Suicide and self-harm are global disease burden that contributes significantly to years of lost life and mortality.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
32
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
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.
Change in acceptance and satisfaction with the intervention
Primary outcome measure would be assessed using the Service Satisfaction Scale
Time frame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
Change in suicidal ideation
Secondary outcome measure would be assessed using the Beck Scale for Suicide Ideation
Time frame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
Change in hopelessness
Secondary outcome measure would be assessed using the Beck Hopelessness Scale
Time frame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
Change in Health Status
Secondary outcome measure would be assessed using the EQ-5D-5L quality of health scale
Time frame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
Change in repetition rate's of self-harm
Secondary outcome measure would be assessed using an adapted Suicide Attempt Self-Injury Interview
Time frame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
Change in use of health services
Secondary outcome measure would be assessed using Client Service Receipt Inventory
Time frame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention
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Change in psychological distress
Secondary outcome measure would be assessed using Kessler Psychological Distress Scale
Time frame: Change is being assessed from baseline, end of intervention at 12 weeks, and at 12 weeks post-intervention