Culturally Adapted Cognitive Behavioral Therapy for Prevention of Self Harm
NCT ID: NCT01308151
Last Updated: 2013-12-17
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
221 participants
INTERVENTIONAL
2010-03-31
2012-10-31
Brief Summary
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To adapt and develop a culturally appropriate psychological intervention and test its feasibility, and acceptability for the patients presenting to general hospital following self-harm in Karachi Pakistan.
Primary hypothesis:
Patients who receive cognitive behavioral therapy will show significant decrease in suicidal ideation as compared to patients with treatment as usual.
Design:
Randomized Control Trial
Setting:
Medical Departments of General Hospitals in Karachi.
Participants:
A total of 200 self harm patients will be randomized to psychological intervention and treatment as usual arm.
Intervention:
Culturally Adapted Cognitive Behavioral Therapy (CBT)
Outcome measure:
Beck Suicidal Ideation Scale
Detailed Description
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The areas covered by the manual which has been adapted include an evaluation of the self-harm attempt, crisis skills, problem solving, and basic cognitive techniques to manage emotions and negative thinking and relapse prevention strategies. The treatment will be structured around patient's current problems with the relevant sections of the manual helping the patient to deal with specific problems leading to the self-harm act. Between the sessions the manual can be used for homework tasks by the patient.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Experimental Arm
Culturally Adapted Manualised Cognitive Behavioral Therapy (CBT) Sessions will be offered weekly in the first month and then fortnightly.
Other
No interventions other than the culturally adapted manualised cognitive behavioral therapy
Control
Patients who will be randomized to the "treatment as usual" arm will receive routine care
No interventions assigned to this group
Interventions
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Other
No interventions other than the culturally adapted manualised cognitive behavioral therapy
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* age of 16 to 64 years;
* Resident in the trial site catchments area,
* Ability to complete a baseline assessment;
* Ability to provide at least 2 verifiable contacts to improve tracking for subsequent assessments; and ability to understand and provide informed consent.
Exclusion Criteria
* Temporary resident unlikely to be available for follow up.
* Diagnosis of Alcohol and other drug dependence, schizophrenia or Bipolar Disorders.
16 Years
64 Years
ALL
No
Sponsors
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University of Manchester
OTHER
Dow University of Health Sciences
OTHER
Abbasi Shaheed Hospital
OTHER
Pakistan Institute of Living and Learning
OTHER
Responsible Party
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Pakistan Institute Of Learning And Living
Principal Investigators
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Nusrat Husain, MD
Role: PRINCIPAL_INVESTIGATOR
Pakistan Institute of Learning and Living, University of Manchester
Nasim Chaudhry, MRCPsych, MD
Role: PRINCIPAL_INVESTIGATOR
University of Manchester
Imran Chaudhry, MD
Role: PRINCIPAL_INVESTIGATOR
University of Manchester
Salahuddin Afsar, FRCP
Role: PRINCIPAL_INVESTIGATOR
Dow University of Health Sciences Karachi
Meher Husain, MD
Role: PRINCIPAL_INVESTIGATOR
Pakistan Institute of Living and Learning
Raza Ur-Rehman, FCPS
Role: PRINCIPAL_INVESTIGATOR
Dow University of Health Sciences
Batool Fatima
Role: PRINCIPAL_INVESTIGATOR
Pakistan Institute of Living and Learning
Farooq Naeem, MRCPsych
Role: PRINCIPAL_INVESTIGATOR
Pakistan Institute of Learning and Living, University of Southampton
Munir Hamirani, FCPS
Role: PRINCIPAL_INVESTIGATOR
Abbasi Shaheed Hospital
Locations
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Civil hospital
Karachi, Sindh, Pakistan
Abbasi Shaheed Hospital
Karachi, Sindh, Pakistan
Dow University of Health Sciences
Karachi, Sindh, Pakistan
Pakistan Institute of Learning and Living
Karachi, Sindh, Pakistan
Countries
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References
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Rahman A, Iqbal Z, Waheed W, Hussain N. Translation and cultural adaptation of health questionnaires. J Pak Med Assoc. 2003 Apr;53(4):142-7.
Guthrie E, Kapur N, Mackway-Jones K, Chew-Graham C, Moorey J, Mendel E, Francis FM, Sanderson S, Turpin C, Boddy G. Predictors of outcome following brief psychodynamic-interpersonal therapy for deliberate self-poisoning. Aust N Z J Psychiatry. 2003 Oct;37(5):532-6. doi: 10.1046/j.1440-1614.2003.01197.x.
Hawton K, Arensman E, Townsend E, Bremner S, Feldman E, Goldney R, Gunnell D, Hazell P, van Heeringen K, House A, Owens D, Sakinofsky I, Traskman-Bendz L. Deliberate self harm: systematic review of efficacy of psychosocial and pharmacological treatments in preventing repetition. BMJ. 1998 Aug 15;317(7156):441-7. doi: 10.1136/bmj.317.7156.441.
Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2.
Husain N, Afsar S, Ara J, Fayyaz H, Rahman RU, Tomenson B, Hamirani M, Chaudhry N, Fatima B, Husain M, Naeem F, Chaudhry IB. Brief psychological intervention after self-harm: randomised controlled trial from Pakistan. Br J Psychiatry. 2014 Jun;204(6):462-70. doi: 10.1192/bjp.bp.113.138370. Epub 2014 Mar 27.
Other Identifiers
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PILL-UoM Self Harm 250410
Identifier Type: -
Identifier Source: org_study_id