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Suicide PreventionKUJK2NEEDSNCT06375200

Healthcare for Men with Suicidal Thoughts: Needs Assessment

An observational study of Suicide Prevention and Help-Seeking Behavior, run by University Ghent at 1 site in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The aim of the current project is twofold, namely 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… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Suicide Prevention, Help-Seeking Behavior, Men
How many people
500 participants
Where
1 siteBelgium
Study dates
25 Apr 2024to 27 Sep 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

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

Who may be able to join

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

Who cannot join

  • /
  • STUDY 2:
  • /

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • Flemish Centre of Expertise in Suicide Prevention, Ghent University

    Ghent, 9000

Other trials in Belgium

About this study

The aim of the current project is twofold, namely

  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. 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. 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. 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. 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. How do health care providers experience working with men (in comparison to women or people of other genders) who are feeling suicidal?
  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?
Read the detailed description

Approximately three out of four people who die by suicide are men. Suicide is a complex phenomenon, which cannot be explained by a single factor, but rather is a result of a variety of neurobiological, psychological and social risk factors. Considering the difference in suicide risk between men and women, researchers have tried to identify risk factors specific to men, which might contribute to the increased suicide risk. Differences in help-seeking behaviour and received help have repeatedly been put forward as being one of these factors as men are less likely to seek help and have a higher drop-out rate once having started interventions. That is why in our new project we want to investigate what barriers and needs men experience with regard to existing healthcare and how healthcare can meet these needs.

This will be done in two studies among 1) people with suicidal thoughts in the past 3 years and 2) healthcare providers.

  • STUDY 1: A needs assessment among men with a history of suicidal thoughts, consisting of
  • One online needs assessment questionnaire (15-20 min.) for men, women and individuals with other gender identities (≥18y/o) who have experienced suicidal thoughts in the past three years. The questionnaire assesses help-seeking behaviour and factors that may be associated with it (i.e. barriers to help, perceived stigma, emotional openness, self-reliance, perceived need for help, needs regarding healthcare). This questionnaire will be administered to men as well as to women/people with a different gender identity in order to compare the different gender groups.
  • Six online focus groups with men, women and individuals with other gender identities (separately) (≥18y/o) who have experienced suicidal thoughts in the past three years.
  • STUDY 2: A needs assessment among healthcare providers, consisting of
  • One online needs assessment questionnaire (10-15 min.) for health care providers (i.e., general practitioners (GP's), psychiatrists, medical doctors, psychologists, psychotherapists and nurses working in healthcare) (≥18y/o) who have previously encountered men with suicidal thoughts and/or behaviour professionally. The questionnaire is used to identify their needs regarding working with men with suicidal thoughts.
  • Two online focus groups with health care provides (GP's, psychiatrists, medical doctors, psychologists, psychotherapists and nurses working in healthcare) (≥18y/o) who have previously encountered men with suicidal thoughts and/or behaviour professionally to further discuss these needs.
Being tested
No intervention
Medical subject headings
Suicide Prevention, Help-Seeking Behavior, Multiple Endocrine Neoplasia Type 1

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • No interventionOther

    Observational one-time questionnaire study without intervention

Study groups in NCT06375200
Study groupRoleWhat they receive
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.)
Receives: 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)
Receives: 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.)
Receives: 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)
Receives: Other: No intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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]

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

  2. STUDY 1: Experienced need

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

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

  3. 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]

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

  4. 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]

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

  5. 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]

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

  6. 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]

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

  7. 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.

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

  8. 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]

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

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Apr 2024
  2. Study start25 Apr 2024
  3. Primary completion24 Sep 2024
  4. Study completion27 Sep 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case only
Time perspective
Cross-sectional
Enrolment
500 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06375200
Sponsor's protocol ID
ONZ-2024-0066
Acronym
KUJK2NEEDS
Status last verified
Jan 2025
First submitted
8 Apr 2024
Last updated
23 Jan 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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.

    PubMed 35118036
  • 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.

    PubMed 32493263
  • 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.

    PubMed 22546012
  • 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

  • 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.

    PubMed 32011153
  • 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

  • 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.

    PubMed 36880329
  • 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

  • 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

  • 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

Questions about this trial

What is this clinical trial studying?

An observational study of Suicide Prevention and Help-Seeking Behavior, run by University Ghent at 1 site in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 23 Jan 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

STUDY 1: Help-seeking behavior (time frame: Baseline. Completing the questionnaire will take about 15-20 minutes). The study lists 8 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06375200, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jan 2025.

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