UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000043702
Receipt number R000049486
Scientific Title The development of a psychoeducational program for suicide prevention by targeting self-image
Date of disclosure of the study information 2021/03/22
Last modified on 2024/09/23 12:54:55

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Basic information

Public title

The development of a psychoeducational program for suicide prevention by targeting self-image

Acronym

The development of a psychoeducational program for suicide prevention by targeting self-image

Scientific Title

The development of a psychoeducational program for suicide prevention by targeting self-image

Scientific Title:Acronym

The development of a psychoeducational program for suicide prevention by targeting self-image

Region

Japan


Condition

Condition

Suicide Risk

Classification by specialty

Psychiatry Adult

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to develop a suicide prevention psychoeducational program for Japanese university students, which targert the self-image.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1. Mini-International Neuropsychiatric Interview
2. Patient Health Questionnaire-9
3. Beck Hoplessness Scale
(Before intervention, After intervention, 4 weeks after intervention)

Key secondary outcomes

1. Rosenberg Self-Esteem Scale (RSES-Mimura & Griffiths, 2007)
2.Self-Compassion Scale ( SCS-Arimitsu, 2014)
3. The Self-directedness subscale of the Temperament and Character Inventory (TCI-Kijima et al., 1996)
(Before intervention, After intervention, 4 weeks after intervention)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

1

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

Students will participate in a 60-minute session once a week for a total of four times. There will be a homework assignment after each session and the homework will be checked at the beginning of the next session. The content of the psychoeducational program is developed around self-esteem, self-compassion and cognitive behavioral therapy.
Session 1: Self-esteem and self-compassion
Session 2: Cognitive distortion
Session 3: Criticism of others and self-criticism
Session 4: Suicide Prevention and Program Summary

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit

30 years-old >

Gender

Male and Female

Key inclusion criteria

1. University students or graduate students enrolled at Hokkaido University
2.Students who received a mental health consultation at Hokkaido University Health Center
3. PHQ-9 total score is 20 points or less
4. Item 9 of PHQ-9 (which assess suicidal ideation) is 1-2 points.

Key exclusion criteria

1. The total score of PHQ-9 is more than 20 points.
2. Item 9 of PHQ-9 is 0 or 3 points
3.Patients who are judged by the attending physician to be unsuitable to participate in the study.

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Nobuyuki
Middle name
Last name Mitsui

Organization

Graduate School of Medicine, Hokkaido University

Division name

Department of Psychiatry

Zip code

060-8638

Address

Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido

TEL

011-706-5160

Email

nmitsui@med.hokudai.ac.jp


Public contact

Name of contact person

1st name Nobuyuki
Middle name
Last name Mitsui

Organization

Graduate School of Medicine, Hokkaido University

Division name

Department of Psychiatry

Zip code

060-8638

Address

Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido

TEL

011-706-5160

Homepage URL


Email

nmitsui@med.hokudai.ac.jp


Sponsor or person

Institute

Hokkaido University

Institute

Department

Personal name



Funding Source

Organization

The Mental Health Okamoto Memorial Foundation

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical Committee of Hokkaido University Graduate School of Medicine

Address

Kita 15, Nishi 7, Kita-ku, Sapporo, Hokkaido

Tel

011-706-5003

Email

shomu@med.hokudai.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

北海道大学保健センター


Other administrative information

Date of disclosure of the study information

2021 Year 03 Month 22 Day


Related information

URL releasing protocol

https://rctportal.niph.go.jp/s/detail/um?trial_id=UMIN000043702

Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

17

Results

Following the intervention, the study observed moderate to large improvements in self-esteem, self-compassion, hopelessness, depression, and suicide risk. The participants also reported reliable changes in clinical outcomes and positive perceptions of the program.

Results date posted

2024 Year 09 Month 23 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2024 Year 08 Month 31 Day

Baseline Characteristics

All participants were Japanese. Fourteen participants (21.4% female) completed the psychoeducation program. The mean age of the sample was 22.53 years (SD = 2.35), with ages ranging from 18 to 28 years. Among the participants, three (21.4%) had attempted suicide in the past.

Participant flow

A total of 17 participants consented to participate in the intervention, 14 completed post-treatment assessment, 10 completed the four-week follow-up assessment, and 8 completed the eight-week and twelve-week follow-up assessment.

Adverse events


Outcome measures

The paired-sample t-test indicated that self-compassion (g = 1.02 [0.56; 1.48]), depression (g = 0.62 [0.22; 1.03]), hopelessness (g = 0.49 [0.18; 0.79]), and suicide risk (g = 0.43 [0.06; 0.79]) significantly changed from baseline to post-intervention. At the four-week follow-up, we observed significant changes between baseline and one-month-follow-up for self-esteem and self-compassion, with a large effect size (g = 1.04 [0.39; 1.69]) and a moderate effect size (g = 0.53 [0.08; 0.98]) respectively. At the eight-week follow-up, improvements in self-esteem (g = 0.44 [0.05; 0.82]) and self-compassion (g = 1.00 [0.20; 1.80]) remained significant. Additionally, changes in hopelessness (g = 0.37 [0.09; 0.66]) and suicide risk (g = 0.64 [0.27; 1.01]) returned to be significant during this period. At the twelve-week follow-up, the paired-sample t-test demonstrated that only self-compassion (g = 1.22 [0.05; 2.38]), suicide risk (g = 0.68 [0.03; 1.33]), and depression (g = 0.96 [0.44; 1.48]) showed significant changes with moderate to large effect sizes.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2020 Year 10 Month 29 Day

Date of IRB

2021 Year 06 Month 16 Day

Anticipated trial start date

2021 Year 04 Month 01 Day

Last follow-up date

2024 Year 03 Month 31 Day

Date of closure to data entry

2024 Year 03 Month 31 Day

Date trial data considered complete


Date analysis concluded

2024 Year 04 Month 02 Day


Other

Other related information



Management information

Registered date

2021 Year 03 Month 22 Day

Last modified on

2024 Year 09 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049486