CTRI

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CTRI Number

CTRI/2025/10/096011 [Registered on: 13/10/2025] Trial Registered Prospectively

Last Modified On:

10/10/2025

Post Graduate Thesis

Yes

Type of Trial

Observational

Type of Study

Cross Sectional Study

Study Design

Other

Public Title of Study

Qualitative study on Clinical Psychologist Perspectives on No-Suicide Contracts

Scientific Title of Study

Experiences of Private Clinical Psychologists about using No-Suicide Contracts In India: A Qualitative 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	Rashi Hakim
Designation	MPhil Clinical Psychology Trainee
Affiliation	Department of Clinical Psychology, Manipal College of Health Professions
Address	Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education Udupi KARNATAKA 576104 India
Phone	09909843808
Fax
Email	rashi.mchpmpl2024@learner.manipal.edu

Details of Contact Person
Scientific Query

Name	Anagha Deshmukh
Designation	Assistant Professor - Selection Grade
Affiliation	Department of Clinical Psychology, Manipal College of Health Professions
Address	Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education Udupi KARNATAKA 576104 India
Phone	7259619947
Fax
Email	anagha.deshmukh@manipal.edu

Details of Contact Person
Public Query

Name	Priyanka Krishnan
Designation	Assistant Professor
Affiliation	Department of Clinical Psychology, Manipal College of Health Professions
Address	Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education Udupi KARNATAKA 576104 India
Phone	7654423300
Fax
Email	priyanka.krishnan@manipal.edu

Source of Monetary or Material Support

NIL

Primary Sponsor

Name	Rashi Hakim
Address	Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal - 576104
Type of Sponsor	Other [Self]

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 Muralldhar M Kulkarni	Manipal Academy of Higher Education	Department of Clinical Psychology, Manipal College of Health Professions, Manipal Academy of Higher Education Udupi KARNATAKA	9909843808 rashi.mchpmpl2024@learner.manipal.edu

Details of Ethics Committee

No of Ethics Committees= 1
Name of Committee	Approval Status
KMC and KH Institutional Ethics Committee	Approved

Regulatory Clearance Status from DCGI

Status

Not Applicable

Health Condition / Problems Studied

Health Type	Condition
Healthy Human Volunteers	Clinical Psychologist

Intervention / Comparator Agent

Type	Name	Details
Intervention	Nil	Nil
Intervention	Nil	Nil

Inclusion Criteria

Age From	25.00 Year(s)
Age To	80.00 Year(s)
Gender	Both
Details	Phase I: Inclusion criteria: RCI Licensed Clinical Psychologists Living and practicing in India Minimum 3 years of experience in private practice. Must have worked with at least 10 patients experiencing suicidal ideation, suicide attempts, or self-harm. Must have implemented at least 10 NSCs in their clinical work. Must be able to comprehend and communicate in English Phase II: RCI Licensed Clinical Psychologists Living and practicing in India Minimum 1 year of experience in private practice. Must have worked with at least 5 patients experiencing suicidal ideation, suicide attempts, or self-harm. Must have implemented at least 5 NSCs in their clinical work. Must be able to comprehend and communicate in English

ExclusionCriteria

Details

Phase I:
Clinical Psychologist exclusively working in hospital setting.

Phase II:
Clinical Psychologist working exclusively in hospital setting.
Clinical Psychologist who has validated the interview guide.

Method of Generating Random Sequence

Not Applicable

Method of Concealment

Not Applicable

Blinding/Masking

Not Applicable

Primary Outcome

Outcome	TimePoints
Identification of common themes in the use and perception of NSCs among private practitioners in India. Understanding the impact of NSCs on therapeutic relationships and clinical decision-making.	8 months

Secondary Outcome

Outcome	TimePoints
NIL	NIL

Target Sample Size

Total Sample Size="25"
Sample Size from India="25"
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)

01/11/2025

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="0"
Months="8"
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, prospective, cross-sectional study titled “Experiences of Private Clinical Psychologists about using No-Suicide Contracts in India: A Qualitative Exploratory Study.” The aim of the study is to explore the experiences of clinical psychologists about using No-Suicide Contracts (NSCs) in their private psychotherapy practice in India. The objectives are to understand the attitudes and experiences of clinical psychologists in private practice using no-suicide contracts, to explore the influence of the no-suicide contract in the psychotherapy process, and to explore the ethical concerns of private clinical psychologists in India regarding the use of no-suicide contracts. The study will be conducted in two phases. Phase I will involve expert validation of the semi-structured interview guide by five subject experts using Fleiss’ Kappa to assess content validity .Phase II will include semi-structured interviews with 20–30 licensed clinical psychologists in private practice across India, selected through purposive sampling. Data will be analyzed using Thematic Analysis following Braun and Clarke’s (2006) framework, with triangulation, member checking, and reflexivity to ensure credibility and trustworthiness. The expected outcomes include themes related to the purpose, implementation, ethical dilemmas, cultural factors, and clinical implications of NSCs in psychotherapy. The findings will contribute to developing standardized, ethically sound, and culturally sensitive guidelines for the use of NSCs, thereby enhancing clinical training, ethical practice, and patient-centered therapeutic interventions.