Hand in Hand, We Rise (Xie Shou Gong Jin)

NCT07722455 | Not Yet Recruiting DMC

• 1 other identifier: STUDY00001434
• Study Type: interventional
• Target: 1,680
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to conduct a cluster randomized controlled trial to assess the feasibility of implementing the "Hand in Hand, We Rise" (Xie Shou Gong Jin) multi-stakeholder collaborative school-based suicide prevention program in rural public junior high schools. Six schools will be randomly assigned in a 1:1 ratio to either the intervention group or the control group; the intervention group will simultaneously implement the "Youth Strengths \& Skills Curriculum (YSSC)" curriculum for students, "Life Gatekeeper" training for teachers, and mental health information dissemination for caregivers. The primary objectives are to evaluate recruitment, retention, adherence, implementation fidelity, acceptability, and safety within real-world school settings, and to preliminarily estimate changes in indicators such as suicidal ideation, depression, anxiety, loneliness, help-seeking attitudes, mental health stigma, self-esteem, school climate, and bullying. The findings will provide parameters and an implementation basis for a subsequent large-scale, multi-school cluster randomized controlled trial.

Conditions

Suicide; Suicide Awareness; Mental Health; Suicide Prevention

Outcome Measures

Primary Outcomes (4)

• Suicide Ideation Attributes Scale (SIDAS)

  Frequency and severity of suicide ideation will be evaluated by SIDAS at baseline, 4 months and 8 months follow-up to evaluate suicide ideation as one of the primary outcomes among adolescents.

  Baseline, 4 months (post-intervention) and 8 months follow-up

• Columbia-Suicide Severity Rating Scale (C-SSRS)

  Severity of suicide risk will be assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS) at baseline, 4 months and 8 months follow-up to evaluate the overall risk of suicide as one of the primary outcomes among adolescents.

  Baseline, 4 months (post-intervention) and 8 months follow-up

• Session Evaluation Form (SEF)

  The 13-item SEF measuring perceived feasibility, acceptability, and intervention utility of the intervention at 4 months follow-up/postintervention

  4 months (post-intervention)

• Client Satisfaction Survey (CSQ-8)

  The 8-item CSQ assessing satisfaction will be used to measure intervention acceptability at 4 months follow-up/post-intervention.

  4 months (post-intervention)

Secondary Outcomes (14)

• Patient Health Questionnaire (PHQ-9)

  Baseline, 4 months (post-intervention) and 8 months follow-up

• Generalized Anxiety Disorder (GAD-7)

  Baseline, 4 months (post-intervention) and 8 months follow-up

• Attitudes Toward Seeking Professional Psychological Help

  Baseline, 4 months (post-intervention) and 8 months follow-up

• Perceived Devaluation Discrimination (PDD) scale

  Baseline, 4 months (post-intervention) and 8 months follow-up

• Stigma of Suicide Scale (SOSS)-short form

  Baseline, 4 months (post-intervention) and 8 months follow-up

Other Outcomes (1)

• Adverse Childhood Experience

  Baseline

Study Arms (2)

Hand in Hand, We Rise

EXPERIMENTAL

Six schools will be randomly assigned in a 1:1 ratio to either the intervention group or the control group; the intervention group will simultaneously implement the "Youth Strengths \& Skills Curriculum (YSSC)" curriculum for students, "Life Gatekeeper" training for teachers, and mental health information dissemination for caregivers. Students' intervention (YSSC) includes a 6-session course, with each session delivered by school mental health teachers approximately every 2 weeks. Parents' intervention also includes 6-lesson course, with each lesson delivered approximately every 2 weeks. Teachers' intervention will be a 1-to-2-day(s) training delivered right after the randomization.

Behavioral: Xie Shou Gong Jin

Usual care

ACTIVE COMPARATOR

Psychoeducation classroom education for students as usual

Behavioral: Regular psychoeducation class

Interventions

Regular psychoeducation class BEHAVIORAL

Psychoeducation classroom as usual in schools, provided by teachers to students as part of the regular school curriculum

Usual care

Xie Shou Gong Jin BEHAVIORAL

Six schools will be randomly assigned in a 1:1 ratio to either the intervention group or the control group; the intervention group will simultaneously implement the "Youth Strengths \& Skills Curriculum (YSSC)" curriculum for students, "Life Gatekeeper" training for teachers, and mental health information dissemination for caregivers.

Hand in Hand, We Rise

Eligibility Criteria

• Age: 11 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may not qualify if:

• Individuals will be excluded from the study if they are determined to have symptoms that would prevent them from giving meaningful consent or participate in study activities, such as significant cognitive impairment.

Sponsors & Collaborators

• Brown University: lead
• Beijing Normal University: collaborator

Study Sites (1)

Six middle schools

Linquan County, Anhui, China

Location

MeSH Terms

Conditions

Suicide; Suicide Prevention; Psychological Well-Being

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior; Personal Satisfaction

Central Study Contacts

Shufang Sun, PhD

CONTACT

401-484-0012; flourishing@brown.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 20, 2026
• First Posted: July 23, 2026
• Study Start (Estimated): August 1, 2026
• Primary Completion (Estimated): July 1, 2027
• Study Completion (Estimated): July 1, 2027
• Last Updated: July 23, 2026

Record last verified: 2026-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP

Locations

CN (1)