Dung Ezekiel Jidong, Tarela Juliet Ike, Maigari Yusufu Taru, Juliet Y. Pwajok, Charles Nnaemeka Nwoga, John Ezekiel Jidong, Shadrack B. Mwankon, Christopher Francis, Nusrat Husain
{"title":"针对尼日利亚有自残史和自杀意念的青少年的文化适应性手工辅助心理干预（CaMaPI）：一项随机对照可行性试验","authors":"Dung Ezekiel Jidong, Tarela Juliet Ike, Maigari Yusufu Taru, Juliet Y. Pwajok, Charles Nnaemeka Nwoga, John Ezekiel Jidong, Shadrack B. Mwankon, Christopher Francis, Nusrat Husain","doi":"10.1002/cpp.70098","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Globally, suicide is the second leading cause of death for adolescents/young people aged 15–30-years old. The mainstream care for these affected persons is mostly unsuccessful due to limited culturally appropriate care.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>This is a mixed-methods randomised controlled feasibility trial design. A culturally adapted manual-assisted psychological intervention (CaMaPI) was utilised to treat adolescents/young people with histories of self-harm and suicidal ideation. CaMaPI is a manualised intervention consisting of 10 sessions, grounded in psychoeducation and cognitive behavioural therapy. Participants aged 18–29 were screened for self-harm and suicidal ideation. <i>N</i> = 20 participants were randomised into CaMaPI (<i>n</i> = 10) or Treatment as Usual (TaU) (<i>n</i> = 10) groups. One focus group with <i>n</i> = 8 participants, and <i>n</i> = 3 individual interviews were conducted with the experimental group.</p>\n </section>\n \n <section>\n \n <h3> Result</h3>\n \n <p>Satisfaction with intervention (CaMaPI, 100%; TaU, 50%). Reduction in self-harm and suicidal ideation was higher in CaMaPI on the suicide and self-harm scale at Md = 1.00 with z = −2.264, compared to TaU, Md = 3.00 with z = −0.378. Both groups showed no significant reduction in hopelessness. Emerging themes from the qualitative findings showed acceptance of self-harm and suicidal ideation as a treatable condition, mood management and behaviour modification, alongside cultural appropriateness and positive experience of the CaMaPI.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>CaMaPI is feasible, culturally appropriate and acceptable in reducing self-harm and suicidal ideation in adolescents/young people with histories of self-harm and suicidal ideation in Nigeria. A fully powered randomised control trial is recommended to evaluate the clinical and cost-effectiveness of CaMaPI compared with TAU.</p>\n \n <p><b>Trial Registration:</b> ClinicalTrials.gov (No. NCT06440031)</p>\n </section>\n \n <section>\n \n <h3> Key Practitioner Message</h3>\n \n <div>\n \n <ul>\n \n \n <li>Suicide is one of the leading causes of death among 15- to 29-year-olds globally.</li>\n \n \n <li>Seventy-three percent of all suicides and self-harm happen in low- and middle-income countries, including Nigeria.</li>\n \n \n <li>CaMaPI is acceptable, culturally appropriate and feasible for treating suicidal ideation and self-harm behaviours in adolescents and young people.</li>\n \n \n <li>CaMaPI is manualised and delivered with minimal resources by trained clinical psychology researchers.</li>\n </ul>\n </div>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 3","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70098","citationCount":"0","resultStr":"{\"title\":\"Culturally Adapted Manual-Assisted Psychological Intervention (CaMaPI) for Adolescents/Young People With a History of Self-Harm and Suicidal Ideation in Nigeria: A Randomised Controlled Feasibility Trial\",\"authors\":\"Dung Ezekiel Jidong, Tarela Juliet Ike, Maigari Yusufu Taru, Juliet Y. Pwajok, Charles Nnaemeka Nwoga, John Ezekiel Jidong, Shadrack B. Mwankon, Christopher Francis, Nusrat Husain\",\"doi\":\"10.1002/cpp.70098\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Globally, suicide is the second leading cause of death for adolescents/young people aged 15–30-years old. The mainstream care for these affected persons is mostly unsuccessful due to limited culturally appropriate care.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>This is a mixed-methods randomised controlled feasibility trial design. A culturally adapted manual-assisted psychological intervention (CaMaPI) was utilised to treat adolescents/young people with histories of self-harm and suicidal ideation. CaMaPI is a manualised intervention consisting of 10 sessions, grounded in psychoeducation and cognitive behavioural therapy. Participants aged 18–29 were screened for self-harm and suicidal ideation. <i>N</i> = 20 participants were randomised into CaMaPI (<i>n</i> = 10) or Treatment as Usual (TaU) (<i>n</i> = 10) groups. One focus group with <i>n</i> = 8 participants, and <i>n</i> = 3 individual interviews were conducted with the experimental group.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Result</h3>\\n \\n <p>Satisfaction with intervention (CaMaPI, 100%; TaU, 50%). Reduction in self-harm and suicidal ideation was higher in CaMaPI on the suicide and self-harm scale at Md = 1.00 with z = −2.264, compared to TaU, Md = 3.00 with z = −0.378. Both groups showed no significant reduction in hopelessness. Emerging themes from the qualitative findings showed acceptance of self-harm and suicidal ideation as a treatable condition, mood management and behaviour modification, alongside cultural appropriateness and positive experience of the CaMaPI.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>CaMaPI is feasible, culturally appropriate and acceptable in reducing self-harm and suicidal ideation in adolescents/young people with histories of self-harm and suicidal ideation in Nigeria. A fully powered randomised control trial is recommended to evaluate the clinical and cost-effectiveness of CaMaPI compared with TAU.</p>\\n \\n <p><b>Trial Registration:</b> ClinicalTrials.gov (No. NCT06440031)</p>\\n </section>\\n \\n <section>\\n \\n <h3> Key Practitioner Message</h3>\\n \\n <div>\\n \\n <ul>\\n \\n \\n <li>Suicide is one of the leading causes of death among 15- to 29-year-olds globally.</li>\\n \\n \\n <li>Seventy-three percent of all suicides and self-harm happen in low- and middle-income countries, including Nigeria.</li>\\n \\n \\n <li>CaMaPI is acceptable, culturally appropriate and feasible for treating suicidal ideation and self-harm behaviours in adolescents and young people.</li>\\n \\n \\n <li>CaMaPI is manualised and delivered with minimal resources by trained clinical psychology researchers.</li>\\n </ul>\\n </div>\\n </section>\\n </div>\",\"PeriodicalId\":10460,\"journal\":{\"name\":\"Clinical psychology & psychotherapy\",\"volume\":\"32 3\",\"pages\":\"\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-06-11\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.70098\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical psychology & psychotherapy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/cpp.70098\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical psychology & psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cpp.70098","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Culturally Adapted Manual-Assisted Psychological Intervention (CaMaPI) for Adolescents/Young People With a History of Self-Harm and Suicidal Ideation in Nigeria: A Randomised Controlled Feasibility Trial
Background
Globally, suicide is the second leading cause of death for adolescents/young people aged 15–30-years old. The mainstream care for these affected persons is mostly unsuccessful due to limited culturally appropriate care.
Methods
This is a mixed-methods randomised controlled feasibility trial design. A culturally adapted manual-assisted psychological intervention (CaMaPI) was utilised to treat adolescents/young people with histories of self-harm and suicidal ideation. CaMaPI is a manualised intervention consisting of 10 sessions, grounded in psychoeducation and cognitive behavioural therapy. Participants aged 18–29 were screened for self-harm and suicidal ideation. N = 20 participants were randomised into CaMaPI (n = 10) or Treatment as Usual (TaU) (n = 10) groups. One focus group with n = 8 participants, and n = 3 individual interviews were conducted with the experimental group.
Result
Satisfaction with intervention (CaMaPI, 100%; TaU, 50%). Reduction in self-harm and suicidal ideation was higher in CaMaPI on the suicide and self-harm scale at Md = 1.00 with z = −2.264, compared to TaU, Md = 3.00 with z = −0.378. Both groups showed no significant reduction in hopelessness. Emerging themes from the qualitative findings showed acceptance of self-harm and suicidal ideation as a treatable condition, mood management and behaviour modification, alongside cultural appropriateness and positive experience of the CaMaPI.
Conclusions
CaMaPI is feasible, culturally appropriate and acceptable in reducing self-harm and suicidal ideation in adolescents/young people with histories of self-harm and suicidal ideation in Nigeria. A fully powered randomised control trial is recommended to evaluate the clinical and cost-effectiveness of CaMaPI compared with TAU.
期刊介绍：
Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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