Clinical trial NCT06440031: CaMaPi for Adolescents/Young People With a History of Self-harm and Suicidal Ideation in Jos, Nigeria
Official title: Culturally-adapted Manual-assisted Psychological Intervention (CaMaPi) for Adolescents/Young People With a History of Self-harm and Suicidal Ideation in Jos, Nigeria
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Self-harm
Suicidal Ideation
Lead sponsor: Nottingham Trent University
Sponsor class: OTHER
Collaborators: name: University of Manchester
name: Jos University Teaching Hospital
name: Teesside University
First posted: 2024-06-03
Enrollment: 32
Sex: ALL
Minimum age (years): 16
Maximum age (years): 24
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

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.

Eligibility criteria: 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.

Primary outcomes:
measure: Change in acceptance and satisfaction with the intervention
timeFrame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
Secondary outcomes:
measure: Change in suicidal ideation
timeFrame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
measure: Change in hopelessness
timeFrame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
measure: Change in Health Status
timeFrame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
measure: Change in repetition rate's of self-harm
timeFrame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
measure: Change in use of health services
timeFrame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
measure: Change in psychological distress
timeFrame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
Other outcomes:
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