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CTRI Number  CTRI/2024/08/072027 [Registered on: 07/08/2024] Trial Registered Prospectively
Last Modified On: 20/08/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Other 
Public Title of Study   An implementation research to reduce suicide risk behavior and improving wellbeing among students 
Scientific Title of Study   ICMRs Multistate Implementation Research Study on Suicide Risk Reduction and Improving Mental Well Being Among School and College Students 
Trial Acronym  NILL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Neha Dahiya 
Designation  Program Officer 
Affiliation  Indian Council Of Medical Research 
Address  Division of Delivery Research, Indian Council Of Medical Research Headquarters, Government of India, New Delhi

South
DELHI
110029
India 
Phone  9968910438  
Fax    
Email  neha.dahiya@icmr.gov.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neha Dahiya 
Designation  Program Officer 
Affiliation  Indian Council Of Medical Research 
Address  Division of Delivery Research, Indian Council Of Medical Research Headquarters, Government of India, New Delhi

South
DELHI
110029
India 
Phone  9968910438  
Fax    
Email  neha.dahiya@icmr.gov.in  
 
Details of Contact Person
Public Query
 
Name  Dr Neha Dahiya 
Designation  Program Officer 
Affiliation  Indian Council Of Medical Research 
Address  Division of Delivery Research, Indian Council Of Medical Research Headquarters, Government of India, New Delhi

South
DELHI
110029
India 
Phone  9968910438  
Fax    
Email  neha.dahiya@icmr.gov.in  
 
Source of Monetary or Material Support  
Indian Council of Medial Research  
 
Primary Sponsor  
Name  Indian Council of Medical Research 
Address  V. Ramalingaswami Bhawan, P.O. Box No. 4911 Ansari Nagar, New Delhi - 110029, India  
Type of Sponsor  Government funding agency 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 8  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ramdas Ransing  All India Institute of Medical Sciences Guwahati  Room No 1022 Department of Psychiatry Silbharal Changsari Guwahati 781101
Kamrup
ASSAM 
9503145475

ramdas_ransing123@yahoo.co.in 
Dr Neeti Rustagi  All India Institute of Medical Sciences Jodhpur  Department of Community Medicine and Family Medicine Room No 205 2nd Floor Academic building Marudhar Industrial Area 2nd Phase MIA 1st Phase Basni 342005
Jodhpur
RAJASTHAN 
8003996931

drneetigoswami@gmail.com 
Dr Pragya Sharma  Andaman & Nicobar Islands Institute of Medical Sciences   DHS Annexe Building, Atlanta Point, Port Blair -744104
Andamans
ANDAMAN & NICOBAR ISLANDS 
9968604252

drpragyas@gmail.com 
Dr Indu P S  Government Medical College Kollam  Department of Community Medicine Room No 4 Academic Block Govt Medical College Parippally PO Kollam Kerala PIN-691574
Kollam
KERALA 
9495980886

indupsaniltv@gmail.com 
Dr Satabdi Chakraborty  Institute of Health Behaviour and Allied Sciences (IHBAS)  Room no 220 Academic Block GTB Enclave Dilshad Garden New Delhi 110095
East
DELHI 
9416026739

satapril27@yahoo.co.in 
Dr Seema Mehrotra  National Institute of Mental Health and Neuro Sciences (NIMHANS)  Department of Clinical Psychology NIMHANS 3rd Floor MV Govindswamy Centre Bengaluru 560029
Bangalore
KARNATAKA 
9448503853

drmehrotra_seema@yahoo.com 
Dr Tarun Mene  Rajiv Gandhi University  Arunachal Institute of Tribal Studies, Rono Hills, Doimukh, Dist- Papumpare, - 791112
Papum Pare
ARUNACHAL PRADESH 
8119859343

tarun.mene@rgu.ac.in 
Dr Chetna Duggal  Tata Institute of Social Sciences (TISS)  School of Human Ecology 503 MS Gore Block Naoroji Campus Deonar farm road Mumbai 400088
Mumbai
MAHARASHTRA 
9833059886

chetnaduggal02@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 8  
Name of Committee  Approval Status 
AIIMS Jodhpur- Institutional Ethics Committee (Human)   Approved 
Human Ethics Committee Government Medical College Kollam  Approved 
IEC AIIMS Guwahati  Approved 
IEC- IHBAS  Approved 
Institutional Ethics Committe Rajiv Gandhi University   Approved 
Institutional Ethics Committee ANIIMS  Approved 
Institutional Review Board TISS  Approved 
NIMHANS Ethics Committee - Behavioral Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  NIL 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Gatekeeper Training for Suicide Prevention   This intervention aims at equipping individuals, often those who interact regularly with the target population, with the knowledge and skills to identify early signs of distress, offer initial help, and connect at-risk individuals with appropriate professional support.  
Intervention  Leader Engagement for Mental Health First Response in Schools and Colleges.  This initiative aims to establish standardized procedures that facilitate efficient mental health, suicide prevention, and crisis intervention care for students within educational institutions. 
Comparator Agent  NIL  NIL 
Intervention  Promotive and Preventive Self-help Interventions for Youth   These interventions encompass modules that youth can utilize to enhance their knowledge about mental health and well-being, broaden their repertoires of psychosocial competencies for maintaining well being and facilitating personal growth 
Intervention  Youth engagement for mental health advocacy and peer support   Youth engagement initiatives operate from the framework of building necessary knowledge and skills in youth supporters, and thereafter leverage their support to advocate for mental health, reduce stigma about mental health, and improve help seeking behavior for mental health in the student community. 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  29.00 Year(s)
Gender  Both 
Details  1. School/ pre-university students (grades 9-12)
2. College students (graduate and postgraduate levels, including professional courses) 
 
ExclusionCriteria 
Details  1. Educational institutes exclusively catering to adolescents with special needs
2. Doctoral students and students pursuing education through distance or online or certificate courses lasting less than a year
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Achieving reduction of suicide risk behaviors and increase in help-seeking behavior among school and college students in selected districts.

2. The key barriers and facilitating factors will be identified and implementation outcomes including implementation costs will be documented for suggesting recommendations regarding potential nation-wide scaling. 
3 years 
 
Secondary Outcome  
Outcome  TimePoints 
Establish, orient and engage district level health care service providers for referral support of high risk/ distressed students  3 years 
 
Target Sample Size   Total Sample Size="472"
Sample Size from India="472" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   16/08/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [neha.dahiya@icmr.gov.in].

  6. For how long will this data be available start date provided 12-08-2024 and end date provided 31-12-2029?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - As it is a multicenter trial, additional information plan/policy for sharing IPD will be taken care by ICMR office bearers
Brief Summary  

This implementation study aims to evaluate a scalable, multicomponent intervention in schools and colleges across eight Indian states and union territories. The package spans care from promotion and prevention to enhancing help-seeking, early identification, crisis intervention, and postvention. Objectives include developing and assessing an implementation model for achieving reduction of suicide risk behavior (perceived stress, depressive symptoms , low help seeking) in selected educational institutes. The study will use a mixed methods design and the Updated Consolidated Framework for Implementation Research (CFIR). Based on the findings derived from the formative research work, the implementation model will undergo iterative cycles for optimization. The final phase focuses on monitoring, evaluating the optimized model’s implementation, and assessing its sustainability. The primary outcome aims at reduction of suicide risk behaviors among school and college students in selected districts. Identification of the key barriers and facilitating factors and assessing implementation outcomes including implementation costs will be documented for suggesting recommendations regarding potential nation-wide scaling.

 
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