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CTRI Number  CTRI/2025/02/081181 [Registered on: 24/02/2025] Trial Registered Prospectively
Last Modified On: 07/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Understanding the adolescent suicides at Wayanad district of Kerala 
Scientific Title of Study   Understanding adolescent suicide at Wayanad district of Kerala: A qualitative Psychological autopsy study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Josna Soyuz 
Designation  PhD Scholar 
Affiliation  Prasanna School of Public Health/Manipal Academy of Higher Education 
Address  Cabin no: 29, first floor, Prasanna School of Public Health, MAHE, Manipal

Udupi
KARNATAKA
576104
India 
Phone  7306777209  
Fax    
Email  josna.psphmpl2023@learner.manipal.edu  
 
Details of Contact Person
Scientific Query  
Name  DrTeddy Andrews JJ 
Designation  Associate professor 
Affiliation  Prasanna School of Public Health,Manipal Academy of Higher Education 
Address  Associate Professor and Head Dept of social and health innovation. Cabin no.66, ground floor PSPH,MAHE,Manipal

Udupi
KARNATAKA
576104
India 
Phone  9482046109  
Fax    
Email  teddy.andrews@manipal.edu  
 
Details of Contact Person
Public Query  
Name  DrTeddy Andrews JJ 
Designation  Associate professor 
Affiliation  Prasanna School of Public Health,Manipal Academy of Higher Education 
Address  Associate Professor and Head Dept of social and health innovation. Cabin no.66, ground floor PSPH,MAHE,Manipal

Udupi
KARNATAKA
576104
India 
Phone  9482046109  
Fax    
Email  teddy.andrews@manipal.edu  
 
Source of Monetary or Material Support  
Prasanna School Of Public Health, Manipal Academy of Higher Education, Madhav Nagar, Udupi, Karnataka. Pin- 576104 
 
Primary Sponsor  
Name  Prasanna School of Public Health 
Address  Prasanna School of Public Health, Manipal Academy of Higher Education, Madhava Nagar, Manipal, 576104 
Type of Sponsor  Other [Educational Institution] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Teddy Andrews JJ  Prasanna School of Public Health, Manipal  Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Madhava Nagar, Udupi 576104
Udupi
KARNATAKA 		 9482046109

teddy.andrews@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Close people of adolescent who died by suicide 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Parents could be Both the father and mother of the adolescent who died by suicide who received a definite verdict of suicide.
Those who speak Malayalam or English
Those who are willing to take part in the study
Siblings in this study are The oldest sibling of the adolescent who died by suicide
With parental consent
those who are Above 15 years of age
Grandparents/second degree relatives Grandparents who lived with adolescent who died by suicide
Any paternal/maternal uncles or aunts or cousins who were close to the adolescent, recognized by parents
Above the age of 18
Significant others in this study are Neighbours/ family friends/Romantic partner or any other individuals who can give valuable data about the adolescent who died by suicide, Recognised by parents
Above 18 years of age
School Counsellor in this study means The mental health professional at the school who has personally known the adolescent who died by suicide.
Health Professional in this study Either physician/mental health professional (psychiatrist, psychologist or psychiatric social workers) the adolescent approached for treatment and support
In case of more than one professional, the most appropriate one will be considered based on the number of follow-up visits
Teacher in this study Most preferably the person who was in charge of the class the adolescent studied
Or any other teacher in the school who were close with the adolescent who recognized by peers/parents
Police Officer in this study those who were In charge of the particular case to investigate
or Part of the investigation team
Key Informants are CDPO of Wayanad
CWC executive members
Mental health professional (psychiatrist, psychologist or psychiatric social workers)
Medical officer
Police official
Tribal project officer of Wayanad district.
Those who have work experience of 2 years or more in this area.
Forensic professional

 
 
ExclusionCriteria 
Details  Those who have significant emotional or psychiatric /physical issues.
those who do not speak english or malayalam
those who are not willing to take part in study 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 


Identification of the stressors, triggers, and circumstances of adolescent suicides, including patterns of pre-suicidal behaviors and how they progress to suicidal behavior, can help to develop appropriate prevention strategies.
 		 3 years 
 
Secondary Outcome  
Outcome  TimePoints 
The lived experiences, coping strategies, & support networks of the family affected by adolescent suicide will inform the Department of Health to develop necessary supportive services for bereaved families.

Community stakeholders’ perspectives will provide insights for developing policies & interventions on various issues concerning adolescent suicide.
 		 3 years 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   01/03/2025 
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)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This is a qualitative psychological autopsy study to understand adolescent suicide in Wayanad district with the objectives to understand the risk, triggers, warning signs and pre-suicidal behavior of adolescents who lost to suicide in a multi-stakeholder perspective also the study explores the living experiences of their family members including their coping patterns and social support networks. it also looks into community stakeholders viewpoint regarding the sociocultural influences on adolescent suicide. 
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