Injury, Occupational Diseases, Poisoning Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ? Reside in Ekurhuleni (SCI intervention) ? Be currently enrolled in school in grades 8-10 (to minimise loss to follow-up, as learners in higher grades (11-12) often face greater academic commitments, which can make it more challenging for them to participate fully in the intervention) ? Have no prior exposure to the Soul City Rise Club intervention
Exclusion criteria
Exclusion criteria: Adolescent girls will be excluded from the CRT if they: ? Plan to leave school in the next year
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mental health and wellbeing. The primary outcome for mental health will be whether or not the participant has experienced at least one mental health condition i.e. suicidality, depression, anxiety or post-traumatic stress disorder, as described below. Suicidality will be assessed using the Ask Suicide Screening Questions (ASQ), a brief tool validated for use in both youth and adult populations (Horowitz et al., 2012). Participants will be asked four questions in relation to the past few weeks, “have you wished you were dead?”, “have you been having thoughts about killing yourself?” and “have you ever tried to kill yourself?”. A positive response to any of the yes/no questions will lead to participants being classified as having suicidal ideation. Depressive symptoms will be assessed using the Centre for Epidemiologic Studies Depression Scale-10 item version (CES-D-10)(Radloff, 1977). The CES-D-10 is a -short self-report measure that assesses the frequency of depressive symptoms over the past week that has been extensively tested among different adolescent groups in Africa. This screening version consists of 10 items validated from the original 20-item CES-D to maintain cross-cultural relevance and reducing participant burden. To score the CES-D 10, all ten items are summed and then rebased to zero for a CES-D scale score ranging from 0 to 30, where higher scores reflect greater depressive symptomology. Each item is scored on a 4-point scale ranging from 0 = "rarely or none of the time (less than 1 day)" to 3 = "most or all of the time (5-7 days)". A cut point of 10 is used, with individuals reporting above 10 on the scale, considered to have depressive symptoms. Anxiety risk will be assessed using the Generalized Anxiety Disorder Screener (GAD-7), a self-report measure designed to identify probable cases of generalized anxiety disorder and gauge symptom severity (Löwe et al., 2008). Responses are scored on a four-point scale from 0= "not at all" to 3 “nearly ever | — |
Secondary
| Measure | Time frame |
|---|---|
| Harmful alcohol use;Parent -child communication | — |
Countries
South Africa
Contacts
Senior Researcher Wits School of Public Health