A youth culturally adapted manual assisted psychological therapy for adolescent Pakistani patients with a recent history of self-harm

Not Applicable

Completed

• Conditions: Self harm; Mental and Behavioural Disorders

• Registration Number: ISRCTN57325925
• Lead Sponsor: Pakistan Institute of Learning and Living

Brief Summary

2022 Protocol article in https://pubmed.ncbi.nlm.nih.gov/35568489/ (added 09/04/2024)

Detailed Description

Not available

Study Timeline

• Study Start: 2022-02-03
• Study Completion: 2022-09-08
• Last Update Posted: 22 April 2024

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 684

Inclusion Criteria

1. Age 12-18 years
2. Presenting to the participating GPs, emergency departments or admitted after an episode of self-harm to the participating hospitals or self-referrals
3. History of recent self-harm, defined as self-harm occurring within the last 3 months (from the initial identification of a potential participant)
4. Participants living within the catchment area of the participating practices and hospitals
5. Not needing inpatient psychiatric treatment

Exclusion Criteria

1. Severe mental illness (such as psychotic disorder) as self-harm commonly co-occurs with other mental health difficulties
2. Conditions limiting engagement with assessment or intervention, including developmental and communication disorders, intellectual disabilities and autistic spectrum disorders
3. Temporary resident unlikely to be available for follow up

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Repetition of self-harm measured using the Suicide attempt Self Injury Interview at baseline and 12 months

Secondary Outcome Measures

Name	Time	Method
1. Suicidal ideation assessed with the Beck Scale for Suicide Ideation (BSS) at baseline, 3, 6, 9 and 12 months<br>2. Hopelessness assessed with the Beck Hopelessness scale at baseline, 3, 6, 9 and 12 months<br>3. Distress assessed with the Psychological Distress Scale at baseline, 3, 6, 9 and 12 months<br>4. Health status measured using EQ-5D Y at baseline, 3, 6, 9 and 12 months<br>5. Participant satisfaction with services measured using the Client Satisfaction Questionnaire (CSQ) at 3 and 12 months<br>6. Information on the use of health services (including the informal sector such as faith healers/Imams) collected using the Client Service Receipt Inventory (CSRI) at baseline, 3, 6, 9 and 12 months