This implementation research project aims to test the effectiveness and implementation outcomes of suicide safety planning along and a transdiagnostic cognitive behavioral intervention for suicide prevention on decreasing suicidal behaviors in secondary school students in Mozambique. This study will also result in hypothesized mechanisms of intervention effects, costs and cost-effectiveness.
Youth enrolled in a secondary school in Sofala Province that is located within 30 minutes of a health facility that hosts both an urgent care and mental health department.
Youth enrolled in 9th and/or 10th and/or 11th grade.
Legal guardian has provided consent to participate if under 18 or if youth is age 18 or older and has provided consent to participate.
Youth has assented to participation.
Youth and/or guardian has not provided consent to participate, or responsible party is unable to provide informed consent.
Youth is not enrolled in a participating secondary school.
Youth declines to assent.
Youth is a ward of the State or any other agency, institution, or entity.
Parallel
Safety Planning Intervention
BehavioralAll behavioral interventions will be provided by a trained nonspecialist healthcare worker, descriptions of each intervention can be found under treatment arm/group descriptions.
Enhanced Usual Care
BehavioralAll behavioral interventions will be provided by a trained nonspecialist healthcare worker, descriptions of each intervention can be found under treatment arm/group descriptions.
Transdiagnostic Cognitive Behavioral Therapy for Suicide Prevention
BehavioralAll behavioral interventions will be provided by a trained nonspecialist healthcare worker, descriptions of each intervention can be found under treatment arm/group descriptions.
Suicidal Behavior
As reported on the Columbia Suicide Severity Rating Scale. The responses of the C-SSRS tool are yes or no options that indicate the user's level of risk as low, moderate or high risk of suicide.
Suicidal Behavior - Supplementary analysis of primary outcome
As reported on the Columbia Suicide Severity Rating Scale. The responses of the C-SSRS tool are yes or no options that indicate the user's level of risk as low, moderate or high risk of suicide.
Suicidal Ideation
As reported on the Columbia Suicide Severity Rating Scale. The responses of the C-SSRS tool are yes or no options that indicate the user's level of risk as low, moderate or high risk of suicide.
Depressive Symptoms
Depressive symptoms as measured on the Patient Health Questionnaire 9 - MZ, the scoring range is 0-27 with higher scores indicative of more severe symptoms
Suicidal Behavior - Maintenance Indicators
As reported on the Columbia Suicide Severity Rating Scale. The responses of the C-SSRS tool are yes or no options that indicate the user's level of risk as low, moderate or high risk of suicide.
Click on the lead sponsor to view all of their trials.
University of Washington
Lead sponsor
National Institute of Mental Health (NIMH)
Collaborator