Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Wuerzburg, Margarete-Hoeppel-Platz 1, 97080, Wuerzburg, Germany.
German Centre of Prevention Research in Mental Health, University of Wuerzburg, Margarete-Hoeppel-Platz 1, 97080, Wuerzburg, Germany.
Trials. 2022 Jan 31;23(1):97. doi: 10.1186/s13063-021-05973-4.
Non-suicidal self-injury (NSSI) has become a substantial public health problem. NSSI is a high-risk marker for the development and persistence of mental health problems, shows high rates of morbidity and mortality, and causes substantial health care costs. Thus, there is an urgent need for action to develop universal prevention programs for NSSI before adolescents begin to show this dangerous behavior. Currently, however, universal prevention programs are lacking.
The main objective of the present study is to evaluate a newly developed universal prevention program ("DUDE - Du und deine Emotionen / You and your emotions"), based on a skills-based approach in schools, in 3200 young adolescents (age 11-14 years). The effectiveness of DUDE will be investigated in a cluster-randomized controlled trial (RCT) in schools (N = 16). All groups will receive a minimal intervention called "Stress-free through the school day" as a mental health literacy program to prevent burnout in school. The treatment group (N = 1600; 8 schools) will additionally undergo the universal prevention program DUDE and will be divided into treatment group 1 (DUDE conducted by trained clinical psychologists; N = 800; 4 schools) and treatment group 2 (DUDE conducted by trained teachers; N = 800; 4 schools). The active control group (N = 1600; 8 schools) will only receive the mental health literacy prevention. Besides baseline assessment (T0), measurements will occur at the end of the treatment (T1) and at 6- (T2) and 12-month (T3) follow-up evaluations. The main outcome is the occurrence of NSSI within the last 6 months assessed by a short version of the Deliberate Self-Harm Inventory (DSHI-9) at the 1-year follow-up (primary endpoint; T3). Secondary outcomes are emotion regulation, suicidality, health-related quality of life, self-esteem, and comorbid psychopathology and willingness to change.
DUDE is tailored to diminish the incidence of NSSI and to prevent its possible long-term consequences (e.g., suicidality) in adolescents. It is easy to access in the school environment. Furthermore, DUDE is a comprehensive approach to improve mental health via improved emotion regulation.
German Clinical Trials Register (DRKS) DRKS00018945. Registered on 01 April 2020, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00018945.
非自杀性自伤（NSSI）已成为一个重大的公共卫生问题。NSSI 是心理健康问题发展和持续存在的高危标志物，发病率和死亡率高，并导致大量的医疗保健费用。因此，迫切需要采取行动，在青少年开始表现出这种危险行为之前，为他们制定 NSSI 的普遍预防计划。然而，目前普遍缺乏预防计划。
本研究的主要目的是评估一种新开发的基于技能的学校普遍预防计划（“DUDE - Du und deine Emotionen / 你和你的情绪”），在 3200 名青少年（11-14 岁）中进行。将在学校（N=16）的集群随机对照试验（RCT）中研究 DUDE 的有效性。所有组都将接受一项名为“通过学校日减压”的最小干预措施，作为预防学校倦怠的心理健康素养计划。实验组（N=1600；8 所学校）将另外接受普遍预防计划 DUDE，并分为实验组 1（由经过培训的临床心理学家进行的 DUDE；N=800；4 所学校）和实验组 2（由经过培训的教师进行的 DUDE；N=800；4 所学校）。活动对照组（N=1600；8 所学校）仅接受心理健康素养预防。除了基线评估（T0）外，还将在治疗结束时（T1）和 6-（T2）和 12 个月（T3）随访评估时进行测量。主要结局是在 1 年随访（T3）时通过简短版故意自我伤害清单（DSHI-9）评估过去 6 个月内发生的 NSSI。次要结局是情绪调节、自杀意念、健康相关生活质量、自尊以及合并的精神病理学和改变意愿。
DUDE 旨在减少青少年 NSSI 的发生率，并预防其可能的长期后果（例如自杀意念）。它在学校环境中易于获取。此外，DUDE 是一种通过改善情绪调节来改善心理健康的综合方法。
德国临床试验注册处（DRKS）DRKS00018945。于 2020 年 4 月 1 日注册，https://www.drks.de/drks_web/navigate.do？navigationId=trial.HTML&TRIAL_ID=DRKS00018945。
