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Trial registered on ANZCTR


Registration number
ACTRN12621001749897
Ethics application status
Approved
Date submitted
22/11/2021
Date registered
21/12/2021
Date last updated
19/10/2023
Date data sharing statement initially provided
21/12/2021
Type of registration
Prospectively registered

Titles & IDs
Public title
The context, causes and consequences of gambling-related suicide
Scientific title
The context, causes and consequences of gambling-related suicide
Secondary ID [1] 305740 0
None
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Gambling 324233 0
Suicide 324611 0
Condition category
Condition code
Mental Health 321718 321718 0 0
Addiction
Mental Health 322064 322064 0 0
Suicide

Intervention/exposure
Study type
Observational
Patient registry
False
Target follow-up duration
Target follow-up type
Description of intervention(s) / exposure
This is a qualitative study that will explore the context, causes and consequences of gambling-related suicide in Australia. Three main categories of participants will be recruited to one-on-one semi-structured in-depth interviews. These are 1) people who have experienced gambling-related self harm or suicidality; 2) people who have been bereaved by gambling-related suicide 3) professionals who are working to prevent suicide and/or gambling harm, such as help professionals, police, coronial staff, regulators and policy makers. Interviews will conducted by PI Rintoul who has been certified in mental health first aid and has conducted around 200 interviews with people who gamble. Each interview will take around 1 hour. Each participant will be interviewed once.

Recruitment of adults (18 years+) in Groups 1 and 2 will occur primarily through lived experience groups. Potential participants will be provided with a URL linked to an Qualtrics form where they provided with information about the study. Consenting participants will complete a brief online form (including socio economic, demographic, and gambling information) about themselves (Grp1) or their loved one (Grp2) and their contact information. Participants may also contact Principal Investigator (PI: Rintoul) directly using contact information provided on the recruitment material if they are unable to easily complete this due to internet accessibility issues. Interviews will include questions related to their:
• gambling experiences and perspectives;
• gambling-related suicide/suicidality (thoughts or suicide attempts); and,
• suggestions for preventing gambling-related suicide.

Group 3 will be purposively sample adults (18 years+) through existing professional networks and snowball techniques. Group 3 participants will be provided with a URL linked to a Qualtrics form containing professional and demographic questions and will be asked provide their contact information. Interviews will cover questions related to their:
• their role and the support or services relating to gambling or suicide prevention;
• processes and systems for identifying gambling-related suicide/suicidality (thoughts or suicide attempts); and,
• suggestions for preventing gambling-related suicide.

Consenting participants meeting the inclusion criteria will be followed up to arrange an interview which will be conducted over the telephone or using internet based video conferencing.
Intervention code [1] 322200 0
Not applicable
Comparator / control treatment
No control group
Control group
Uncontrolled

Outcomes
Primary outcome [1] 329567 0
Suggestions for preventing gambling-related suicide documented using a 60 minute audio recorded semi structured interview.
Timepoint [1] 329567 0
One-time interview
Secondary outcome [1] 403993 0
The lived experience of gambling-related suicide will be amplified using 60-minute one-to-one semi-structured, audio-recorded, interview.
Timepoint [1] 403993 0
One-time interview

Eligibility
Key inclusion criteria
The project will use a descriptive qualitative approach to advance knowledge of this public health challenge. Adult participants (18 years+) from three key groups located in Australia will be recruited to share their experiences and insights into this problem via a one-to-one semi-structured interview. These groups are:
• Group 1: People who have personally experienced gambling-related suicidality (thoughts, attempts) (up to N=20).
• Group 2: People who have been bereaved by gambling-related suicide or have a loved one who has experienced/s suicidal ideation or attempts (up to N=20).
• Group 3: People in help or service professions working to prevent or support those who gamble or are experiencing suicidality. These professions may include counsellors, coronial staff, police, health professionals and gambling regulators (up to N=10).
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
People who have experienced suicidality in the past 12 months.

Study design
Purpose
Natural history
Duration
Cross-sectional
Selection
Defined population
Timing
Prospective
Statistical methods / analysis
This is an exploratory qualitative study involving semi-structured in-depth interviews. It is anticipated up to 20 participants will be recruited each for Groups 1 and 2 and up to 10 participants for Group 3 (up to 50 in total).

It is anticipated that interviews will last around 45-60 minutes. Interviews will be audio recorded and auto-transcribed. Transcriptions will be checked and edited manually for accuracy.

QSR Nvivo will be used to manage data, Reflexive thematic analysis (Braun and Clarke, 2019) will be used to interpret and describe emerging themes.

Recruitment
Recruitment status
Recruiting
Date of first participant enrolment
Anticipated
7/01/2022
Actual
22/02/2022
Date of last participant enrolment
Anticipated
19/07/2024
Actual
Date of last data collection
Anticipated
19/07/2024
Actual
Sample size
Target
50
Accrual to date
23
Final
Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC

Funding & Sponsors
Funding source category [1] 310098 0
University
Name [1] 310098 0
Federation University
Country [1] 310098 0
Australia
Funding source category [2] 315067 0
Government body
Name [2] 315067 0
Suicide Prevention Australia Research Fund
Country [2] 315067 0
Australia
Primary sponsor type
Individual
Name
Angela Rintoul
Address
Office 5N 124,
Federation University Gippsland Campus
PO Box 3191 Gippsland Mail Centre, VIC, 3841
Country
Australia
Secondary sponsor category [1] 311460 0
None
Name [1] 311460 0
Address [1] 311460 0
Country [1] 311460 0

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 309789 0
Federation University
Ethics committee address [1] 309789 0
Office F218,Building F,
Mount Helen Campus, Federation University Australia
PO Box 633, Ballarat, VIC, 3353
Ethics committee country [1] 309789 0
Australia
Date submitted for ethics approval [1] 309789 0
10/09/2021
Approval date [1] 309789 0
29/09/2021
Ethics approval number [1] 309789 0
A21-141

Summary
Brief summary
Gambling-related suicide has been underestimated and few systemic responses are in place to support those experiencing suicidality. The study aims to understand the relationship between gambling and suicide; and, contribute evidence to prevent gambling-related suicide to inform system-wide responses to these preventable deaths.
The project will use a descriptive qualitative approach. Adult participants (18 years+) from three key groups located in Australia will be recruited to share their experiences and insights into this problem via a one-to-one semi-structured interview. Participants will be asked to describe their experiences with gambling, suicide or suicidality, their understanding of the relationship between gambling and suicide. Interviews will also seek to document how these participants perceive current gambling arrangements and how this may contribute to stigma and shame.
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 115390 0
Dr Angela Rintoul
Address 115390 0
Federation University
Office 5N124,
Gippsland Campus
PO Box 3191 Gippsland Mail Centre VIC 3841
Country 115390 0
Australia
Phone 115390 0
+61403123429
Fax 115390 0
Email 115390 0
[email protected]
Contact person for public queries
Name 115391 0
Angela Rintoul
Address 115391 0
Federation University,
Office 5N124,
Gippsland Campus
PO Box 3191 Gippsland Mail Centre VIC 3841
Country 115391 0
Australia
Phone 115391 0
+61403123429
Fax 115391 0
Email 115391 0
[email protected]
Contact person for scientific queries
Name 115392 0
Angela Rintoul
Address 115392 0
Federation University,
Office 5N124,
Gippsland Campus
PO Box 3191 Gippsland Mail Centre VIC 3841
Country 115392 0
Australia
Phone 115392 0
+61403123429
Fax 115392 0
Email 115392 0
[email protected]

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
No/undecided IPD sharing reason/comment
Raw interview data may be identifiable. For the purposes of confidentiality these will not be shared.


What supporting documents are/will be available?

Doc. No.TypeCitationLinkEmailOther DetailsAttachment
14187Ethical approval    383083-(Uploaded-22-11-2021-19-03-14)-Study-related document.docx



Results publications and other study-related documents

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