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Table 2 Study characteristics, methodological information, and trial registration information for the 10 ongoing studies identified by this review

From: Effectiveness of online and mobile telephone applications (‘apps’) for the self-management of suicidal ideation and self-harm: a systematic review and meta-analysis

Study and Reference Number

Study Design

Country

Target N

Participant Source

Intervention Condition

Control Condition

Measures

Trial Registration Number

INV

CTL

Boele, 2014 [52]

RCT

Netherlands

63

63

Adults with grade II, III, or IV glioma (assessed according to WHO criteria) scoring 12 or greater on the Center for Epidemiological Studies De-pression Scale.

Internet self-guided problem solving therapy consisting of five modules delivered once a week over a five week period.

Waitlist.

Suicidal ideation: scores on the Beck Scale for Suicidal Ideation (BSSI).

Netherlands Trial Register: NTR3223.

Eylem, 2015 [53]

RCT

Netherlands and UK

100

100

Community-dwelling adults either born in Turkey, or with one or both parents born in Turkey with a score of one or greater on the Beck Suicidal Ideation Scale.

iCBT: Consisting of between six and eight modules delivered once a week over a six week period.

Waitlist.

Suicidal ideation: scores on the Beck Scale for Suicidal Ideation (BSSI) and the Suicidal Ideation Attribute Scale (SIAS).

Not stated.

Gumpert, 2016 [Not Published]

Pre-test/Post-test

Sweden

43

Adolescents diagnosed with NSSI, defined according to section three of the DSM-5, with at least one episode of NSSI occurring within the past month.

Internet emotion regulation training. No information on the number of modules or the duration of therapy were provided.

N/A.

Self-Harm: self-reported self-harm according to the Deliberate Self-Harm Inventory (DSHI).

Suicidal ideation: scores on the Suicidal Ideation Questionnaire-Junior (SIQ-JR).

Clinical Trials Register: NCT02697019.

Kaslow, 2016 [Not Published]

Pre-test/Post-test

USA

25

Referrals for behavioural health treatment through an outpatient mental health service following a suicide attempt or clinically significant suicidal ideation.

RefliefLink: App-based mood tracking and stress management intervention consisting of modules of relaxation exercises, guided meditation, progressive re-laxation, and mindfulness skills training. No information on the number of modules or the duration of therapy were provided.

N/A.

Suicidal ideation and behaviours: measured according to scores on the Columbia Suicide Severity Rating Scale Screener (C-SSRS) as well as the number of participants self-reporting episodes of self-injury.

Clinical Trials Register: NCT02691221.

Mühlmann, 2017 [54]

RCT

Denmark

175

175

Community-dwelling adults scoring three or greater on the Beck Scale for Suicidal Ideation.

iCBT: Consisting of six modules delivered once a week over a six week period.

Waitlist.

Suicidal ideation: scores on the Beck Scale for Suicidal Ideation (BSSI) and the Suicidal Ideation Attribute Scale (SIAS).

Self-Harm: number of participants with a hospital and/or medical record for self-harm.

Suicide: number of suicide deaths according to a national mortality register.

Clinical Trials Register: NCT02872610.

Perry, 2015 [55]

cRCT

Australia

1600

(30 schools)

Community-dwelling adoles-cents enrolled in their final year of high school.

SPARX-R: Internet gamified iCBT program consisting of seven modules delivered once a week over seven weeks.

Attention placebo.

Suicidal ideation and/or attempted suicide: scores on the suicidal thoughts, plans, and attempted suicide items of the Youth Risk Behaviour Survey (YRBS).

Australian and New Zealand Clinical Trials Register: ACTRN12614000316606.

Robinson, 2014 [56]

cRCT

Australia

170

(28 schools)

Community-dwelling adoles-cents enrolled in high school self-reporting any suicidal ideation over the past month.

Reframe-IT: iCBT program consisting of eight modules delivered over a 10 to 12 week period.

TAU.

Suicidal ideation: scores on the Suicidal Ideation Questionnaire (SIQ).

Self-Harm and Attempted Suicide: scores on a specifically-developed instrument.

Australian and New Zealand Clinical Trials Register: ACTRN12613000864729.

Simon, 2016 [57]

Zelen RCT

USA

>2500

Referrals to an outpatient mental health and/or general medical centre who report daily or almost daily suicidal ideation according to scores on item 9 of the Patient Health Questionnaire-9.

Internet DBT with a specific focus on the development of mindfulness skills, non-judgemental acceptance of emotions, opposite action, and paced breathing. This program will consist of four self-paced modules.

TAU.

Suicidal ideation: scores on a specifically developed six-item version of the Columbia Suicide Severity Rating Scale Screener (C-SSRS).

Clinical Trials Register: NCT02326883.

Stallard, 2016 [58]

Pre-test/Post-test

UK

50

Community-dwelling adoles-cents with a history of repeated self-harm who are currently receiving ongoing care in out-patient child and adolescent mental health services.

BlueIce: App-based toolbox, developed in consultation with young people who self-harm, including a mood diary, mood-lifting exercises drawn from CBT and DBT, physical activities, and mindfulness exercises. Part-icipants are also encouraged to upload and share inspirational photos and music files. Participants will use BlueIce daily for 10 weeks.

N/A.

Self-Harm: measured according to self-report, and GP report, and/or medical records.

Not stated.

Van Spijker, 2015 [59]

RCT

Australia

570

Community-dwelling adults reporting current suicidal ideation according to item five of the Columbia-Suicide Severity Rating Scale, but who do not self-report attempting suicide within the past month.

iCBT: Consisting of six modules delivered once a week over a six week period.

Attention placebo.

Suicidal ideation: scores on the Intensity of Suicidal Ideation sub-scale of the Columbia Suicide Severity Rating Scale Screener (C-SSRS) and the Suicidal Ideation Attribute Scale (SIAS).

Australian and New Zealand Clinical Trials Register: ACTRN12613000410752.

  1. Abbreviations: CTL control, CBT cognitive behavioural therapy, iCBT internet-based cognitive behavioural therapy, cRCT cluster randomised controlled trial, DBT dialectical behaviour therapy, DSM-IV Diagnostic and Statistical Manual of Mental Disorders, fourth revision, DSM-5 Diagnostic and Statistical Manual of Mental Disorders, fifth revision, GP general practitioner, INV intervention, IPT interpersonal therapy, NSSI non-suicidal self-injury, PST problem-solving therapy, RCT randomised controlled trial, TAU treatment as usual, UK United Kingdom, USA United States of America