The objective of the Think Life study is to test the effect of an online, unguided self-help intervention, i.e. Think Life. The primary hypothesis is that Think Life will reduce suicidal ideation. The secondary hypothesis is that Think Life will lead to improvements in depressive symptoms, hopelessness, rumination, and anxiety. Positive changes are expected after completing Think Life and at follow-up, twelve weeks after baseline.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Enrollment
724
The intervention was originally developed by van Spijker, van Straten, and Kerkhof (2010). For this study, it was adapted to the Flemish context and called Think Life. Think Life is mainly based Cognitive Behaviour Therapy (CBT). Additionally, it encompasses elements from Dialectical Behaviour Therapy (DBT), Problem Solving Therapy (PST), and Mindfulness Based Cognitive Therapy (MBCT). It encompasses six modules and every module starts with a psycho-educational section followed by a weekly assignment, core exercises and optional exercises. The participant weekly receives access to a new module. A more detailed description of the intervention is described elsewhere (Kerkhof, van Spijker, \& Mokkenstorm, 2013; van Spijker et al., 2010; van Spijker, van Straten, et al., 2014).
Beck Scale for Suicide Ideation
Changes in severity of suicidal ideation
Time frame: Baseline, and 2, 4, 6 (post-test) and 12 weeks (follow-up) after baseline
Suicidal Ideation Attributes
Changes in severity of suicidal ideation
Time frame: Baseline, and 2, 4, 6 (post-test) and 12 weeks (follow-up) after baseline
Beck Depression Inventory - second edition
Changes in symptoms and severity of depression
Time frame: Baseline, and 2, 4, 6 (post-test) and 12 weeks (follow-up) after baseline
Beck Hopelessness Scale
Changes in one's negative attitude towards the future
Time frame: Baseline, and 6 (post-test) and 12 weeks (follow-up) after baseline
Penn State Worry Questionnaire - Past Week
Changes in degree of worrying
Time frame: Baseline, and 6 (post-test) and 12 weeks (follow-up) after baseline
Hospital Anxiety and Depression Scale
Changes in anxiety
Time frame: Baseline, and 6 (post-test) and 12 weeks (follow-up) after baseline
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