Suicide Ideation Intervention in Nigeria

NCT05103540 | Not Yet Recruiting

• 1 other identifier: BU/002/21
• Study Type: interventional
• Target: 450
• Locations: 0 countries
• Sites: N/A

Brief Summary

The research will use the Social Ecologic Model of behavior and WHO mhGAP framework to design a comprehensive intervention across three levels (individual, interpersonal, and social) of influence. The study will then pilot the intervention in 15 secondary schools through a Stepped-Wedge Cluster-Randomized trial. After screening for eligibility and selecting participating schools and individuals, investigators will randomize at the cluster level and switch the groups from control to intervention arms at three months' intervals till the research has moved all the clusters. The study will collect data at baseline, the switch points, and the end of the study. The goal is to evaluate the feasibility, effectiveness of a comprehensive suicide behavior prevention intervention among in-school adolescents in Nigeria. Another aim is to identify barriers and facilitators of implementation and the best practices for scaling up the intervention. It is hypothesized that because our intervention is based on the best contextual evidence and built on a sound theoretical model, it will successfully mitigate suicide ideation. Also, the nature and efficiency of the stepped wedge cluster randomized design will enhance the feasibility in the local context, characterized by political, logistic, and ethical constraints.

Conditions

Suicide

Outcome Measures

Primary Outcomes (1)

• Suicide Ideation

  Adolescent Suicide Ideation measured using the Positive and Negative Suicide Ideation (PANSI) Inventory. The scores range from six to thirty for PANSI-Positive Inventory (PI) and eight to 40 for PANSI-Negative Suicide Inventory (NSI). Higher scores on PANSI-NSI scale and lower marks on PANSI-PI) symbolize the higher frequency of suicidal thoughts.

  12 weeks

Secondary Outcomes (3)

• Gratitude

  12 weeks

• Grit

  12 weeks

• Mental Health Status

  12 weeks

Study Arms (2)

Intervention

EXPERIMENTAL

Comprehensive theory-based suicide behavior program

Behavioral: Comprehensive SEM-Based Program

Control

NO INTERVENTION

No intervention will be given to the group

Interventions

Comprehensive SEM-Based Program BEHAVIORAL

The SEM theorizes that there are multiple inter-related levels of influences on human behavior, and a successful preventive program should address factors at each stratum. My intervention addresses three levels; individual, interpersonal, and social. Firstly, the research will collaborate with relevant stakeholders to design and obtain a commitment from the schools to a suicidal behavior prevention policy and protocol document. Secondly, the intervention will train staff and students on best practices to improve students' connectedness thereby, creating a positive school environment. Thirdly, the study will identify and train gatekeepers on the proper response to suicidal thoughts and other suicidal behaviors; and serve as the link between the students and a school-linked mental health specialist. We will train the gatekeepers to use school-based screening tools. Lastly, this research will educate all students on suicidal behaviors.

Intervention

Eligibility Criteria

• Age: 10 Years - 19 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Duly enrolled students
• Aged 10-19 years
• No plans of leaving the school in the next year
• Give consent
• Parental/guardians' assent

You may not qualify if:

• Nil

Sponsors & Collaborators

• Babcock University: lead

MeSH Terms

Conditions

Suicide

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Olumide Abiodun

  Babcock University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Olumide Abiodun

CONTACT

+2347038569725; abioduno@babcock.edu.ng

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: October 21, 2021
• First Posted: November 2, 2021
• Study Start: July 1, 2025
• Primary Completion (Estimated): June 1, 2028
• Study Completion (Estimated): June 1, 2028
• Last Updated: August 7, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share