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Psychological therapy for the prevention of suicide in prison: study protocol for a randomised controlled trial

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Title: Psychological therapy for the prevention of suicide in prison: study protocol for a randomised controlled trial
Authors: Pratt, Daniel, Kirkpatrick, Tim, Awenat, Yvonne, Hendricks, Caroline, Perry, Amanda, Carter, Leslie-Anne, Crook, Rebecca, Duxbury, Paula, Lennox, Charlotte, Knowles, Sarah, Brooks, Helen, Davies, Linda, Shields, Gemma, Honeywell, David, Appleby, Louis, Gooding, Patricia, Edge, Dawn, Emsley, Richard, Shaw, Jenny, Haddock, Gillian
Source: BMC Psychiatry
BMC Psychiatry, Vol 24, Iss 1, Pp 1-24 (2024)
Pratt, D, Kirkpatrick, T, Awenat, Y, Hendricks, C, Lennox, C, Davies, L, Shields, G, Appleby, L, Gooding, P, Edge, D, Haddock, G & al, E 2024, 'Psychological therapy for the prevention of suicide in prison: study protocol for a randomised controlled trial', BMC Psychiatry, vol. 24, 927 . https://doi.org/10.1186/s12888-024-06320-y
Publisher Information: Springer Science and Business Media LLC, 2024.
Publication Year: 2024
Subject Terms: Adult, Male, Suicide Prevention, Psychological interventions, RC435-571, Suicide, Attempted, Cognitive therapy, Psychosocial Intervention, Suicidal Ideation, Study Protocol, 03 medical and health sciences, 0302 clinical medicine, Pragmatic Clinical Trials as Topic, Humans, Single-Blind Method, 0501 psychology and cognitive sciences, Randomised controlled trial, Psychiatry, Cognitive Behavioral Therapy, Attempted/psychology, Prisoners, Cognitive Behavioral Therapy/methods, 05 social sciences, Suicidal thoughts and behaviours, Suicide, England, Prisons, Psychosocial Intervention/methods, Prisoners/psychology
Description: Background Suicide is the leading cause of preventable death in prisons. Deaths from suicide in prison are significantly, and persistently, elevated compared to those living in the community. Psychological therapies have been shown to be a potentially effective means of alleviating suicidal thoughts, plans and behaviours, but patients located in prison often have no access to evidence-based psychological interventions targeting suicide. The objectives of this programme of research are to investigate the clinical and cost effectiveness of a new psychological therapy programme delivered to male prisoners at risk of suicide. Methods The PROSPECT trial is a two-armed single blind, pragmatic, randomised controlled trial and will recruit a target sample size of 360 male prisoners, identified as at-risk of suicide, across 4 prisons in the North of England. Participants will be randomised to receive a psychological talking therapy (Cognitive Behavioural Suicide Prevention, CBSP) plus treatment as usual, or treatment as usual alone. Co-primary outcomes (Suicide Ideation and Suicide Behaviours), as well as related secondary outcomes, will be assessed at baseline and at 6-months follow-up. An intention to treat analysis will be conducted with primary stratification based on prison site and lifetime history of suicide attempt (yes/no). A nested qualitative process evaluation will investigate the nature and context in which the intervention is delivered, with specific focus upon the facilitators and barriers to the implementation of the therapy within prisons. Discussion The key outputs from this trial will be to determine whether a psychological therapy for suicidal prisoners is clinically and cost effective; and to generate a project implementation platform that identifies how best to implement the new intervention across the broader prison estate. Trial registration ISRCTN (reference ISRCTN14056534 https://www.isrctn.com/ISRCTN14056534; 24th September 2021). Registration confirmed prior to participant recruitment commencing. Modifications to protocol are listed on the study website at ISRCTN.
Document Type: Article
Other literature type
Language: English
ISSN: 1471-244X
DOI: 10.1186/s12888-024-06320-y
Access URL: https://pubmed.ncbi.nlm.nih.gov/39695433
https://doaj.org/article/410ce9412ca541f5962ac19b24945e5f
https://research.manchester.ac.uk/en/publications/4c82c396-1e23-46cb-81b6-b4af33058f5f
https://doi.org/10.1186/s12888-024-06320-y
Rights: CC BY
Accession Number: edsair.doi.dedup.....d7ada0f19964e886292bd6f078f933e7
Database: OpenAIRE
Description
Abstract:Background Suicide is the leading cause of preventable death in prisons. Deaths from suicide in prison are significantly, and persistently, elevated compared to those living in the community. Psychological therapies have been shown to be a potentially effective means of alleviating suicidal thoughts, plans and behaviours, but patients located in prison often have no access to evidence-based psychological interventions targeting suicide. The objectives of this programme of research are to investigate the clinical and cost effectiveness of a new psychological therapy programme delivered to male prisoners at risk of suicide. Methods The PROSPECT trial is a two-armed single blind, pragmatic, randomised controlled trial and will recruit a target sample size of 360 male prisoners, identified as at-risk of suicide, across 4 prisons in the North of England. Participants will be randomised to receive a psychological talking therapy (Cognitive Behavioural Suicide Prevention, CBSP) plus treatment as usual, or treatment as usual alone. Co-primary outcomes (Suicide Ideation and Suicide Behaviours), as well as related secondary outcomes, will be assessed at baseline and at 6-months follow-up. An intention to treat analysis will be conducted with primary stratification based on prison site and lifetime history of suicide attempt (yes/no). A nested qualitative process evaluation will investigate the nature and context in which the intervention is delivered, with specific focus upon the facilitators and barriers to the implementation of the therapy within prisons. Discussion The key outputs from this trial will be to determine whether a psychological therapy for suicidal prisoners is clinically and cost effective; and to generate a project implementation platform that identifies how best to implement the new intervention across the broader prison estate. Trial registration ISRCTN (reference ISRCTN14056534 https://www.isrctn.com/ISRCTN14056534; 24th September 2021). Registration confirmed prior to participant recruitment commencing. Modifications to protocol are listed on the study website at ISRCTN.
ISSN:1471244X
DOI:10.1186/s12888-024-06320-y