Safety Planning and Cognitive Behavioral Therapy for Adolescent Suicide Prevention in Mozambique

Summary

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.

Eligibility

Inclusion Criteria:

Inclusion criteria for suicide risk screening:

1. 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.
2. Youth enrolled in 9th and/or 10th and/or 11th grade.
3. Legal guardian has provided consent to participate if under 18 or if youth is age 18 or older and has provided consent to participate.
4. Youth has assented to participation.

Inclusion criteria for trial participation and allocation to study arm:

1\. Youth expresses active suicidal ideation on the Columbia Suicide Severity Rating Scale (C-SSRS).

Exclusion Criteria:

1. Youth and/or guardian has not provided consent to participate, or responsible party is unable to provide informed consent.
2. Youth is not enrolled in a participating secondary school.
3. Youth declines to assent.
4. Youth is a ward of the State or any other agency, institution, or entity.

Conditions2

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