{"id":1622,"date":"2020-09-10T10:55:27","date_gmt":"2020-09-10T09:55:27","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/carms\/?p=1622"},"modified":"2020-09-10T10:55:27","modified_gmt":"2020-09-10T09:55:27","slug":"world-suicide-prevention-day-and-the-carms-project","status":"publish","type":"post","link":"https:\/\/sites.manchester.ac.uk\/carms\/2020\/09\/10\/world-suicide-prevention-day-and-the-carms-project\/","title":{"rendered":"World Suicide Prevention Day and the CARMS Project"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1281 alignright\" src=\"https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2018\/02\/CARMS-logo-final.png\" alt=\"CARMS butterfly\" width=\"200\" height=\"138\" \/><\/p>\n<p><em>Originally published by Greater Manchester Mental Health NHS Foundation Trust (<\/em><em><a href=\"https:\/\/www.gmmh.nhs.uk\/news\/world-suicide-prevention-day-and-the-carms-project-4160\">https:\/\/www.gmmh.nhs.uk\/news\/world-suicide-prevention-day-and-the-carms-project-4160<\/a>)<\/em><\/p>\n<p>&nbsp;<\/p>\n<p><em>On World Suicide Prevention Day, Charlotte Huggett, Trial Manager, tells us about how you can learn more about, and raise awareness of, suicide; and about the vital work of the Patient Safety Research Unit (PSRU) and the Cognitive AppRoaches to coMbatting Suicidality (CARMS) project.<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>Today, on the 10<sup>th<\/sup> September, across the globe, many organisations and individuals are getting involved to raise awareness of suicide, suicide prevention strategies and research, and remember those who have sadly lost their lives to suicide.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.iasp.info\/\">The International Association for Suicide Prevention<\/a> (IASP) have a wide range of activities, information and materials that people can use to:<\/p>\n<ul>\n<li>learn basic strategies in talking to people about their suicidal experiences (<a href=\"https:\/\/www.iasp.info\/wspd2020\/take-a-minute\/\">take a minute<\/a>);<\/li>\n<li>learn about the<a href=\"https:\/\/www.iasp.info\/wspd\/pdf\/2020\/2020_wspd_facts_and_figures.pdf\"> facts and figures<\/a> which demonstrate how suicide is a global public health problem;<\/li>\n<li>gain ideas about what sort of <a href=\"https:\/\/www.iasp.info\/wspd2020\/activities-2\/\">activities<\/a> to host to raise awareness of suicide and suicide prevention.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>IASP are also leading the \u2018<a href=\"https:\/\/www.iasp.info\/wspd2020\/light-a-candle\/\">Light a Candle<\/a>\u2019 campaign, asking people to light a candle near a window at 8pm so that people can \u201cshow their support for suicide prevention, to remember a lost loved one, and for survivors of suicide\u201d.<\/p>\n<p>We recognise that suicide prevention and awareness raising efforts should not just be limited to one day, but a continuous effort throughout the year. The academics, clinicians and experts by experience involved in the <a href=\"https:\/\/www.gmmh.nhs.uk\/psru-research-journey\">Patient Safety Research Unit (PSRU)<\/a> have devoted over a decade to understanding why people may feel suicidal, have suicidal thoughts, urges, plans and make attempts to end their life. This has led to developing a suicide-focussed psychological talking therapy called <a href=\"https:\/\/www.taylorfrancis.com\/books\/9780203066881\">Cognitive Behavioural Suicide Prevention (CBSP)<\/a> therapy, which involves:<\/p>\n<ul>\n<li>Building rapport and a therapeutic relationship with people to create a safe environment for discussions about suicidal experiences to take place.<\/li>\n<li>Exploring and addressing beliefs that individuals hold in relation to themselves and the world, which may feed into suicidal thoughts and acts. People may feel defeated and unable to change their situation.<\/li>\n<li>Specific cognitive-behavioural techniques may involve \u2018attentional control\u2019, restructuring unhelpful beliefs and encouraging positive self-worth, \u2018activity monitoring and scheduling\u2019, and support to feel connected with those who could provide help and support.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>(Note that this body of research actually pre-dates the PSRU).<\/p>\n<p>&nbsp;<\/p>\n<p>Several pilot randomised controlled trials have found evidence to suggest that CBSP is\u00a0<a href=\"https:\/\/www.gov.uk\/guidance\/feasibility-study\">feasible<\/a>\u00a0to deliver (meaning we are able to carry it out practically) and\u00a0<a href=\"https:\/\/www.gov.uk\/guidance\/feasibility-study\">acceptable<\/a>\u00a0to those with suicidal experiences (meaning it is appropriate for this audience) in the context of\u00a0<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0920996414002011?via%3Dihub\">people with psychosis in the community<\/a>,\u00a0<a href=\"https:\/\/www.cambridge.org\/core\/journals\/psychological-medicine\/article\/cognitivebehavioural-suicide-prevention-for-male-prisoners-a-pilot-randomized-controlled-trial\/AFF7882387E174348AC8D7F196482563\">male prisoners<\/a>\u00a0and on\u00a0<a href=\"https:\/\/www.cambridge.org\/core\/journals\/bjpsych-open\/article\/feasibility-and-acceptability-of-suicide-prevention-therapy-on-acute-psychiatric-wards-randomised-controlled-trial\/631FCEB2FB4B31BC304D32DF886E0048\">the inpatient wards<\/a>. We\u2019ve recently written a blog about suicidal experiences on the mental health inpatient wards, which you can read\u00a0<a href=\"https:\/\/www.gmmh.nhs.uk\/news\/suicidal-experiences-and-psychotherapy-on-mental-health-inpatient-wards-4141\">here<\/a>.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1562 alignright\" src=\"https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2020\/06\/Recruiting-again.png\" alt=\"\" width=\"230\" height=\"323\" srcset=\"https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2020\/06\/Recruiting-again.png 522w, https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2020\/06\/Recruiting-again-213x300.png 213w, https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2020\/06\/Recruiting-again-150x211.png 150w, https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2020\/06\/Recruiting-again-250x352.png 250w, https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2020\/06\/Recruiting-again-350x492.png 350w\" sizes=\"(max-width: 230px) 100vw, 230px\" \/><\/p>\n<p>The <a href=\"https:\/\/sites.manchester.ac.uk\/carms\/\">Cognitive AppRoaches to coMbatting Suicidality (CARMS) project<\/a> officially started back in January 2017, where the CARMS team began gaining the relevant approvals to conduct the research. The NHS sites &#8211;<a href=\"https:\/\/www.gmmh.nhs.uk\/\">Greater Manchester NHS Foundation Trust (GMMH)<\/a>, <a href=\"https:\/\/www.lscft.nhs.uk\/\">Lancashire and South Cumbria NHS Foundation Trust (LSCFT)<\/a>, <a href=\"https:\/\/www.penninecare.nhs.uk\/\">Pennine Care<\/a> NHS Foundation Trust and <a href=\"https:\/\/www.nwbh.nhs.uk\/\">North West Boroughs Healthcare NHS Foundation Trust (NWBH)<\/a> &#8211; were then set up ready to host the next step in investigating CBSP therapy, which was to see how effective it would be for people with non-affective psychosis and suicidal experiences in the context of the NHS and to examine the underlying mechanisms which lead to suicidal thoughts and acts.<\/p>\n<p>&nbsp;<\/p>\n<p>We started recruiting participants back in May 2017 and we\u2019re still going, even after a short break this year due to the COVID-19 pandemic. So far, we\u2019ve recruited <strong>252<\/strong> people with non-affective psychosis and suicidal experiences, around half of whom have been randomly allocated to be offered CBSP. We\u2019ve also met with <strong>190<\/strong> participants six months after they entered the project and <strong>134<\/strong> participants 12 months after they entered the project. This was to ask some questions about their mental health and to fill in some questionnaires.<\/p>\n<p>&nbsp;<\/p>\n<p>We now have just under three months left of recruitment \u2013 until 30th November 2020 \u2013 with only 43 spaces left across GMMH and Pennine Care! You can find out how to refer\/get involved on the CARMS website: <a href=\"https:\/\/sites.manchester.ac.uk\/carms\/\">https:\/\/sites.manchester.ac.uk\/carms\/<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>If you\u2019re interested in finding out more about the project aims and design, the CARMS Trial protocol is free to access here: <a href=\"https:\/\/bmcpsychiatry.biomedcentral.com\/track\/pdf\/10.1186\/s12888-020-02697-8\">https:\/\/bmcpsychiatry.biomedcentral.com\/track\/pdf\/10.1186\/s12888-020-02697-8<\/a><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1623\" src=\"https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2020\/09\/2020_wspd_banner_english.png\" alt=\"\" width=\"701\" height=\"141\" \/><\/p>\n<h6>* This article contains references to suicide that some people may find distressing so if at any point you require urgent support with your mental health please contact your GP, care coordinator or crisis team. Other help can be found here:<\/h6>\n<ul>\n<li><a href=\"https:\/\/www.samaritans.org\/\">Samaritans:\u00a0<\/a>Phone 116 123;\u00a0Email\u00a0jo@samaritans.org; Text 07725 90 90 90; Or visit your local branch<\/li>\n<li><a href=\"https:\/\/www.anxietyuk.org.uk\/\">Anxiety UK<\/a><\/li>\n<li><a href=\"http:\/\/www.selfhelpservices.org.uk\/\">Self-Help Services:<\/a>\u00a0Online crisis support\u00a0<a href=\"http:\/\/www.selfhelpservices.org.uk\/the-sanctuary\">www.selfhelpservices.org.uk\/the-sanctuary<\/a>; Phone 0300 003 7029<\/li>\n<li><a href=\"http:\/\/www.rethink.org\/\">Rethink\u00a0<\/a>(Mon-Fri 9.30AM-4PM): Phone 0300 5000 927<\/li>\n<li><a href=\"http:\/\/www.sane.org.uk\/\">Saneline\u00a0<\/a>(4.30PM-10.30PM): Phone 0300 304 7000<\/li>\n<li><a href=\"http:\/\/www.mind.org.uk\/\">Mind<\/a>\u00a0(9AM-6PM): Phone 0161 236 8000 (local rates and mobile charges apply); Email\u00a0info@mind.org.uk; Text 86463<\/li>\n<li><a href=\"http:\/\/www.counsellingservice.manchester.ac.uk\/\">The University of Manchester Counselling Service<\/a><\/li>\n<li><a href=\"https:\/\/www.thecalmzone.net\/\">The CALM Zone<\/a><\/li>\n<li><a href=\"https:\/\/papyrus-uk.org\/\">PAPYRUS<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h6>A bit about Charlotte Huggett<\/h6>\n<p>&#8220;I am currently the Trial Manager for the <a href=\"https:\/\/sites.manchester.ac.uk\/carms\/\">CARMS project<\/a> and co-editor of the CARMS blog. I have previously worked as a Project Coordinator for the <a href=\"https:\/\/www.researchgate.net\/project\/A-pilot-study-to-investigate-the-feasibility-and-acceptability-of-a-cognitive-behavioural-suicide-prevention-therapy-for-people-in-acute-psychiatric-wards-the-INSITE-trial\">INSITE pilot trial<\/a> and as a Research Assistant on a project which explored people&#8217;s experiences of mental health stigma. I have also previously worked for <a href=\"https:\/\/www.stockportmind.org.uk\/\">Stockport Mind<\/a>, working 1:1 with people with mental health problems to support them in setting and achieving personal goals.<\/p>\n<p>I am due to start as a Trainee Clinical Psychologist at The University of Manchester \/ Greater Manchester Mental Health NHS Foundation Trust towards the end of September 2020.&#8221;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1074\" src=\"https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2017\/11\/shutterstock_247533982.jpg\" alt=\"\" width=\"4296\" height=\"2864\" srcset=\"https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2017\/11\/shutterstock_247533982.jpg 4296w, https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2017\/11\/shutterstock_247533982-300x200.jpg 300w, https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2017\/11\/shutterstock_247533982-768x512.jpg 768w, https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2017\/11\/shutterstock_247533982-1024x683.jpg 1024w, https:\/\/sites.manchester.ac.uk\/carms\/wp-content\/uploads\/sites\/5\/2017\/11\/shutterstock_247533982-1080x720.jpg 1080w\" sizes=\"(max-width: 4296px) 100vw, 4296px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Originally published by Greater Manchester Mental Health NHS Foundation Trust (https:\/\/www.gmmh.nhs.uk\/news\/world-suicide-prevention-day-and-the-carms-project-4160) &nbsp; On World Suicide Prevention Day, Charlotte Huggett, Trial Manager, tells us about how you can learn more about, and raise awareness of, suicide; and about the vital work of the Patient Safety Research Unit (PSRU) and the Cognitive AppRoaches to coMbatting Suicidality (CARMS) [&hellip;]<\/p>\n","protected":false},"author":35,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_exactmetrics_skip_tracking":false,"footnotes":""},"categories":[17,64],"tags":[15,16,47,68,67,22,36,12,38,48,35,34,21,13,65,66,69],"class_list":["post-1622","post","type-post","status-publish","format-standard","hentry","category-suicidality","category-world-suicide-prevention-day","tag-carms","tag-cbsp","tag-clinical-trial","tag-gmmh","tag-iasp","tag-mental-health","tag-nhs","tag-psychological-therapy","tag-psychosis","tag-rct","tag-recruitment","tag-research","tag-suicide","tag-suicide-prevention","tag-world-suicide-prevention-day","tag-wspd","tag-wspd2020"],"_links":{"self":[{"href":"https:\/\/sites.manchester.ac.uk\/carms\/wp-json\/wp\/v2\/posts\/1622","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.manchester.ac.uk\/carms\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sites.manchester.ac.uk\/carms\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/carms\/wp-json\/wp\/v2\/users\/35"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/carms\/wp-json\/wp\/v2\/comments?post=1622"}],"version-history":[{"count":8,"href":"https:\/\/sites.manchester.ac.uk\/carms\/wp-json\/wp\/v2\/posts\/1622\/revisions"}],"predecessor-version":[{"id":1632,"href":"https:\/\/sites.manchester.ac.uk\/carms\/wp-json\/wp\/v2\/posts\/1622\/revisions\/1632"}],"wp:attachment":[{"href":"https:\/\/sites.manchester.ac.uk\/carms\/wp-json\/wp\/v2\/media?parent=1622"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/carms\/wp-json\/wp\/v2\/categories?post=1622"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/carms\/wp-json\/wp\/v2\/tags?post=1622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}