Suicidal Ideation Clinical Trial
— ECMAPOfficial title:
Elderly Culturally Adapted Manual Assisted Brief Psychological Therapy (E-CMAP) for Older Adults With Suicidal Ideation: An Exploratory Randomized Controlled Trial From Pakistan
determine the efficacy of culturally adapted manual assisted brief psychological intervention for older adults (E-CMAP) with suicidal ideation
Status | Not yet recruiting |
Enrollment | 192 |
Est. completion date | June 30, 2025 |
Est. primary completion date | December 30, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 50 Years and older |
Eligibility | Inclusion Criteria: In the context of this study, suicidal ideation is defined as; "Passive thoughts about wanting to be dead or active thoughts about killing oneself, these thoughts may include plan but not accompanied by preparatory behavior" (Griffin et al., 2020) - 50 years and above - Has recent history of experiencing suicidal ideation - Participants living within the catchment area of the participating practices and hospitals. - Capacity to give informed consent. Exclusion Criteria: - Unable to provide consent due to severe mental or physical illness. - Unlikely to be available for outcome assessments (temporary residence) |
Country | Name | City | State |
---|---|---|---|
Pakistan | Benazir Bhutto Hospital | Rawalpindi | Punjab |
Lead Sponsor | Collaborator |
---|---|
Pakistan Institute of Living and Learning |
Pakistan,
Husain N, Kiran T, Chaudhry IB, Williams C, Emsley R, Arshad U, Ansari MA, Bassett P, Bee P, Bhatia MR, Chew-Graham C, Husain MO, Irfan M, Khaliq A, Minhas FA, Naeem F, Naqvi H, Nizami AT, Noureen A, Panagioti M, Rasool G, Saeed S, Bukhari SQ, Tofique S, Zadeh ZF, Zafar SN, Chaudhry N. A culturally adapted manual-assisted problem-solving intervention (CMAP) for adults with a history of self-harm: a multi-centre randomised controlled trial. BMC Med. 2023 Jul 31;21(1):282. doi: 10.1186/s12916-023-02983-8. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Suicidal Ideation | Participants suicidal ideation will be assessed using the Beck scale for suicidal ideation. Higher scores on the questionnaire indicate greater severeity of suicidal ideation (BSI) (Beck & Steer, 1991) | change in total scores from baseline to 3-month post randomization assessment | |
Secondary | Hopelessness | Participants feelings of hopelessness will be assessed using the Beck Hopelessness Scale (BHS) (Beck & Steer, 1988). Higher scores indicate greater severity of hopelessness. | change in total scores from baseline to 3-month post randomization assessment | |
Secondary | Depression | Participants severity of depression will be assessed using the Beck Depression Inventory (BDI) (Beck, Ward, & Mendelson, 1961). Higher scores indicate greater severity of depression. | change in total scores from baseline to 3-month post randomization assessment | |
Secondary | Health-related Quality of Life | Participants Health related quality of life will be assessed using the EQ-5D- 5L (Herdman et al., 2011). Higher scores indicate better health related quality of life | change in total scores from baseline to 3-month post randomization assessment | |
Secondary | Coping Resource Inventory | Participants coping skills will be assessed using the Coping Resource Inventory (CRI) (Martin & Hammer, 1988). Higher scored indicate better coping skills. | change in total scores from baseline to 3-month post randomization assessment | |
Secondary | Client Satisfaction Questionaire | Participant satisfaction with services will be assessed using the Client Satisfaction Questionnaire (CSQ) (Attkisson & Zwick, 1982). Higher scores indicate greater level of satisfaction with the services. | level of satisfaction at end of intervention i.e., 3-month post-randomization | |
Secondary | Service Usage | Service usage (including formal (GPs/ other doctor and informal sector such as faith healers/imams) will be assessed using client service receipt inventory (CSRI) (Beecham & Knapp, 2001) | change in total scores from baseline to 3-month post randomization assessment | |
Secondary | Episodes of Self-harm | Episodes of Self-harm will be assessed using the Suicide attempt self -injury interview (SASII) (Linehan, Comtois, Brown, Heard, & Wagner, 2006). This is the semi-structured instrument to assess diffeent aspects of episode of self-harm | change in total scores from baseline to 3-month post randomization assessment | |
Secondary | Problem Solving Skills | Participants problem Solving skills will be assessed using Problem solving Inventory (PSI) (Heppner & Petersen, 1982). Higher scores indicate better problem solving skills. | change in total scores from baseline to 3-month post randomization assessment |
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