Feasibility and acceptability of a culturally adapted digital intervention to reduce suicidal ideation for Syrian asylum seekers and refugees in the United Kingdom: A mixed methods study
Reduction of suicidal ideation among Syrian asylum seekers and refugees in the United Kingdom.
This is a single-group, non-controlled, mixed methods feasibility study of a culturally adapted digital intervention to reduce suicidal ideation for Syrian asylum seekers and refugees in the United Kingdom. Participants will receive the 6-week self-help digital culturally adapted intervention via Qualtrics which consists of the following 6 sessions: 1. Thinking about suicide: This module aims to enable participants to identify the automatic thoughts that give rise to suicidal thoughts to gain some control over their thoughts. Specific attention is given to the dichotomous and overgeneralizing nature of the thoughts. 2. Dealing with thoughts and feelings: Participants will learn that they can be resilient in the face of seemingly unbearable feelings. Focus will be given to learning how to tolerate and regulate intense emotions in situations of crisis. 3. Thinking about the future: Participants will evaluate their ideas about the future and ask whether they are realistic. Consequently, participants will develop a more realistic view of the future and set new goals. 4. Thinking about the self: Common mistakes in thinking about the self are discussed and challenged. Participants are also taught how to manage suicidality as a long-term vulnerability. Particular attention is given to learning to seek help. 5. Thinking about others: Mistakes in thinking about others will be discussed. Participants will also be provided with information about the effects of suicide on relatives and friends. 6. Repetition and relapse: Several mistakes in thinking and acquired skills are repeated. Attention will also be given to relapse and how to avoid it. The primary outcomes of the study include the acceptability and suitability of the intervention to Syrian asylum seekers and refugees in the United Kingdom with SI. The acceptability of the intervention to participants will also be assessed during post-intervention interviews in terms of cultural relevance (i.e. familiarity of th
1. Aged 18 years old and over 2. Syrian asylum seeker/refugee in the United Kingdom 3. At least a score of 1 on the Columbia Suicide Severity Rating Scale (CSSRS) 4. Access to a PC or mobile phone with internet 5. Willing to provide their e-mail address and that of their GP surgery
1. Participants with a score of 4 or above on the CSSRS, indicating serious suicidal ideation