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dc.contributor.authorCalear, AL
dc.contributor.authorBrewer, JL
dc.contributor.authorBatterham, PJ
dc.contributor.authorMackinnon, A
dc.contributor.authorWyman, PA
dc.contributor.authorLoMurray, M
dc.contributor.authorShand, F
dc.contributor.authorKazan, D
dc.contributor.authorChristensen, H
dc.date.accessioned2021-02-05T00:36:15Z
dc.date.available2021-02-05T00:36:15Z
dc.date.issued2016-07-26
dc.identifierpii: 10.1186/s13063-016-1475-1
dc.identifier.citationCalear, A. L., Brewer, J. L., Batterham, P. J., Mackinnon, A., Wyman, P. A., LoMurray, M., Shand, F., Kazan, D. & Christensen, H. (2016). The Sources of Strength Australia Project: study protocol for a cluster randomised controlled trial. TRIALS, 17 (1), https://doi.org/10.1186/s13063-016-1475-1.
dc.identifier.issn1745-6215
dc.identifier.urihttp://hdl.handle.net/11343/260073
dc.description.abstractBACKGROUND: The school system has been identified as an ideal setting for the implementation of prevention and early intervention programs for suicide. However, in Australia, suicide-prevention programs that are routinely delivered in the schools are lacking. Internationally, evidence exists for the effectiveness of peer-led interventions that take a social connectedness approach to improve help-seeking for suicide. The aim of the current trial is to test the effectiveness of the Sources of Strength program to promote help-seeking for suicide in adolescents in Australian high schools. METHODS/DESIGN: This study is a two-arm, cluster-randomised, controlled trial that will compare the evidence-based Sources of Strength program to a wait-list control condition. Sixteen Australian high schools will be recruited to the trial, with all adolescents in years 7 to 10 (12-16 years of age) invited to participate. Peer leaders from intervention-condition schools will receive training in the Sources of Strength program and will integrate positive messages, across 3 months, with the support of adult advisors. Activities may take the form of class presentations, posters, videos, and messages on social media sites and will aim to change help-seeking norms, strengthen youth-adult connections, and promote positive coping. The primary outcome measure for the study is help-seeking intentions, whereas secondary outcomes include help-seeking behaviour, help-seeking attitudes and norms, referral of distressed peers, availability of adult help, positive coping, and suicidal behaviour. Data will be collected pre-intervention, post-intervention (after the initial 3 months of messaging), and at the end of the first (6-month follow-up) and the second year after implementation (18-month follow-up). Primary analyses will compare changes in help-seeking intentions for the intervention condition relative to the wait-list control condition using mixed-effect repeated-measures analyses to account for clustering within schools. DISCUSSION: If proven effective, this universal social connectedness program for suicide could be more widely delivered in Australian high schools, providing a valuable new resource. The Sources of Strength program has the potential to significantly contribute to the mental health of young people in Australia by improving help-seeking for suicide. The findings from this research will also contribute to the evidence-base for peer-leadership programs internationally. TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry, ACTRN12616000048482 . Registered on 19 January 2016.
dc.languageEnglish
dc.publisherBIOMED CENTRAL LTD
dc.rights.urihttps://creativecommons.org/licenses/by/4.0
dc.titleThe Sources of Strength Australia Project: study protocol for a cluster randomised controlled trial
dc.typeJournal Article
dc.identifier.doi10.1186/s13063-016-1475-1
melbourne.affiliation.departmentMelbourne School of Population and Global Health
melbourne.affiliation.facultyMedicine, Dentistry & Health Sciences
melbourne.source.titleTrials
melbourne.source.volume17
melbourne.source.issue1
dc.rights.licenseCC BY
melbourne.elementsid1089140
melbourne.contributor.authorMacKinnon, Andrew
dc.identifier.eissn1745-6215
melbourne.accessrightsOpen Access


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