PMID- 36800220
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230306
IS  - 1929-0748 (Print)
IS  - 1929-0748 (Electronic)
IS  - 1929-0748 (Linking)
VI  - 12
DP  - 2023 Feb 17
TI  - Testing the Impact of the #chatsafe Intervention on Young People's Ability to 
      Communicate Safely About Suicide on Social Media: Protocol for a Randomized 
      Controlled Trial.
PG  - e44300
LID - 10.2196/44300 [doi]
LID - e44300
AB  - BACKGROUND: Suicide is the leading cause of death among Australians. One commonly 
      cited explanation is the impact of social media, in particular, the ways in which 
      young people use social media to communicate about their own experiences and 
      their exposure to suicide-related content posted by others. Guidelines designed 
      to assist mainstream media to safely report about suicide are widespread. Until 
      recently, no guidelines existed that targeted social media or young people. In 
      response, we developed the #chatsafe guidelines and a supporting social media 
      campaign, which together make up the #chatsafe intervention. The intervention was 
      tested in a pilot study with positive results. However, the study was limited by 
      the lack of a control group. OBJECTIVE: The aim of this study is to assess the 
      impact of the #chatsafe social media intervention on young people's safety and 
      confidence when communicating on the web about suicide. METHODS: The study 
      employs a pragmatic, parallel, superiority randomized controlled design. It will 
      be conducted in accordance with the Consolidated Standards of Reporting Trials 
      statement over 18 months. Participants will be 400 young people aged 16-25 years 
      (200 per arm). Participants will be recruited via social media advertising and 
      assessed at 3 time points: time 1-baseline; time 2-8-week postintervention 
      commencement; and time 3-4-week postintervention. They will be asked to complete 
      a weekly survey to monitor safety and evaluate each piece of social media 
      content. The intervention comprises an 8-week social media campaign including 
      social media posts shared on public Instagram profiles. The intervention group 
      will receive the #chatsafe suicide prevention content and the control group will 
      receive sexual health content. Both groups will receive 24 pieces of content 
      delivered to their mobile phones via text message. The primary outcome is safety 
      when communicating on the web about suicide, as measured via the purpose-designed 
      #chatsafe online safety questionnaire. Additional outcomes include willingness to 
      intervene against suicide, internet self-efficacy, safety, and acceptability. 
      RESULTS: The study was funded in November 2020, approved by the University of 
      Melbourne Human Research Ethics Committee on October 7, 2022, and prospectively 
      registered with the Australian New Zealand Clinical Trials registry. Trial 
      recruitment began in November 2022 and study completion is anticipated by June 
      2024. CONCLUSIONS: This will be the first randomized controlled trial 
      internationally to test the impact of a social media intervention designed to 
      equip young people to communicate safely on the web about suicide. Given the 
      rising rates of youth suicide in Australia and the acceptability of social media 
      among young people, incorporating social media-based interventions into the 
      suicide prevention landscape is an obvious next step. This intervention, if 
      effective, could also be extended internationally, thereby improving web-based 
      safety for young people not just in Australia but globally. TRIAL REGISTRATION: 
      Australian New Zealand Clinical Trials Registry ACTRN12622001397707; 
      https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=384318. 
      INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/44300.
CI  - (c)Jo Robinson, Louise La Sala, Charlie Cooper, Matthew Spittal, Simon Rice, 
      Michelle Lamblin, Ellie Brown, Hayley Nolan, Rikki Battersby-Coulter, Gowri 
      Rajaram, Pinar Thorn, Jane Pirkis, Summer May-Finlay, Vincent Silenzio, Jaelea 
      Skehan, Karolina Krysinska, India Bellairs-Walsh. Originally published in JMIR 
      Research Protocols (https://www.researchprotocols.org), 17.02.2023.
FAU - Robinson, Jo
AU  - Robinson J
AUID- ORCID: 0000-0001-5652-918X
AD  - Orygen, Parkville, Australia.
AD  - Centre for Youth Mental Health, University of Melbourne, Parkville, Australia.
FAU - La Sala, Louise
AU  - La Sala L
AUID- ORCID: 0000-0002-6736-6977
AD  - Orygen, Parkville, Australia.
AD  - Centre for Youth Mental Health, University of Melbourne, Parkville, Australia.
FAU - Cooper, Charlie
AU  - Cooper C
AUID- ORCID: 0000-0003-4123-3778
AD  - Orygen, Parkville, Australia.
AD  - Centre for Youth Mental Health, University of Melbourne, Parkville, Australia.
FAU - Spittal, Matthew
AU  - Spittal M
AUID- ORCID: 0000-0002-2841-1536
AD  - Centre for Mental Health, School of Population and Global Health, University of 
      Melbourne, Parkville, Australia.
FAU - Rice, Simon
AU  - Rice S
AUID- ORCID: 0000-0003-4045-8553
AD  - Orygen, Parkville, Australia.
AD  - Centre for Youth Mental Health, University of Melbourne, Parkville, Australia.
FAU - Lamblin, Michelle
AU  - Lamblin M
AUID- ORCID: 0000-0003-4085-8637
AD  - Orygen, Parkville, Australia.
AD  - Centre for Youth Mental Health, University of Melbourne, Parkville, Australia.
FAU - Brown, Ellie
AU  - Brown E
AUID- ORCID: 0000-0002-1645-5443
AD  - Orygen, Parkville, Australia.
AD  - Centre for Youth Mental Health, University of Melbourne, Parkville, Australia.
FAU - Nolan, Hayley
AU  - Nolan H
AUID- ORCID: 0000-0001-9463-4570
AD  - Orygen, Parkville, Australia.
AD  - Centre for Youth Mental Health, University of Melbourne, Parkville, Australia.
FAU - Battersby-Coulter, Rikki
AU  - Battersby-Coulter R
AUID- ORCID: 0000-0002-5094-2552
AD  - Orygen, Parkville, Australia.
AD  - Centre for Youth Mental Health, University of Melbourne, Parkville, Australia.
FAU - Rajaram, Gowri
AU  - Rajaram G
AUID- ORCID: 0000-0001-5308-0559
AD  - Orygen, Parkville, Australia.
AD  - Centre for Youth Mental Health, University of Melbourne, Parkville, Australia.
FAU - Thorn, Pinar
AU  - Thorn P
AUID- ORCID: 0000-0003-4686-574X
AD  - Orygen, Parkville, Australia.
AD  - Centre for Youth Mental Health, University of Melbourne, Parkville, Australia.
FAU - Pirkis, Jane
AU  - Pirkis J
AUID- ORCID: 0000-0002-2538-4472
AD  - Centre for Mental Health, School of Population and Global Health, University of 
      Melbourne, Parkville, Australia.
FAU - May-Finlay, Summer
AU  - May-Finlay S
AUID- ORCID: 0000-0001-6749-180X
AD  - School of Health and Society, Faculty of the Arts, Social Sciences and 
      Humanities, University of Wollongong, Wollongong, Australia.
FAU - Silenzio, Vincent
AU  - Silenzio V
AUID- ORCID: 0000-0003-1408-7955
AD  - Department of Urban-Global Public Health, Rutgers School of Public Health, 
      Rutgers University, Piscataway, NJ, United States.
FAU - Skehan, Jaelea
AU  - Skehan J
AUID- ORCID: 0000-0003-4854-7243
AD  - Everymind, Newcastle, Australia.
AD  - College of Health, Medicine and Wellbeing, University of Newcastle, Newcastle, 
      Australia.
FAU - Krysinska, Karolina
AU  - Krysinska K
AUID- ORCID: 0000-0002-7033-6904
AD  - Centre for Mental Health, School of Population and Global Health, University of 
      Melbourne, Parkville, Australia.
FAU - Bellairs-Walsh, India
AU  - Bellairs-Walsh I
AUID- ORCID: 0000-0001-9480-7881
AD  - Orygen, Parkville, Australia.
AD  - Centre for Youth Mental Health, University of Melbourne, Parkville, Australia.
LA  - eng
PT  - Journal Article
DEP - 20230217
PL  - Canada
TA  - JMIR Res Protoc
JT  - JMIR research protocols
JID - 101599504
PMC - PMC9984994
OTO - NOTNLM
OT  - intervention, sexual health, randomized-controlled trial
OT  - social media
OT  - suicide
OT  - young people
COIS- Conflicts of Interest: None declared.
EDAT- 2023/02/18 06:00
MHDA- 2023/02/18 06:01
PMCR- 2023/02/17
CRDT- 2023/02/17 11:53
PHST- 2022/11/17 00:00 [received]
PHST- 2022/12/23 00:00 [accepted]
PHST- 2022/12/20 00:00 [revised]
PHST- 2023/02/17 11:53 [entrez]
PHST- 2023/02/18 06:00 [pubmed]
PHST- 2023/02/18 06:01 [medline]
PHST- 2023/02/17 00:00 [pmc-release]
AID - v12i1e44300 [pii]
AID - 10.2196/44300 [doi]
PST - epublish
SO  - JMIR Res Protoc. 2023 Feb 17;12:e44300. doi: 10.2196/44300.