Co-creation of Tools for People in Detention With Suicidal Thoughts and/or Behavior

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

40 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-10-27

Study Completion Date

2026-05-01

Brief Summary

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People in detention are at significantly higher risk of suicide compared to the general population. In Belgian prisons, the suicide rate is five times higher than average. Despite the availability of suicide prevention tools, many are not scientifically validated or adapted to the detention context, leading to inconsistent use and missed warning signs.

This study aims to evaluate and adapt three evidence-based suicide prevention tools-the Safety Plan, the guideline for the care and evaluation of suicidality , and the Risk Formulation template-for use in detention settings. Through interviews with both professionals working in prisons and individuals in detention, the study explores how these tools can be made more relevant, practical, and effective in this unique environment.

The research involves 40 participants: 20 professionals and 20 individuals in detention. Interviews will gather feedback on the tools' usability, clarity, and fit with the realities of prison life. The ultimate goal is to improve suicide prevention practices in detention by offering tailored, scientifically grounded tools that support both staff and detainees.

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Detailed Description

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Conditions

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Suicide Prevention Suicide Suicidal Ideation

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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Individuals in detention

Participants are individuals in detention which is invited to participate in semi-structured interviews. If they agree, their referrer will schedule a date for the interview at the prison with the researcher.

Co-creation process for suicide prevention tools in detention

Intervention Type OTHER

The intervention consists of a co-creation process involving detained individuals and detention professionals through semi-structured interviews.

For professionals, the interviews will focus on the usability, applicability, and implementation of three suicide prevention tools.

Interviews with individuals in detention will focus only on the Safety Plan. They will be asked about what helps them in moments of crisis and their views on the Safety Plan in detention.

The goal is to collect feedback on usability, perceived barriers, and suggestions for real-world implementation in the detention context. Interviews are repeated up to three times per professional participants depending on availability and co-creation progress. For individuals in detention there is only one interview. Feedback from all participants will be used to adapt and refine the tools for future use in detention facilities.

Professionals working in detention

Participants are professionals working in detention settings, such as psychologists, psychiatrists, social workers, and nurses. They are invited to participate in semi-structured interviews. If they agree, the researcher will contact them to schedule a date for the interview at the prison.

Co-creation process for suicide prevention tools in detention

Intervention Type OTHER

The intervention consists of a co-creation process involving detained individuals and detention professionals through semi-structured interviews.

For professionals, the interviews will focus on the usability, applicability, and implementation of three suicide prevention tools.

Interviews with individuals in detention will focus only on the Safety Plan. They will be asked about what helps them in moments of crisis and their views on the Safety Plan in detention.

The goal is to collect feedback on usability, perceived barriers, and suggestions for real-world implementation in the detention context. Interviews are repeated up to three times per professional participants depending on availability and co-creation progress. For individuals in detention there is only one interview. Feedback from all participants will be used to adapt and refine the tools for future use in detention facilities.

Interventions

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Co-creation process for suicide prevention tools in detention

The intervention consists of a co-creation process involving detained individuals and detention professionals through semi-structured interviews.

For professionals, the interviews will focus on the usability, applicability, and implementation of three suicide prevention tools.

Interviews with individuals in detention will focus only on the Safety Plan. They will be asked about what helps them in moments of crisis and their views on the Safety Plan in detention.

The goal is to collect feedback on usability, perceived barriers, and suggestions for real-world implementation in the detention context. Interviews are repeated up to three times per professional participants depending on availability and co-creation progress. For individuals in detention there is only one interview. Feedback from all participants will be used to adapt and refine the tools for future use in detention facilities.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Aged 18 years or older
* Currently working in a professional care role within a prison setting (e.g., psychologist, psychiatirst, social worker, nurse, etc.)
* Experience in supporting or treating incarcerated individuals with suicidal thoughts or behaviours

* Aged 18 years or older
* Experienced suicidal thoughts within the past three years

Exclusion Criteria

* Under the age of 18
* Not employed in a professional caregiving role within detention (e.g., correctional officers or security staff)

For people in detention:

* Under the age of 18
* Significant cognitive limitations that would make the participation in an interview infeasible
* Insufficient command of the Dutch language to understand and respond to interview questions

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes