Effects of Community-based Caring Contact on Post-discharge Young Adults With Self-harm

NCT03081078 | Unknown DMC

• 1 other identifier: HKU-ECS-27612816
• Study Type: interventional
• Target: 108
• Locations: 1 country
• Sites: 4

Brief Summary

The study will determine whether community-based caring contact via a mobile app connection with or without volunteer support in addition to treatment as usual (psychiatric and psychosocial treatments) has an effect on suicidal ideation and treatment compliance among post-discharge self-harm young adults.

Conditions

Self Inflicted Injury; Suicide and Self Inflicted Injury

Outcome Measures

Primary Outcomes (5)

• Change from baseline Adult Suicidal Ideation at 1-month, 2-month and 3-month

  Change in scores on Suicidal ideation as measured by the self-report the Adult Suicidal Ideation Questionnaire - the four-item short form in Chinese (ASIQ-4) (Fu, Liu, \& Yip, 2007)

  Baseline, 1 month, 2 months, 3 months

• Change from baseline Measurement of Hopelessness at 1-month, 2-month and 3-month

  Change in scores on Hopelessness as measured by a self-report 4-item short-form of Beck Hopelessness Scale Chinese version (BHS-4) (Beck, Weissman, Lester, \& Trexler, 1974; Yip \& Cheung, 2006; Shek, 1993).

  Baseline, 1 month, 2 months, 3 months

• Change from baseline Interpersonal Needs at 1-month, 2-month and 3-month

  Change in scores on Thwarted Belongingness (TB) and Perceived Burdensomeness (PB) as measured by the Interpersonal Needs Questionnaire (INQ-15), a 15-item measure of beliefs about whether one's need to belong is met or unmet and self-perceptions of being a burden to others (Van Orden, 2012).

  Baseline, 1 month, 2 months, 3 months

• Change from baseline Service Utilization at 1-month, 2-month and 3-month

  Self-reported compliance with prescribed treatment (frequency) in relation to the index self-harm episode, including psychiatric follow-up care (e.g., medication, out-patient follow-up treatment, and community psychiatric nursing service) and psycho-social services (e.g., clinical psychology service, medical social work service, etc.) as measured by a self-developed service utilization checklist.

  Baseline, 1 month, 2 months, 3 months

• Change from baseline Suicidality at 1-month, 2-month and 3-month

  Suicidality as measured by a four-item scale for levels of suicidality in the past 12 months (Centre for Suicide Research and Prevention, The University of Hong Kong, 2005)

  Baseline, 1 month, 2 months, 3 months

Secondary Outcomes (8)

• Change from baseline Depressive state at 1-month, 2-month and 3-month

  Baseline, 1 month, 2 months, 3 months

• Change from baseline Self-harming repetition at 1-month, 2-month and 3-month

  Baseline, 1 month, 2 months, 3 months

• Change from baseline suicide deaths at 1-month, 2-month and 3-month

  Baseline, 1 month, 2 months, 3 months

• Change of baseline index self-harm episode

  Baseline, 1 month, 2 months, 3 months

• Demographic and socioeconomic information

  Baseline

Study Arms (3)

TAU w/ mobile app + volunteer support

EXPERIMENTAL

Participants will be receiving usual medical treatment from the hospitals with a mobile app engagement intervention, plus support from volunteers.

Behavioral: Volunteer support; Other: Mobile app

TAU w/ mobile app engagement

EXPERIMENTAL

Participants will be receiving usual medical treatment from the hospitals with a mobile app engagement intervention.

Other: Mobile app

Treatment as Usual (TAU)

NO INTERVENTION

Participants will be receiving usual medical treatment from the hospitals, and without the interventions (i.e., mobile app and/or volunteer support) introduced through this randomized control trial.

Interventions

Volunteer support BEHAVIORAL

Each participant will be matched with a pair of trained volunteers (under pre-determined safety measures), who will initiate caring contact via telephone or text messages at least twice a month for two months. Participants will be free to respond or not.

TAU w/ mobile app + volunteer support

Mobile app OTHER

Participants will receive programmed care messages and reminders of community resources and healthcare contacts on a regular basis. The app will also provide simple self-help mood checking and relaxation exercises.

Also known as: Mobile app engagement

TAU w/ mobile app + volunteer support; TAU w/ mobile app engagement

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Individuals with an index episode of self-poisoning or self-injury with or without suicide intent, based on the ICD-10 codes for self-harm with and without suicide intent (i.e., X60 to X84 and R45.8)
• Admission to the AEDs at the 4 collaborating public hospitals in Hong Kong (United Christian Hospital, North District Hospital, Queen Mary Hospital, and Pamela Youde Nethersole Eastern Hospital)
• Mentally well assessed by a psychiatrist or Consultation Liaison Nurses (CLNs)
• Capable of providing written Informed Consent Form

You may not qualify if:

• Individuals with DSM-IV-TR Axis II disorder; or
• Individuals with severe psychotic mental illness or bipolar disorder

Sponsors & Collaborators

• The University of Hong Kong: lead
• Queen Mary Hospital, Hong Kong: collaborator
• United Christian Hospital: collaborator
• North District Hospital: collaborator
• Pamela Youde Nethersole Eastern Hospital: collaborator

Study Sites (4)

Pamele Youde Nethersole Eastern Hospital

Chai Wan, Eastern District, 852, Hong Kong

RECRUITING

United Christian Hospital

Sau Mau Ping, Kwun Tong District, 852, Hong Kong

RECRUITING

North District Hospital

Sheung Shui, North District, 852, Hong Kong

RECRUITING

Queen Mary Hospital

Central, Southern District, 852, Hong Kong

RECRUITING

Related Publications (5)

• Law YW, Yip PS, Lai CC, Kwok CL, Wong PW, Liu KS, Ng PW, Liao CW, Wong TW. A Pilot Study on the Efficacy of Volunteer Mentorship for Young Adults With Self-Harm Behaviors Using a Quasi-Experimental Design. Crisis. 2016 Nov;37(6):415-426. doi: 10.1027/0227-5910/a000393. Epub 2016 Jun 9.

  PMID: 27278570 BACKGROUND

• Luxton DD, June JD, Comtois KA. Can postdischarge follow-up contacts prevent suicide and suicidal behavior? A review of the evidence. Crisis. 2013 Jan 1;34(1):32-41. doi: 10.1027/0227-5910/a000158.

  PMID: 22846445 BACKGROUND

• Van Orden KA, Cukrowicz KC, Witte TK, Joiner TE. Thwarted belongingness and perceived burdensomeness: construct validity and psychometric properties of the Interpersonal Needs Questionnaire. Psychol Assess. 2012 Mar;24(1):197-215. doi: 10.1037/a0025358. Epub 2011 Sep 19.

  PMID: 21928908 BACKGROUND

• Law YW, Lok RHT, Chiang B, Lai CCS, Tsui SHM, Chung PYJ, Leung SC. Effects of Community-Based Caring Contact in Reducing Thwarted Belongingness Among Postdischarge Young Adults With Self-Harm: Randomized Controlled Trial. JMIR Form Res. 2023 Aug 16;7:e43526. doi: 10.2196/43526.

  PMID: 37585260 DERIVED

• Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2.

  PMID: 33884617 DERIVED

MeSH Terms

Conditions

Self-Injurious Behavior; Suicide

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• Yik-wa Law, PhD

  The University of Hong Kong

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Frances LAW, PhD

CONTACT

+852-3917-5940; flawhk@hku.hk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: March 3, 2017
• First Posted: March 15, 2017
• Study Start: June 1, 2017
• Primary Completion: March 30, 2021
• Study Completion: June 30, 2021
• Last Updated: October 19, 2020

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

HK (4)