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CTRI Number  CTRI/2025/11/098198 [Registered on: 28/11/2025] Trial Registered Prospectively
Last Modified On: 25/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   A study among health professionals who treat patients with suicide attempt to understand how patients are treated and what interventions are provided to them 
Scientific Title of Study   Process Mapping of the Care process of Patients Presenting with Intentional Self Harm Through Emergency Department; An Exploratory 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  Delna Davis 
Designation  Mphil Psychiatric Social Work trainee 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of psychiatry Kasturba Medical College Manipal Karnataka
Manipal Academy of Higher Education, Madhav Nagar, Manipal
Udupi
KARNATAKA
576104
India 
Phone  8202922217  
Fax    
Email  delna.kmcmpl2024@learner.manipal.edu  
 
Details of Contact Person
Scientific Query  
Name  Soyuz John 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of psychiatry Kasturba Medical College Manipal Karnataka
Manipal Academy of Higher Education,Madhav Nagar, Manipal
Udupi
KARNATAKA
576104
India 
Phone  8867604011  
Fax    
Email  soyuz.john@manipal.edu  
 
Details of Contact Person
Public Query  
Name  Soyuz John 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of psychiatry Kasturba Medical College Manipal Karnataka
Manipal Academy of Higher Education,Madhav Nagar, Manipal
Udupi
KARNATAKA
576104
India 
Phone  8867604011  
Fax    
Email  soyuz.john@manipal.edu  
 
Source of Monetary or Material Support  
Department of psychiatry, Kasturba Medical College, Manipal, Karnataka,India, Pin code 576104 
 
Primary Sponsor  
Name  Department of psychiatry 
Address  OPD No - 33, Kasturba Medical College, Madhav Nagar, Manipal, Karnataka,India, Pin code 576104 
Type of Sponsor  Private medical college 
 
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 
Soyuz John  Kasturba Hospital, Manipal  Department of psychiatry, Kasturba Hospital, Manipal, Karnataka, India, Pin code 576104
Udupi
KARNATAKA 		 8867604011

soyuz.john@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  Healthy volunteers- screening intervention;(Z00-Z99)Factors influencing health status and contact with health services 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  health professionals directly working and known about the care process of patients with intentional self harm. health professionals willing to participate also will be included. 
 
ExclusionCriteria 
Details  health professionals not directly working and unknown about the care process of patients with intentional self harm. health professionals unwilling to participate also will be excluded. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To develop a visual process map that highlights key intervention points to improve the quality, efficiency, and continuity of care for ISH patients.  outcome of this cross sectional study will be assessed at baseline 
 
Secondary Outcome  
Outcome  TimePoints 
To map the step by step care pathway of patients presenting with intentional self harm (ISH) from emergency admission to discharge or psychiatric referral in a tertiary care setting.  outcome of this cross sectional study will be assessed at baseline 
To identify delays, gaps, & service inefficiencies in the current care process for ISH patients, including coordination between departments.  outcome of this cross sectional study will be assessed at baseline 
To understand the roles & perspectives of healthcare professionals involved in managing ISH cases.  outcome of this cross sectional study will be assessed at baseline 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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)   01/11/2026 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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  

Aim

To develop the process map of the care process for patients with intentional self harm presenting at Emergency Department.

Objectives

  1. To understand admission, treatment and discharge process of patient with ISH
  2. To identify the delays and gaps in receiving mental health services for patients with ISH
  3. To Develop a visual process map of the care pathway of the patients with ISH presenting at Emergency Department.

participants
health professionals in kasturba hospital in manipal. who are directly working with ISH patients and known about their case process

Statistical methods
The collected data will first be analyzed through narrative mapping, where the information is written in a descriptive manner to understand the care process in detail. this will be followed by process mapping, which involves visually representing the care pathway using specific symbols and flow diagrams that carry particular meanings.


 
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