PMID- 36194311 OWN - NLM STAT- MEDLINE DCOM- 20231128 LR - 20231128 IS - 1435-165X (Electronic) IS - 1018-8827 (Print) IS - 1018-8827 (Linking) VI - 32 IP - 12 DP - 2023 Dec TI - The efficacy of the "Talk-to-Me" suicide prevention and mental health education program for tertiary students: a crossover randomised control trial. PG - 2477-2489 LID - 10.1007/s00787-022-02094-4 [doi] AB - Despite suicide ideation being one of the most frequently reported health issues impacting tertiary students, there is a paucity of research evaluating the efficacy of preventive interventions aimed at improving mental health outcomes for students studying at two tertiary institutes. The current study evaluated the efficacy of the "Talk-to-Me" Mass Open Online Course (MOOC) in improving tertiary students' abilities to support the mental health of themselves and their peers via a randomised controlled trial design, comparing them to a waitlist control group. Overall, 129 tertiary students (M = 25.22 years, SD = 7.43; 80% female) undertaking a health science or education course at two Western Australian universities were randomly allocated to either "Talk-to-Me" (n = 66) or waitlist control (n = 63) groups. The participants' responses to suicidal statements (primary outcome), knowledge of mental health, generalised self-efficacy, coping skills, and overall utility of the program (secondary outcomes) were collected at three timepoints (baseline 10-weeks and 24-weeks from baseline). Assessment time and group interaction were explored using a random-effects regression model, examining changes in the primary and secondary outcomes. Intention-to-treat analysis (N = 129) at 10-weeks demonstrated a significant improvement in generalised self-efficacy for "Talk-to-Me" compared to the control group (ES = 0.36, p = .04), with only the "Talk-to-Me" participants reporting increased knowledge in responding to suicidal ideation (primary outcome). This change was sustained for 24 weeks. Findings provide preliminary evidence suggesting that the "Talk-to-Me" MOOC can effectively improve tertiary students' mental health and knowledge of how to support themselves and others in distress. ACTRN12619000630112, registered 18-03-2019, anzctr.org.au. CI - (c) 2022. The Author(s). FAU - Afsharnejad, Bahareh AU - Afsharnejad B AUID- ORCID: 0000-0003-2825-7265 AD - School of Allied Health, Curtin University, Perth, WA, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, WA, Australia. AD - enAble Institute, Curtin University, Perth, WA, Australia. FAU - Milbourn, Ben AU - Milbourn B AUID- ORCID: 0000-0003-3213-7987 AD - School of Allied Health, Curtin University, Perth, WA, Australia. Ben.milbourn@curtin.edu.au. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, WA, Australia. Ben.milbourn@curtin.edu.au. AD - enAble Institute, Curtin University, Perth, WA, Australia. Ben.milbourn@curtin.edu.au. FAU - Hayden-Evans, Maya AU - Hayden-Evans M AUID- ORCID: 0000-0003-1876-5696 AD - School of Allied Health, Curtin University, Perth, WA, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, WA, Australia. FAU - Baker-Young, Ellie AU - Baker-Young E AD - School of Allied Health, Curtin University, Perth, WA, Australia. FAU - Black, Melissa H AU - Black MH AUID- ORCID: 0000-0003-0293-4053 AD - School of Allied Health, Curtin University, Perth, WA, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, WA, Australia. AD - enAble Institute, Curtin University, Perth, WA, Australia. FAU - Thompson, Craig AU - Thompson C AUID- ORCID: 0000-0002-0912-0362 AD - School of Allied Health, Curtin University, Perth, WA, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, WA, Australia. FAU - McGarry, Sarah AU - McGarry S AUID- ORCID: 0000-0003-3459-5770 AD - School of Allied Health, Curtin University, Perth, WA, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, WA, Australia. FAU - Grobler, Melissa AU - Grobler M AUID- ORCID: 0000-0002-5632-1837 AD - School of Allied Health, Curtin University, Perth, WA, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, WA, Australia. FAU - Clifford, Rhonda AU - Clifford R AUID- ORCID: 0000-0002-7789-5717 AD - Faculty of Health and Medical Sciences, The University of Western Australia, Perth, WA, Australia. FAU - Zimmermann, Frank AU - Zimmermann F AD - School of Allied Health, Curtin University, Perth, WA, Australia. AD - Klinikum Aschaffenburg Hospital for Child and Adolescent Psychiatry and Psychotherapy, Aschaffenburg, Germany. FAU - Kacic, Viktor AU - Kacic V AD - School of Allied Health, Curtin University, Perth, WA, Australia. AD - Klinikum Aschaffenburg Hospital for Child and Adolescent Psychiatry and Psychotherapy, Aschaffenburg, Germany. FAU - Hasking, Penelope AU - Hasking P AUID- ORCID: 0000-0002-0172-9288 AD - enAble Institute, Curtin University, Perth, WA, Australia. AD - School of Population Health, Curtin University, Perth, WA, Australia. FAU - Bolte, Sven AU - Bolte S AUID- ORCID: 0000-0002-4579-4970 AD - School of Allied Health, Curtin University, Perth, WA, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, WA, Australia. AD - Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Department of Women's and Children's Health, Karolinska Institutet & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden. AD - Child and Adolescent Psychiatry, Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden. FAU - Romanos, Marcel AU - Romanos M AUID- ORCID: 0000-0001-7628-8299 AD - Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Hospital Wurzburg, Wurzburg, Germany. FAU - Machingura, Tawanda AU - Machingura T AUID- ORCID: 0000-0001-9153-7572 AD - Faculty of Health Sciences & Medicine, Bond University, Queensland, Australia. FAU - Girdler, Sonya AU - Girdler S AUID- ORCID: 0000-0001-7992-0800 AD - School of Allied Health, Curtin University, Perth, WA, Australia. AD - Curtin Autism Research Group (CARG), Curtin University, Perth, WA, Australia. AD - enAble Institute, Curtin University, Perth, WA, Australia. AD - Faculty of Health and Medical Sciences, The University of Western Australia, Perth, WA, Australia. AD - Center of Neurodevelopmental Disorders (KIND), Centre for Psychiatry Research, Division of Neuropsychiatry, Department of Women's and Children's Health, Karolinska Institutet & Child and Adolescent Psychiatry, Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden. LA - eng GR - 33212/Healthway/ GR - 57511161/Deutscher Akademischer Austauschdienst/ PT - Journal Article PT - Randomized Controlled Trial DEP - 20221004 PL - Germany TA - Eur Child Adolesc Psychiatry JT - European child & adolescent psychiatry JID - 9212296 SB - IM MH - Female MH - Humans MH - Male MH - Australia MH - Health Education MH - Mental Health MH - *Students/psychology MH - *Suicide Prevention MH - Cross-Over Studies PMC - PMC9531217 OTO - NOTNLM OT - Mass open online course (MOOC) OT - Mental health education OT - Suicide prevention program OT - University students COIS- The authors declare that the research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/10/05 06:00 MHDA- 2023/11/28 06:42 PMCR- 2022/10/04 CRDT- 2022/10/04 11:15 PHST- 2021/10/05 00:00 [received] PHST- 2022/09/23 00:00 [accepted] PHST- 2023/11/28 06:42 [medline] PHST- 2022/10/05 06:00 [pubmed] PHST- 2022/10/04 11:15 [entrez] PHST- 2022/10/04 00:00 [pmc-release] AID - 10.1007/s00787-022-02094-4 [pii] AID - 2094 [pii] AID - 10.1007/s00787-022-02094-4 [doi] PST - ppublish SO - Eur Child Adolesc Psychiatry. 2023 Dec;32(12):2477-2489. doi: 10.1007/s00787-022-02094-4. Epub 2022 Oct 4.