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Implementing Suicide Prevention Into Primary Care in Nepal

RecruitingNAAges 18 Years - anyAllYale University
NCT07362056 on ClinicalTrials.gov โ†—
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In plain words

What the trial is, and whether it could suit you

Suicide remains a major contributor to global mortality, with particularly high and persistent rates in low-resourced settings such as South Asia. In Nepal, ongoing integration of mental health services into primary care provides a critical opportunity to strengthen suicide risk assessment and management. Despite the scale-up of mhGAP training for primary care providers (PCPs), gaps remain in the systematic detection, referral, and follow-up of individuals at risk for suicide. There is an urgent need to enhance mhGAP implementation with strategies that address provider workload, stigma, and inequities within the health workforce. Using experience-based co-design principles and RE-AIM this study will assess the feasibility and acceptability of integrating an implementation strategy package to optimize mhGAP suicide prevention delivery in Nepal's decentralized primary healthcare system. T

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๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: Primary Care Providers * Health workers with a prescribing license employed in government health facilities in Bagmati Province. * Are between 21-65 years, per government health system criteria. * Participants will be required to have competency in Nepali, be actively engaged in care provision within their health facility Patients: * Patient lives in the study site * Is under the care of a PCP at a facility site. * Patient meets any level of suicide risk based on mhGAP 2.0 criteria. * Patients who have been treated for mental illness before or presently (expected in both groups). * Speaks Nepali. * Levels of Suicide Risk (as defined by mhGAP 2.0) Exclusion Criteria: Primary Care Providers * Healthcare workers without proper government credentials will be excluded. * Health workers who plan to migrate or who do not intend to stay in the study area for at least a year. Patients: * Patient requiring immediate hospitalization * Unable to consent as determined by the diminished capacity tool.
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What it tests

  • Suicide Prevention Package (PSuPP)
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Where

1 site
Primary care facilities
Dolakhฤ, Nepal
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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