Reducing patients’ suicide ideation through training mental health teams in the application of the Dutch multidisciplinary practice guideline on assessment and treatment of suicidal behavior: study protocol of a randomized controlled trial

Trials

Ad JFM Kerkhof²  Remco FP de Winter⁶  Erik van Duijn³  Bas Verwey⁷  Jan Mokkenstorm⁴  Jos de Keijser¹  Judith E Bosmans⁵  Marieke H de Groot²  Derek P de Beurs² 

[1] GGZ Foundation for Mental Health Care, Friesland and Groningen University, Groningen, The Netherlands;EMGO Institute for Health and Care Research, Amsterdam, The Netherlands;GGZ Foundation for Mental Health Care, Delfland, The Netherlands;GGZ Foundation for Mental Health Care, GGZ inGeest, 113Online Foundation, Amsterdam, The Netherlands;Department of Health Sciences, Faculty of Earth and Life Sciences, VU University, Amsterdam, The Netherlands;GGZ Foundation for Mental Health Care, Parnassia, The Hague, The Netherlands;Rijnstate Hospital, Arnhem, The Netherlands

关键词: Professionals;    Train-the-trainer;    E-learning;    Multicentre;    Cost-utility;    Cost-effectiveness;    Implementation;    Guideline application;    Suicidal behavior;    Suicide prevention;   

Others  :  807940
DOI  :  10.1186/1745-6215-14-372

 received in 2013-05-03, accepted in 2013-10-23,  发布年份 2013

【 摘 要 】

Background

To strengthen suicide prevention skills in mental health care in The Netherlands, multidisciplinary teams throughout the country are trained in the application of the new Dutch guideline on the assessment and treatment of suicidal behavior. Previous studies have shown beneficial effects of additional efforts for guideline implementation on professionals’ attitude, knowledge, and skills. However, the effects on patients are equally important, but are rarely measured. The main objective of this study is to examine whether patients of multidisciplinary teams who are trained in guideline application show greater recovery from suicide ideation than patients of untrained teams.

Methods/Design

This is a multicentre cluster randomized controlled trial (RCT), in which multidisciplinary teams from mental health care institutions are matched in pairs, and randomly allocated to either the experimental or control condition. In the experimental condition, next to the usual dissemination of the guideline (internet, newsletter, books, publications, and congresses), teams will be trained in the application of the guideline via a 1-day small interactive group training program supported by e-learning modules. In the control condition, no additional actions next to usual dissemination of the guideline will be undertaken.

Assessments at patient level will start when the experimental teams are trained. Assessments will take place upon admission and after 3 months, or earlier if the patient is discharged. The primary outcome is suicide ideation. Secondary outcomes are non-fatal suicide attempts, level of treatment satisfaction, and societal costs. Both a cost-effectiveness and cost-utility analysis will be performed. The effects of the intervention will be examined in multilevel models.

Discussion

The strengths of this study are the size of the study, RCT design, training of complete multidisciplinary teams, and the willingness of both management and staff to participate.

Trial registration

Netherlands trial register: NTR3092

【 授权许可】

   
2013 de Beurs et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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