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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.
- Source :
-
Trials [Trials] 2013 Nov 06; Vol. 14, pp. 372. Date of Electronic Publication: 2013 Nov 06. - Publication Year :
- 2013
-
Abstract
- 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.<br />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.<br />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.<br />Trial Registration: Netherlands trial register: NTR3092.
- Subjects :
- Attitude of Health Personnel
Computer-Assisted Instruction
Cost-Benefit Analysis
Education, Continuing
Guideline Adherence
Health Care Costs
Health Knowledge, Attitudes, Practice
Health Personnel economics
Health Personnel psychology
Humans
Inservice Training economics
Mental Health Services economics
Netherlands
Patient Care Team economics
Practice Guidelines as Topic
Psychiatric Status Rating Scales
Suicide economics
Suicide psychology
Surveys and Questionnaires
Time Factors
Treatment Outcome
Health Personnel education
Health Personnel standards
Inservice Training standards
Mental Health Services standards
Patient Care Team standards
Research Design
Suicidal Ideation
Suicide Prevention
Subjects
Details
- Language :
- English
- ISSN :
- 1745-6215
- Volume :
- 14
- Database :
- MEDLINE
- Journal :
- Trials
- Publication Type :
- Academic Journal
- Accession number :
- 24195781
- Full Text :
- https://doi.org/10.1186/1745-6215-14-372