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RecruitingNot ApplicableNCT05728138

Psychosocial Intervention for Suicidal Ideation in Individuals With FEP: A Feasibility Trial

Culturally Adapted Psychosocial Intervention for Suicidal Ideation in Individuals With First Episode Psychosis: A Feasibility Randomised Controlled Trial

Sponsor

Pakistan Institute of Living and Learning

Enrollment

80 participants

Start Date

Nov 1, 2023

Study Type

INTERVENTIONAL

Conditions

Self Harm, First Episode Psychosis

Summary

To check the feasibility and acceptability of Culturally adapted Cognitive Behavioral Therapy for Psychosis (CaCBTp) and Culturally Adapted Manual Assisted Brief Psychological Intervention for Self-harm (CMAP), which we have provisionally called (CMAP Plus) for individuals experiencing Suicidal Ideation (SI) in First Episode Psychosis (FEP).

Eligibility

Min Age: 18 Years

Inclusion Criteria4

  • Individuals diagnosed with, Schizophrenia or Schizoaffective disorder according to DSM-V, confirmed by treating consultant.
  • Age 18 and above years able to understand written and spoken Urdu.
  • A score of 1 (Mild- Frequent thoughts of being better off dead, or occasional thoughts of suicide.) on the Calgary depression Scale item 8 (Suicide) "Have you felt that life wasn't worth living? Did you ever feel like ending it all? What did you think you might do? Did you actually try?"
  • Individuals with a score of 3 or more on any of the positive symptoms on the Positive and Negative Syndrome Scale (PANSS) (e.g., delusions, hallucination).

Exclusion Criteria2

  • Any evidence of organic brain disease, clinically significant comorbid illness or learning disability. Participants deemed actively suicidal by their designated health professional.
  • Those scoring >1 on Calgary depression Scale will be excluded and be referred to a psychiatric service.

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Interventions

BEHAVIORALCMAP Plus CBT

Culturally Adapted Manual Assisted Problem Solving (CMAP) integrated with Culturally adapted Cognitive Behavior Therapy (CaCBT) CMAP is a manual assisted brief psychological intervention based on the principles of Cognitive Behaviour Therapy (CBT), integrated with Culturally adapted Cognitive Behavior Therapy (CaCBT) including 12 sessions delivered over three months. This intervention includes evaluation of the self-harm attempt, psycho-education, crisis skills, problem-solving and simple and thought management

Locations(1)

Karwan e Hayat

Karachi, Sindh, Pakistan

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NCT05728138