An interventional study of Youth Culturally Adapted Manual Assisted Psychological Therapy (Y-CMAP) in Self Harm, sponsored by Pakistan Institute of Living and Learning. Completed at 3 sites in Pakistan. Open to participants aged 12 Years to 18 Years. Per ClinicalTrials.gov, last updated 2023-04-03.
Sponsored by Pakistan Institute of Living and Learning · Not applicable, Interventional, and Prevention
To evaluate the clinical and cost-effectiveness of a youth culturally adapted manual assisted therapy (YCMAP) in Pakistani Adolescents with a history of self-harm
Globally suicide is the second leading cause of death in young people 15-29 years of age. A recent review indicated that the reported suicide rates in South Asia are high compared to the global average. These figures are likely to be an under estimate since suicide data from many Low and Middle Income Countries (LMICs) is lacking. There is little official data on suicide from Pakistan, where suicide and self-harm remains as criminal act and socially, religiously condemned. However, there is accumulating evidence that both self-harm and suicide rates have been increasing in Pakistan.
This is the first RCT of a psychological intervention for self-harm in children and young people in Pakistan. It follows from the work of "Multicentre RCT to evaluate the clinical and cost effectiveness of culturally adapted manual assisted psychological intervention"(CMAP) trial currently taking place in adults who have self-harmed in Pakistan, by evaluating whether a similar intervention, adapted for children and adolescents, could be clinically and cost effective.
249 studies on the registry are indexed under Self-Injurious Behavior; 92 are open to participants now.
This study's enrollment of 684 is above the median of 66 across 212 interventional studies indexed under Self-Injurious Behavior.
Browse Self-Injurious Behavior studies →Pakistan Institute of Living and Learning is the lead sponsor of 59 studies on the registry; 17 are open to participants now.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
Youth Culturally adapted manual assisted (Y-CMAP) psychological therapy
Behavioral: Youth Culturally Adapted Manual Assisted Psychological Therapy (Y-CMAP)
TAU will be standard routine care delivered by local medical, psychiatric and primary care services according to clinical judgement. A record will be kept of any treatment received by each participant. Assessment will be done at 3rd,6th,9th and 12 month after randomization along with TAU
Y-CMAP is a manual assisted brief psychological intervention based on the principles of Cognitive Behaviour Therapy (CBT), including 8-10 sessions delivered over three months. This intervention includes evaluation of the self-harm attempt, psycho education, crisis skills, problem solving and simple cognitive techniques to manage emotions, negative thinking,relapse prevention strategies and training on anger management and assertiveness.
Also known as: Psychosocial Intervention
Suicide Attempt Self Injury Interview SASII
Repetition rate of self-harm measured by adapted Suicide Attempt Self-Injury Interview (SASII). Higher number on repetition indicates worse outcome and vice versa
Time frame: Change in scores from baseline to 12th months
Beck Scale for Suicidal ideation (BSI)
Suicidal ideation will be assessed with the Beck Scale for Suicide Ideation (BSS; Beck \& Steer, 1991), a 19-item self-report questionnaire, measuring the intensity and frequency of suicidal thoughts within the past week. Minimum total score is 0 and maximum total score can be 38. Higher scores indicate worse outcome.
Time frame: Change in scores from Baseline to 3rd, 6th, 9th and 12th month.
Beck Hopelessness Scale
This is a 20 items scale measuring hopelessness. Higher scores on the scale indicate greater severity of hopelessness. Minimum total score on this scale can be 0 and maximum total score can be 20, with higher levels of hopelessness indicated by higher scores on the scale.
Time frame: [Time Frame: Baseline,3rd,6th,9th and 12th months]
Psychological Distress Scale
It's a 10 item scale measuring emotional states with a 5 level response scale. The maximum score is 50 indicating severe distress, and the minimum score is 10 indicating no distress.
Time frame: Change in scores from Baseline to 3rd, 6th, 9th and 12th month.
EuroQol-5 Dimensions (EQ5-D)
A standardised instrument to measure health status and associated population utility weights. It consists of a self-report questionnaire covering five dimensions of health (mobility, self-care, usual activities, pain/ discomfort and anxiety/ depression).
Time frame: Change in scores from Baseline to 3rd, 6th, 9th and 12th month.
Client Satisfaction Questionnaire (CSQ).
The participants will rate their satisfaction with treatment by using the CSQ. The total score ranges from 8 to 32. Higher scores indicate higher level of satisfaction.
Time frame: Change in scores from Baseline to 3rd, 6th, 9th and 12th month.
Client Services Receipt Inventory CSRI
We will collect information on the use of health services (including the informal sector such as faith healers/Imams)
Time frame: Change in scores from Baseline to 3rd, 6th, 9th and 12th month.
Plan to share: No
This study is completed, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.
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Pakistan Institute of Living and Learning