Adherence and efficacy outcomes in young Australians with suicidal ideation using a self-management app and digital engagement strategy compared with a sham app: a three-arm randomised controlled trial
2024

Using a Self-Management App to Help Young Australians with Suicidal Thoughts

Sample size: 692 publication 10 minutes Evidence: high

Author Information

Author(s): Michelle Torok, Lauren McGillivray, Daniel Z.Q. Gan, Jin Han, Sarah Hetrick, Quincy J.J. Wong

Primary Institution: University of New South Wales, Black Dog Institute, Sydney, Australia

Hypothesis

Does the LifeBuoy app reduce suicidal ideation in young Australians compared to a sham app?

Conclusion

The LifeBuoy app effectively reduced suicidal ideation severity in young people, but adding an engagement strategy did not enhance its effectiveness.

Supporting Evidence

  • Significant reductions in suicidal ideation scores were observed at 60 and 120 days.
  • 6% of participants reported serious adverse events during the trial.
  • The app was associated with a lower risk of being categorized as high risk for suicide.

Takeaway

A special app helped young people feel less sad and think about suicide less, but extra reminders didn't make it work better.

Methodology

This was a double-blind, three-arm parallel randomised controlled trial conducted online in Australia.

Potential Biases

Self-selection bias due to online recruitment may affect the representativeness of the sample.

Limitations

High attrition rates and overrepresentation of females and LGBQ+ individuals may limit the generalizability of the findings.

Participant Demographics

Mean age 19.9 years; 70% female; 57.8% identified as LGBQ+.

Statistical Information

P-Value

p<0.001

Confidence Interval

[−7.76, −3.62]

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1016/j.eclinm.2024.102963

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