This study is currently only recruiting in Perth. Recruitment in Melbourne is expected to commence in late May. If you are based in Melbourne, please wait until June before responding.

Thanks so much for your interest in the CANCAN Study.

If you are a young person aged 12- 25, we’d like your permission to ask you a few brief screening questions to get a sense of whether this study might be a good fit for you. These questions will help us assess whether it would be appropriate to invite you for an appointment to discuss the study further. Our goal is to ensure your time isn’t wasted by attending an appointment if the study isn’t suitable for you. The screening questions focus on your mental health and will take approximately two minutes to complete.

If you are a parent, carer, or clinician looking to refer a young person or learn more about the study, we will ask for your contact details so we can get in touch with further information.

You may skip any questions you’re not comfortable answering. If you’d prefer to arrange an appointment directly, simply email us at [email protected].

Your responses will only be used for the purpose of this research project and will only be accessed by research staff involved in this project. All information collected will be stored electronically on secure servers that are password protected. The collected information will be kept strictly confidential for as long as it takes us to assess if you are eligible, up to one month. Minimal identifying information will be kept until end of study recruitment. This includes your initials, month and year of birth.

Do you consent to the collection and storage of your information under these terms?
Are you a young person aged 12-25, a parent/carer or clinician?
Thank you for expressing your interest in the CANCAN study. Based on your responses, the study may not be suitable for you. If you would like to contact the study team you can email them at [email protected] or call Orygen on 9342 2800.

If you or a young person you care for is experiencing distress or if you need urgent support for mental health concerns: In Victoria, you can call the 24-hour Orygen clinical team (Youth Assessment Team) on 1800 888 320. In Western Australia (for people aged under 18) you can call CAHMS Crisis Connect on 1800 048 636, or the Mental Health Emergency Response line (for people aged 18 and over) on 1300 555 788. You can also call Lifeline on 13 11 14 Australia wide, or go to the emergency department at your nearest hospital.

For emergency assistance please call 000.

1. In the past week, how often have you felt anxious?
2. In the past week, when you have felt anxious, how intense or severe was your anxiety?
3. In the past week, how often did you avoid situations, places, objects, or activities because of anxiety or fear?
4. In the past week, how much did your anxiety interfere with your ability to do the things you needed to do at work, at school, or at home?
5. In the past week, how much has anxiety interfered with your social life and relationships?
If you would like us to get in touch with further information about the study, please enter your details below:
Name
Contact number
Email address
The study is currently being offered in Melbourne and Perth. Which suburb and state does the young person you would like to refer live in?
Suburb
State
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