thoughts even though they thought they were at risk, measured at 6 month follow-up assessment based on time since training.

Sponsors and collaborators

Lead sponsor

University of Manitoba

Other

Collaborators

  • Canadian Institutes of Health Research (CIHR)

Registry information

Official study title

Circle of Life.Improving Capacity of Swampy Cree Community Members to Recognize People at Risk for Suicide: A Randomized Controlled Pilot Study

Important dates

Study start
2010
Primary completion
2011
Study completion
2011
First posted
Feb 1, 2011
Registry last updated
May 13, 2014

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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