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SuicideNCT07913659

Effect of Clinical Simulation on Suicide Care Competency and Suicide Stigma Levels of Psychiatric Nursing Students

A study testing Suicide Scenario-Based Clinical Simulation in people with Suicide and Stigma, Social, run by Medipol University at 1 site in Turkey (Türkiye).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study aims to examine the effect of a suicide scenario-based clinical simulation on nursing students' suicide care competency and suicide stigma levels. The study uses a single-group pre-test/post-test (quasi-experimental) design. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Suicide, Stigma, Social, Simulation Based Learning
What is being tested?
Suicide Scenario-Based Clinical Simulation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
110 participants
Where
1 siteTurkey (Türkiye)
Study dates
1 Oct 2026to 8 Oct 2026
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Enrolled in the Mental Health and Diseases Nursing course (3rd year, English Program, Istanbul Medipol University)
  • Willing to voluntarily participate and provide written informed consent
  • No prior participation in a similar simulation-based training on approaching patients with suicidal ideation or risk

Who cannot join

  • Refusal to participate in the study
  • Absence during the simulation implementation session

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Istanbul Medipol University, Faculty of Health Sciences, Department of Nursing

    Istanbul, 34810

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of Clinical Simulation on Mental Health and Psychiatric Nursing Students' Suicide Care Competency and Suicide Stigma Levels

This study aims to examine the effect of a suicide scenario-based clinical simulation on nursing students' suicide care competency and suicide stigma levels. The study uses a single-group pre-test/post-test (quasi-experimental) design. Nursing students enrolled in a Mental Health and Psychiatric Nursing course at a foundation university in Istanbul, Türkiye, who have not previously participated in a similar simulation, are invited to take part.

Before the simulation, participants complete a set of questionnaires assessing their suicide care competency and attitudes toward suicide stigma. They then take part in a structured simulation session involving a standardized patient portraying a person with suicidal history and risk. The session includes a prebriefing phase, a 15-minute clinical encounter, and a 60-minute debriefing session guided by the PEARLS model. Immediately afterward, participants complete the same questionnaires again.

The purpose of the study is to determine whether simulation-based training improves nursing students' competency in caring for individuals at suicide risk and reduces stigmatizing attitudes toward suicide, and to contribute evidence on the use of simulation in psychiatric nursing education.

Read the detailed description

Design: This study was conducted using a single-group pre-test/post-test quasi-experimental design to evaluate the effect of a suicide scenario-based clinical simulation on nursing students' suicide care competency and suicide stigma levels.

Hypotheses:

H1: Post-test mean suicide care competency scores of nursing students who participate in the simulation will be higher than their pre-test mean scores.

H2: Post-test mean suicide stigma scores of nursing students who participate in the simulation will be lower than their pre-test mean scores.

Population and Sample: The study population consists of 3rd-year students enrolled in the Mental Health and Diseases Nursing course (English Program) at the Faculty of Health Sciences, Istanbul Medipol University, during the 2026-2027 fall semester (N=110). The sample consists of students who had not previously participated in a similar suicide scenario-based simulation and who agreed to participate voluntarily.

Data Collection Tools: A Personal Information Form (9 items; developed by the researchers, covering age, gender, marital status, prior experience with suicidal individuals, self-reported care competency, personal and family history related to suicidal ideation or attempt), the Suicide Care Competence Scale (SCCS; 18 items, 5 subscales; Sun et al., 2014; Turkish validity and reliability by Erfidan \& Büyükbayram Arslan, 2026; Cronbach α=0.85), and the Stigma of Suicide Scale (SOSS; 55 items, 3 subscales: Stigmatization, Isolation/Depression, Glorification/Normalization; Batterham, Calear \& Christensen, 2013; Turkish validity and reliability by Öztürk, Akın \& Durna, 2017; Cronbach α=0.90) were used.

Simulation Intervention: The intervention consisted of three sequential phases - prebriefing, clinical simulation, and debriefing - with identical learning objectives, environment, scenario, and procedures maintained across all participants to preserve intervention fidelity.

Prebriefing Phase: Conducted immediately before the simulation by the principal researcher, introducing the learning objectives, scenario, participant roles, expected timeline, debriefing process, and data collection instruments, and establishing a psychologically safe learning environment. Pre-test questionnaires (Personal Information Form, SCCS, SOSS) were completed at the end of this phase.

Clinical Simulation Phase: Each group of students engaged in an approximately 15-minute encounter with a standardized patient portraying a person with suicidal history and risk, communication difficulties, and nursing care needs. The scenario was set in a clinical inpatient context. Students practiced therapeutic communication and suicide risk assessment within a safe, realistic environment.

Debriefing Phase: A 60-minute structured session guided by the PEARLS (Promoting Excellence and Reflective Learning in Simulation) blended debriefing model, encompassing reaction, analysis, and summary phases. Post-test questionnaires (SCCS, SOSS) were completed immediately after the debriefing. Total session duration was approximately 2 hours.

Data Analysis Plan: Data are analyzed using SPSS 22.0. Descriptive statistics (mean, standard deviation, median, frequency, percentage) are used for quantitative and qualitative variables respectively. The paired-samples t-test is used to compare pre-test and post-test measurements. Pearson correlation analysis is used to assess relationships between variables. Statistical significance is evaluated at the 95% confidence level (p<0.05).

Being tested
Suicide Scenario-Based Clinical Simulation
Keywords
Suicide, Suicide Stigma, Suicide Care Competency, Clinical Simulation, Students, Nursing, Psychiatric Nursing Education, Standardized Patient
Medical subject headings
Suicide, Social Stigma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Suicide Scenario-Based Clinical SimulationBehavioural

    A structured simulation-based intervention consisting of three phases: (1) Prebriefing: introduction of learning objectives, scenario, and roles; completion of pre-test questionnaires (Personal Information Form, Suicide Care Competence Scale, Stigma of Suicide Scale). (2) Clinical Simulation: a 15-minute standardized patient encounter in which nursing students practice therapeutic communication and suicide risk assessment with a patient portraying suicidal history and risk. (3) Debriefing: a 60-minute structured reflective session guided by the PEARLS model, followed by immediate post-test administration. Total duration approximately 2 hours.

Study groups in NCT07913659
Study groupRoleWhat they receive
Experimental GroupExperimentalThere is one group. All participants received a suicide scenario-based clinical simulation before their psychiatric clinical placement. The intervention consisted of three sequential phases - prebriefing, clinical simulation, and debriefing - with identical learning objectives, environment, scenario, and procedures maintained across all participants to preserve intervention fidelity.
Receives: Behavioral: Suicide Scenario-Based Clinical Simulation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Suicide Care Competency

    Measured by the Suicide Care Competence Scale (SCCS; 18 items, 5 subscales). Scores range from 18 to 90; higher scores indicate greater suicide care competency. Turkish validity and reliability established by Erfidan and Büyükbayram Arslan (2026); Cronbach alpha=0.85.

    Measured: Baseline (pre-simulation) and immediately after debriefing (approximately 2 hours after baseline)

  2. Change in Suicide Stigma Levels

    Measured by the Stigma of Suicide Scale (SOSS; 55 items, 3 subscales: Stigmatization, Isolation/Depression, Glorification/Normalization). 5-point Likert scale. Turkish validity and reliability established by Öztürk, Akın and Durna (2017); Cronbach alpha=0.90.

    Measured: Baseline (pre-simulation) and immediately after debriefing (approximately 2 hours after baseline)

Secondary outcomes (1)
  1. Self-Perceived Care Competency for Suicidal Patients

    Single-item visual analog scale (0-10) from the Personal Information Form assessing students' self-perceived competency in caring for patients admitted due to suicidal attempt.

    Measured: Baseline only

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Nov 2026
  2. Study start1 Oct 2026
  3. Primary completion8 Oct 2026
  4. Study completion8 Oct 2026

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Model description
Single-group pre-test/post-test quasi-experimental design. All participants receive the same simulation intervention and are assessed before and immediately after.
Masking
None (open label)
Enrolment
110 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07913659
Sponsor's protocol ID
E-10840098-50.04-6898
Status last verified
Oct 2026
First submitted
28 Oct 2026
Last updated
3 Nov 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: Individual participant data will not be shared, as the study involves student participants whose confidentiality is protected under the ethics committee approval. Aggregate findings will be reported in peer-reviewed publications.

Publications

  • Sun FK, Chiang CY, Chen WJ, Wang RH, Huang HM, Lin HY. Development and psychometric testing of the Suicide Caring Competence Scale (SCCS) for family caregivers in Taiwan. Arch Psychiatr Nurs. 2014;28(4):284-9. doi:10.1016/j.apnu.2014.05.001 Erfidan SC, Büyükbayram Arslan A. Turkish Validity and Reliability Study of the Suicide Caring Competence Scale: A Methodological Study. Archives of Health Science and Research. 2026;13:1-9. doi:10.5152/ArcHealthSciRes.2026.25168 Batterham PJ, Calear AL, Christensen H. The Stigma of Suicide Scale: Psychometric properties and correlates of the stigma of suicide. Crisis. 2013;34(1):13-21. doi:10.1027/0227-5910/a000156 Öztürk A, Akın S, Durna Z. Testing the Psychometric Properties of the Turkish Version of the Stigma of Suicide Scale (SOSS) with a Sample of University Students. Journal of Psychiatric Nursing. 2017;8(2):102-109. Eppich W, Cheng A. Promoting Excellence and Reflective Learning in Simulation (PEARLS): Development and rationale for a blended approach to health care simulation debriefing. Simul Healthc. 2015;10(2):106-115. PMID:25710312 Goh YS, Selvarajan S, Chng ML, Tan CS, Yobas P. Using standardized patients in enhancing undergraduate students' learning experience in mental health nursing. Nurse Educ Today. 2016;45:167-172. PMID:27526302 Del Pozo-Herce P, Ruiz-Lozano RE, Tejada-Garrido CI, Morán-Rodríguez M, Alonso-Sangregorio M, Olmos-Jiménez R. Mental Health Nursing Student's Perception of Clinical Simulation about Patients at Risk of Suicide. Nurs Rep. 2024;14(1). doi:10.3390/nursrep14010049 PMID:38535721 Campbell C, Lugger M. Innovative Approaches to Mental Health Education: Standardized Patients and Tag Team Simulation. Issues Ment Health Nurs. 2025. doi:10.1080/01612840.2025.2474109 PMID:40068187 Shubel L, et al. Standardized Patients to Deliver or Evaluate Suicide Prevention Trainings for Health Professionals: A Scoping Review. Am J Pharm Educ. 2025. doi:10.1016/j.ajpe.2025.101497 PMID:40882819 Bruce E, Shaughne

Questions about this trial

What is this clinical trial studying?

A study testing Suicide Scenario-Based Clinical Simulation in people with Suicide and Stigma, Social, run by Medipol University at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Suicide Care Competency (time frame: Baseline (pre-simulation) and immediately after debriefing (approximately 2 hours after baseline)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07913659, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.

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