Self-harm, Suicidal Ideation
Conditions
Brief summary
Suicide and self-harm are global disease burden that contributes significantly to years of lost life and mortality.
Detailed description
Self-harm and suicidal ideation represent a significant global public health concern (Knipe et al., 2022), affecting about 14.6 million people yearly (Nichols et al., 2021). Globally, over 700 000 people die by suicide annually (World Health Organization -- WHO, 2023). Suicide is the fourth leading cause of death among 15-29-year-olds, and 77% of global suicides occur in low- and middle-income countries, including Nigeria (WHO, 2023). The psychological impact of suicidal ideation includes continuing high tendencies of self-harm (Jidong et al., 2024). Despite the increasing rates of suicide and self-harm in Nigeria, this topic is understudied, with no culturally appropriate or sustainable psychological interventions.
Interventions
BEHAVIORALCaMaPi
CaMaPi is a manually assisted brief psychological intervention that is based on the principles of Cognitive Behaviour Therapy (CBT). The intervention includes psycho-education and a comprehensive cognitive behavioural assessment of the suicidal ideation and self-harm attempt using virtual stories of four young people to be delivered in 8-10 sessions for over three months
OTHERTAU
Treatment as Usual (TAU) is routine care, such as diagnosis, assessment, psychotherapy, monitoring and any form of intervention (e.g., medication prescription) available at the collaborating service.
Sponsors
University of Manchester
Jos University Teaching Hospital
Teesside University
Nottingham Trent University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
16 Years to 24 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients aged 16-24 years presenting to the participating services, and emergency departments or admitted after an episode of self-harm to the participating hospitals or self-referrals. * Participants will have to be living within the catchment area of the participating practices, services and hospitals. * Not needing inpatient psychiatric treatment.
Exclusion criteria
* Severe mental illness (such as Psychotic disorder). * Conditions limiting engagement with assessment/intervention. * Temporary resident unlikely to be available for follow up.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in acceptance and satisfaction with the intervention | Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention | Primary outcome measure would be assessed using the Service Satisfaction Scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in hopelessness | Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention | Secondary outcome measure would be assessed using the Beck Hopelessness Scale |
| Change in Health Status | Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention | Secondary outcome measure would be assessed using the EQ-5D-5L quality of health scale |
| Change in suicidal ideation | Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention | Secondary outcome measure would be assessed using the Beck Scale for Suicide Ideation |
| Change in use of health services | Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention | Secondary outcome measure would be assessed using Client Service Receipt Inventory |
| Change in psychological distress | Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention | Secondary outcome measure would be assessed using Kessler Psychological Distress Scale |
| Change in repetition rate's of self-harm | Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention | Secondary outcome measure would be assessed using an adapted Suicide Attempt Self-Injury Interview |
Contacts
Primary ContactDung Jidong, PhD
Outcome results
None listed