Development and evaluation of e-mental health interventions to reduce stigmatization of suicidality – a study protocol
Abstract Background Worldwide, approximately 800,000 persons die by suicide every year; with rates of suicide attempts estimated to be much higher. Suicidal persons often suffer from a mental disorder but stigma, lack of available and suitable support, and insufficient information on mental health l...
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doaj-54e4a527190443a2904a0a3af8b77ae52020-11-25T02:36:34ZengBMCBMC Psychiatry1471-244X2019-05-0119111210.1186/s12888-019-2137-0Development and evaluation of e-mental health interventions to reduce stigmatization of suicidality – a study protocolMareike Dreier0Julia Ludwig1Martin Härter2Olaf von dem Knesebeck3Johanna Baumgardt4Thomas Bock5Jörg Dirmaier6Alison J. Kennedy7Susan A. Brumby8Sarah Liebherz9Department of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-EppendorfDepartment of Medical Sociology, Center for Psychosocial Medicine, University Medical Center Hamburg-EppendorfDepartment of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-EppendorfDepartment of Medical Sociology, Center for Psychosocial Medicine, University Medical Center Hamburg-EppendorfDepartment of Psychiatry and Psychotherapy, Center for Psychosocial Medicine, University Medical Center Hamburg-EppendorfDepartment of Psychiatry and Psychotherapy, Center for Psychosocial Medicine, University Medical Center Hamburg-EppendorfDepartment of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-EppendorfNational Centre for Farmer Health, School of Medicine, Deakin UnversityNational Centre for Farmer Health, School of Medicine, Deakin UnversityDepartment of Medical Psychology, Center for Psychosocial Medicine, University Medical Center Hamburg-EppendorfAbstract Background Worldwide, approximately 800,000 persons die by suicide every year; with rates of suicide attempts estimated to be much higher. Suicidal persons often suffer from a mental disorder but stigma, lack of available and suitable support, and insufficient information on mental health limit help seeking. The use of internet-based applications can help individuals inform themselves about mental disorders, assess the extent of their own concerns, find local treatment options, and prepare for contact with health care professionals. This project aims to develop and evaluate e-mental health interventions to improve knowledge about suicidality and to reduce stigmatization of those affected. In developing these interventions, a representative telephone survey was conducted to detect knowledge gaps and stigmatizing attitudes in the general population. Methods First, a national representative telephone survey with N = 2000 participants in Germany was conducted. Second, e-mental health interventions are developed to address knowledge gaps and public stigma detected in the survey. These comprise an evidence-based health information package about suicidality, information on regional support services, a self-administered depression test—including suicidality—and an interactive online intervention including personal stories. The development is based on a trialogical exchange of experience between persons affected by suicidality, relatives of affected persons, and clinical experts. Australian researchers who developed an e-mental health intervention for individuals affected by rural suicide were invited to a workshop in order to contribute their knowledge and expertise. Third, the online intervention will be evaluated by a mixed methods design. Discussion From representative telephone survey data, content can be developed to address specific attitudes and knowledge via the e-mental health interventions. These interventions will be easily accessed and provide an opportunity to reach people who tend not to seek professional services, prefer to inform themselves in advance and/or wish to remain anonymous. Evaluation of the online intervention will provide information on any changes in participants’ self-stigma and perceived-stigma of suicidality, and any increase in participants’ knowledge on suicidality or self-efficacy expectations. Trial registration German Clinical Trial Register DRKS00015071 on August 6, 2018.http://link.springer.com/article/10.1186/s12888-019-2137-0SuicideStigmaMental health literacyE-mental healthTelephone surveyMixed methods research |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mareike Dreier Julia Ludwig Martin Härter Olaf von dem Knesebeck Johanna Baumgardt Thomas Bock Jörg Dirmaier Alison J. Kennedy Susan A. Brumby Sarah Liebherz |
spellingShingle |
Mareike Dreier Julia Ludwig Martin Härter Olaf von dem Knesebeck Johanna Baumgardt Thomas Bock Jörg Dirmaier Alison J. Kennedy Susan A. Brumby Sarah Liebherz Development and evaluation of e-mental health interventions to reduce stigmatization of suicidality – a study protocol BMC Psychiatry Suicide Stigma Mental health literacy E-mental health Telephone survey Mixed methods research |
author_facet |
Mareike Dreier Julia Ludwig Martin Härter Olaf von dem Knesebeck Johanna Baumgardt Thomas Bock Jörg Dirmaier Alison J. Kennedy Susan A. Brumby Sarah Liebherz |
author_sort |
Mareike Dreier |
title |
Development and evaluation of e-mental health interventions to reduce stigmatization of suicidality – a study protocol |
title_short |
Development and evaluation of e-mental health interventions to reduce stigmatization of suicidality – a study protocol |
title_full |
Development and evaluation of e-mental health interventions to reduce stigmatization of suicidality – a study protocol |
title_fullStr |
Development and evaluation of e-mental health interventions to reduce stigmatization of suicidality – a study protocol |
title_full_unstemmed |
Development and evaluation of e-mental health interventions to reduce stigmatization of suicidality – a study protocol |
title_sort |
development and evaluation of e-mental health interventions to reduce stigmatization of suicidality – a study protocol |
publisher |
BMC |
series |
BMC Psychiatry |
issn |
1471-244X |
publishDate |
2019-05-01 |
description |
Abstract Background Worldwide, approximately 800,000 persons die by suicide every year; with rates of suicide attempts estimated to be much higher. Suicidal persons often suffer from a mental disorder but stigma, lack of available and suitable support, and insufficient information on mental health limit help seeking. The use of internet-based applications can help individuals inform themselves about mental disorders, assess the extent of their own concerns, find local treatment options, and prepare for contact with health care professionals. This project aims to develop and evaluate e-mental health interventions to improve knowledge about suicidality and to reduce stigmatization of those affected. In developing these interventions, a representative telephone survey was conducted to detect knowledge gaps and stigmatizing attitudes in the general population. Methods First, a national representative telephone survey with N = 2000 participants in Germany was conducted. Second, e-mental health interventions are developed to address knowledge gaps and public stigma detected in the survey. These comprise an evidence-based health information package about suicidality, information on regional support services, a self-administered depression test—including suicidality—and an interactive online intervention including personal stories. The development is based on a trialogical exchange of experience between persons affected by suicidality, relatives of affected persons, and clinical experts. Australian researchers who developed an e-mental health intervention for individuals affected by rural suicide were invited to a workshop in order to contribute their knowledge and expertise. Third, the online intervention will be evaluated by a mixed methods design. Discussion From representative telephone survey data, content can be developed to address specific attitudes and knowledge via the e-mental health interventions. These interventions will be easily accessed and provide an opportunity to reach people who tend not to seek professional services, prefer to inform themselves in advance and/or wish to remain anonymous. Evaluation of the online intervention will provide information on any changes in participants’ self-stigma and perceived-stigma of suicidality, and any increase in participants’ knowledge on suicidality or self-efficacy expectations. Trial registration German Clinical Trial Register DRKS00015071 on August 6, 2018. |
topic |
Suicide Stigma Mental health literacy E-mental health Telephone survey Mixed methods research |
url |
http://link.springer.com/article/10.1186/s12888-019-2137-0 |
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