Culturally Adapted Suicide Prevention Intervention for Older Adults

Last updated: May 16, 2024
Sponsor: Pakistan Institute of Living and Learning
Overall Status: Active - Recruiting

Phase

N/A

Condition

Suicide

Treatment

ECMAP

Clinical Study ID

NCT06019650
ECMAP
  • Ages > 50
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

determine the efficacy of culturally adapted manual assisted brief psychological intervention for older adults (E-CMAP) with suicidal ideation

Eligibility Criteria

Inclusion

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 andhospitals.

  • Capacity to give informed consent.

Exclusion

Exclusion Criteria:

  • Unable to provide consent due to severe mental or physical illness.

  • Unlikely to be available for outcome assessments (temporary residence)

Study Design

Total Participants: 192
Treatment Group(s): 1
Primary Treatment: ECMAP
Phase:
Study Start date:
November 01, 2023
Estimated Completion Date:
June 30, 2025

Study Description

Suicide is a serious public health concern. Each year more than 800,000 people worldwide die due to suicide. Most of these (79%) are in the low and middle-income countries (LMIC), with an increased risk of suicide in ageing.

Primary Objective: To assess the effectiveness of E-CMAP compared to Treatment as Usual (TAU) as measured by reduction in suicidal ideation third month post-randomization with Beck Scale for Suicidal ideation (BSI) (Beck & Steer, 1991) Secondary outcomes: the two groups will be compared on hopelessness, depression, quality of life, coping skills, participant satisfaction, health/social care usage, and episodes of self-harm. All variables known to be related to suicide risk.

The study will be carried out in two stages. First stage will be cultural adaptation and refinement of the intervention and second stage will be feasibility Randomised Control Trial (RCT).

Stage 1: In the first stage, the adaptation of the intervention for suicidal ideation in older adults will be carried out by a group of experts including a master trainer, a bilingual health expert, mental health professional potential user (i.e., older adults with suicidal ideation), and a senior therapist through discussion groups.

Stage 2: Feasibility randomized controlled trial (RCT) After adaptation, the intervention will be tested in a multicenter RCT to determine the efficacy of culturally adapted manual assisted brief psychological intervention for older adults/elderly (E-CMAP) with suicidal ideation.

Connect with a study center

  • Benazir Bhutto Hospital

    Rawalpindi, Punjab 203393
    Pakistan

    Active - Recruiting

Map preview placeholder

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.