Adolescent mental health problems, risk of non-suicidal self-injury, and psychosocial maladaptation Adolescents
Conditions
Interventions
The intervention group receives a structured school-based psychosocial adaptive capacity enhancement program. The program is developed based on trauma-informed principles related to childhood househol
Health Education
psychosocial intervention
psychoeducation
life-skills education
trauma-informed care
Sponsors
Hirotaka Onishi
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Students enrolled in collaborating middle schools, high schools, or vocational secondary schools in Hongjiang, Hunan Province, China Adolescents approximately 12 to 18 years of age Students who are able to understand and complete self-report questionnaires Students who provide assent or consent to participate Students whose guardians or appropriate custodians provide informed consent Students who are expected to remain enrolled at the collaborating schools during the intervention and follow-up period
Exclusion criteria
Exclusion criteria: Students with severe psychiatric disorders, developmental disorders, or cognitive impairment that make participation in questionnaire surveys or the intervention program difficult Students who are unable to understand the study explanation or complete self-report questionnaires Students for whom assent/consent from the student or informed consent from a guardian/custodian cannot be obtained Students for whom follow-up assessment is considered difficult due to transfer, withdrawal from school, long-term absence, or other reasons Students whose participation is withdrawn by themselves or their guardians/custodians during the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcomes are changes in anxiety symptoms and depressive symptoms from baseline to post-intervention and follow-up. Anxiety symptoms are assessed using the Generalized Anxiety Disorder Scale-7, GAD-7, and depressive symptoms are assessed using the Patient Health Questionnaire-9, PHQ-9. In addition, changes in non-suicidal self-injury-related thoughts and behaviors are assessed as key behavioral outcomes. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes include resilience, rumination, dissociative experiences, psychosocial adaptation, behavioral difficulties, prosocial behavior, peer victimization, non-suicidal self-injury-related thoughts and behaviors, and program acceptability and feasibility. Resilience is assessed using the Connor-Davidson Resilience Scale-10, CD-RISC-10; rumination using the Ruminative Responses Scale, RRS; dissociative experiences using the Dissociative Experiences Scale-II, DES-II, or the Adolescent Dissociative Experiences Scale-II, A-DES-II; and behavioral difficulties and prosocial behavior using the Strengths and Difficulties Questionnaire, SDQ. Program acceptability and feasibility are evaluated using attendance records, open-ended feedback, and facilitator observation notes. | — |
Countries
China, Japan
Contacts
Public ContactHan Wu
Graduate School of Medicine and Faculty of Medicine, The University of Tokyo
Outcome results
None listed