Healthcare for Men with Suicidal Thoughts: Needs Assessment

NCT06375200 | Completed DMC

• 1 other identifier: ONZ-2024-0066
• Study Type: observational
• Target: 500
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the current project is twofold, namely

1. 1.To gain insight into needs related to help-seeking among men with (previous) suicidal thoughts (STUDY 1). More specifically, this study examines help-seeking behaviour, possible barriers to seeking help and needs with regard to existing tools and health care among men who had suicidal thoughts. In other words, is there a difference in help-seeking behaviour between men and women with suicidal thoughts in the past and what factors contribute to this difference? More specifically:
2. 2.To what extent do men with suicidal thoughts in the past recognize their need for help, compared to women with suicidal thoughts in the past?
3. 3.What barriers and needs do men with suicidal thoughts in the past experience towards seeking help, compared to women with suicidal thoughts in the past?
4. 4.What barriers and needs do men with suicidal thoughts in the past experience to remain engaged in help, compared to women with suicidal thoughts in the past?
5. 5.To map out needs of healthcare providers in working with men with suicidal thoughts and/or behaviour (STUDY 2). More specifically, how do healthcare providers experience working with men who are feeling suicidal and what are their experienced barriers and needs. Two main research questions were formulated:
6. 6.How do health care providers experience working with men (in comparison to women or people of other genders) who are feeling suicidal?
7. 7.What needs and barriers do health care providers experience when working with men (in comparison to women or people of other genders) who are feeling suicidal?

Conditions

Suicide Prevention; Help-Seeking Behavior; Men

Outcome Measures

Primary Outcomes (8)

• STUDY 1: Help-seeking behavior

  Actual help-seeking questionnaire (Rickwood ea, 2005); adapted based on study Tang ea 2023. 9 items to be rated if consulted \[yes/no/not applicable\] for suicidal thoughts and satisfaction with received support/advice \[very dissatisfied, rather dissatisfied, neutral, rather satisfied, very satisfied\]

  Baseline. Completing the questionnaire will take about 15-20 minutes

• STUDY 1: Experienced need

  Single item from study Tang et al., 2022 \[on a scale from 0-10\]

  Baseline. Completing the questionnaire will take about 15-20 minutes

• STUDY 1: Emotional Openness

  Self-developed question need/possibility for openness about suicidal thoughts \[no need; insufficient opportunity; moderate opportunity; sufficient opportunity; more than sufficient opportunity\] 12-item Distress Disclosure Index (Kahn \& Hessling, 2001): 12 items to be rated on a 5-point Likert scale \[strongly disagree to strongly agree\]

  Baseline. Completing the questionnaire will take about 15-20 minutes

• STUDY 1: Barriers

  Barriers to Access to Care Evaluation (BACE; Clement ea, 2012): 30 items to be rated on a 4-point Likert scale (\[not at al, a little, quite a lot, a lot\]

  Baseline. Completing the questionnaire will take about 15-20 minutes

• STUDY 1: Self-reliance

  CMNI self-reliance factor (Mahalik ea, 2003; Levant ea, 2020): 5 items to be rated on a 4-point Likert scale \[strongly disagree, disagree, agree, strongly agree\]

  Baseline. Completing the questionnaire will take about 15-20 minutes

• STUDY 1: Stigma

  Self Stigma Scale for Seeking Help (Vogel ea 2006): 10 items to be rated on a 5-point Likert scale \[strongly disagree to strongly agree\]

  Baseline. Completing the questionnaire will take about 15-20 minutes

• STUDY 1: needs of individuals with suicidal ideation

  Needs: 13 needs which they can indicate whether they didn't/don't need, need(ed) but didn't receive or need(ed) and receive(d). Follow-up questions on needed information, needed professional support and needed social contact.

  Baseline. Completing the questionnaire will take about 15-20 minutes

• STUDY 2: needs of healthcare providers

  self-developed questionnaire: experienced differences in working with men/women with suicidal thoughts \[open question; 1 item on general differences on 5-point likert scale; 15 statements of aspects of care with 5-point scale to indicate differences\]; needed support in working with suicidal men \[open\]; need for training \[yes/no\]; preferred format for training \[webinar, e-learning, folder, information on website, study day, physical class, other\]; maximum time to be invested in training \[\<15 minutes, 15-30 minutes, 30 minutes - 1 hour; 1-2 hours; half a day; an entire day; multiple days\]; needed information \[open\]; conditions to partake in training \[open\]; where do healthcare providers expect to find information on this subject \[suicide prevention websites, websites of professional associations, other\]; other needs \[open\]; knowledge of existing tools, trainings and websites \[yes/no\]; use of existing websites \[yes/no\]

  Baseline. Completing the questionnaire will take about 10-15 minutes

Other Outcomes (4)

• STUDY 1: Socio-demographic characteristics

  Baseline. Completing the questionnaire will take about 5-10 minutes

• STUDY 1: Suicidality

  Baseline. Completing the questionnaire will take about 15-20 minutes

• STUDY 2: socio-demographic variables

  Baseline. Completing the questionnaire will take about 10-15 minutes

Study Arms (4)

Individuals with suicidal thoughts (Questionnaire)

Anticipated n=274 * Adults (≥18y/o) * Experienced suicidal thoughts in the past three year * Access to internet administered a one time online questionnaire (15-20 min.)

Other: No intervention

Individuals with suicidal thoughts (Focus Group)

Anticipated n=60 * Adults (≥18y/o) * Experienced suicidal thoughts in the past three year * Access to internet administered a one time online background questionnaire (5-10min.) and partake in a focus group (2h)

Other: No intervention

Healthcare providers (Questionnaire)

Anticipated n=360 * Healthcare providers (eg GP's, psychiatrists, medical doctors, psychologists, psychotherapists, and nurses working in healthcare) (≥18y/o) * Previously encountered men with suicidal thoughts and/or behaviour professionally administered a one time online questionnaire (10-15 min.)

Other: No intervention

Healthcare providers (Focus group)

Anticipated n=20 * Healthcare providers (eg GP's, psychiatrists, medical doctors, psychologists, psychotherapists, and nurses working in healthcare) (≥18y/o) * Previously encountered men with suicidal thoughts and/or behaviour professionally administered a one time online questionnaire (10-15 min.) and optionally partake in an online focus group (2h)

Other: No intervention

Interventions

No intervention OTHER

Observational one-time questionnaire study without intervention

Healthcare providers (Focus group); Healthcare providers (Questionnaire); Individuals with suicidal thoughts (Focus Group); Individuals with suicidal thoughts (Questionnaire)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

STUDY 1: adults with suicidal ideation in the past 3 years STUDY 2: healthcare providers working with men with suicidal ideation

You may qualify if:

• Adults (≥18y/o)
• Experienced suicidal thoughts in the past three year
• Access to internet

You may not qualify if:

• STUDY 2:
• Healthcare providers (eg GP's, psychiatrists, medical doctors, psychologists, psychotherapists, and nurses working in healthcare) (≥18y/o)
• Previously encountered men with suicidal thoughts and/or behaviour professionally

Sponsors & Collaborators

• University Ghent: lead

Study Sites (1)

Flemish Centre of Expertise in Suicide Prevention, Ghent University

Ghent, 9000, Belgium

Location

Related Publications (10)

• Tang S, Reily NM, Arena AF, Batterham PJ, Calear AL, Carter GL, Mackinnon AJ, Christensen H. People Who Die by Suicide Without Receiving Mental Health Services: A Systematic Review. Front Public Health. 2022 Jan 18;9:736948. doi: 10.3389/fpubh.2021.736948. eCollection 2021.

  PMID: 35118036 BACKGROUND

• Stiawa M, Muller-Stierlin A, Staiger T, Kilian R, Becker T, Gundel H, Beschoner P, Grinschgl A, Frasch K, Schmauss M, Panzirsch M, Mayer L, Sittenberger E, Krumm S. Mental health professionals view about the impact of male gender for the treatment of men with depression - a qualitative study. BMC Psychiatry. 2020 Jun 3;20(1):276. doi: 10.1186/s12888-020-02686-x.

  PMID: 32493263 BACKGROUND

• Clement S, Brohan E, Jeffery D, Henderson C, Hatch SL, Thornicroft G. Development and psychometric properties the Barriers to Access to Care Evaluation scale (BACE) related to people with mental ill health. BMC Psychiatry. 2012 Jun 20;12:36. doi: 10.1186/1471-244X-12-36.

  PMID: 22546012 BACKGROUND

• Kahn JH and Hessling RM (2001) 'Measuring the tendency to conceal versus disclose psychological distress'. Journal of Social and Clinical Psychology, 20(1): 41-65

  BACKGROUND

• Levant RF, McDermott R, Parent MC, Alshabani N, Mahalik JR, Hammer JH. Development and evaluation of a new short form of the Conformity to Masculine Norms Inventory (CMNI-30). J Couns Psychol. 2020 Oct;67(5):622-636. doi: 10.1037/cou0000414. Epub 2020 Feb 3.

  PMID: 32011153 BACKGROUND

• Mahalik, J. R., Locke, B. D., Ludlow, L. H., Diemer, M. A., Scott, R. P. J., Gottfried, M., & Freitas, G. (2003). Development of the Conformity to Masculine Norms Inventory. Psychology of Men & Masculinity, 4(1), 3-25. https://doi.org/10.1037/1524-9220.4.1.3

  BACKGROUND

• Kwon M, Lawn S, Kaine C. Understanding Men's Engagement and Disengagement When Seeking Support for Mental Health. Am J Mens Health. 2023 Mar-Apr;17(2):15579883231157971. doi: 10.1177/15579883231157971.

  PMID: 36880329 BACKGROUND

• Vogel, D. L., Wade, N. G., & Haake, S. (2006). Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology, 53(3), 325-337. https://doi.org/10.1037/0022-0167.53.3.325

  BACKGROUND

• Rickwood, D., Deane, F. P., Wilson, C. J., & Ciarrochi, J. (2005). Young people's help-seeking for mental health problems. Australian E-Journal for the Advancement of Mental Health, 4(3), 218-251. https://doi.org/10.5172/jamh.4.3.218

  BACKGROUND

• Tang, S., Reily, N. M., Batterham, P. J., Draper, B., Shand, F., Han, J., Aadam, B., & Christensen, H. (2023). Correlates of non-receipt of formal mental health services among Australian men experiencing thoughts of suicide. Journal of Affective Disorders Reports, 11, 100455. https://doi.org/10.1016/j.jadr.2022.100455

  BACKGROUND

MeSH Terms

Conditions

Suicide Prevention; Help-Seeking Behavior; Multiple Endocrine Neoplasia Type 1

Condition Hierarchy (Ancestors)

Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior; Social Behavior; Multiple Endocrine Neoplasia; Endocrine Gland Neoplasms; Neoplasms by Site; Neoplasms; Neoplasms, Multiple Primary; Neoplastic Syndromes, Hereditary; Genetic Diseases, Inborn; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Endocrine System Diseases

Study Officials

• Gwendolyn Portzky, PhD

  University Ghent

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 8, 2024
• First Posted: April 19, 2024
• Study Start: April 25, 2024
• Primary Completion: September 24, 2024
• Study Completion: September 27, 2024
• Last Updated: January 23, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

BE (1)