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CTRI Number  CTRI/2022/09/045439 [Registered on: 12/09/2022] Trial Registered Prospectively
Last Modified On: 29/08/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Effects of reading positive media reports on suicide 
Scientific Title of Study   Determining the effects of protective suicide content in the print media in India 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Lakshmi Vijayakumar 
Designation  Consultant Psychiatrist 
Affiliation  Samarth 
Address  Samarth Dept. of Social Psychiatry Social Science Division No. 100 Warren Road Old No. 11 Mylapore
Department of Social Psychiatry Social Science Division No. 100 Warren Road Old No. 11 Mylapore
Chennai
TAMIL NADU
600004
India 
Phone  9841017489  
Fax    
Email  lakshmi@vijayakumars.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Lakshmi Vijayakumar 
Designation  Consultant Psychiatrist 
Affiliation  Samarth 
Address  Samarth Dept. of Social Psychiatry Social Science Division No. 100 Warren Road Old No. 11 Mylapore
Dept. of Social Psychiatry Social Science Division No. 100 Warren Road Old No. 11 Mylapore
Chennai
TAMIL NADU
600004
India 
Phone  9841017489  
Fax    
Email  lakshmi@vijayakumars.com  
 
Details of Contact Person
Public Query
 
Name  Dr Lakshmi Vijayakumar 
Designation  Consultant Psychiatrist 
Affiliation  Samarth 
Address  Samarth Dept. of Social Psychiatry Social Science Division No. 100 Warren Road Old No. 11 Mylapore
Dept. of Social Psychiatry Social Science Division No. 100 Warren Road Old No. 11 Mylapore e
Chennai
TAMIL NADU
600004
India 
Phone  9841017489  
Fax    
Email  lakshmi@vijayakumars.com  
 
Source of Monetary or Material Support  
Resource Centre for Youth Mental Health Services- Schizophrenia Research Foundation Greams Dugar Building No. 64 Greams Road Thousand Lights Chennai 600 006 
 
Primary Sponsor  
Name  Samarth 
Address  100 Warren Road Old No 11 Mylapore Cheennai 600004 
Type of Sponsor  Other [Social Science Research NGO] 
 
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 
Shuba Kumar  Resource Centre for Youth Mental Health Services- SCARF  RYMHS-SCARF No.149 First Floor Greams Dugar Apartments Greams Road Chennai- 600006
Chennai
TAMIL NADU 
9840345007

shubakumar@samarthngo.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Schizophrenia Research Foundation  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  The study will seek to test the protective effects of exposure to educative suicide prevention messaging in the print media in India on beliefs about refraining from suicide 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control Group  Control Group will read three newspaper articles on diabetes, a public health issue unrelated to suicide and unlikely to impact responses on the study measures. 
Intervention  Experimental Group 1  Experimental group 1 will be given newspaper articles containing WHO guideline-based educative suicide prevention messaging. These articles will be characterised by stories on real suicide prevention programs and awareness raising activities; suicide prevention opinions from mental health experts; real suicide prevention research findings; and, information on helping behaviours, real services and helplines 
Intervention  Experimental Group 2  Experimental Group 2 will be given the same articles with the addition of brief lived experience accounts of males and females with suicidal ideation without suicidal behaviour. Each article will contain one lived experience story of a young adult who survived a suicide crisis, emphasising a range of different coping strategies and supports. These articles will be based on real stories, but with fictional identities and locations 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  29.00 Year(s)
Gender  Both 
Details  Eligible participants will be young adults 18-29 years of age based in Chennai who consent to participate  
 
ExclusionCriteria 
Details  Youth with low literacy and who belong to a health profession or a student of a health-related course  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Primary outcomes are
1.Beliefs about refraining from suicide measured using The Survival and Coping Beliefs subscale of the Reasons for Living Scale  
Baseline
Immediately after exposure
Two weeks after the exposure  
 
Secondary Outcome  
Outcome  TimePoints 
1.Suicide prevention knowledge will be measured by the Literacy of Suicide Scale LOSS
2.Intended help-seeking behaviour will be measured by The General Help-Seeking Questionnaire GHSQ
3.Stigmatising attitudes towards suicide will be measured using the Stigma of Suicide Scale SOSS
4.Attitudes towards the preventability of suicide will be measured using the Attitudes Toward Suicide ATTS questionnaire
 
Baseline
Immediately after exposure
Two weeks after the exposure  
 
Target Sample Size   Total Sample Size="375"
Sample Size from India="375" 
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)   03/10/2022 
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="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   To be decided 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Approximately 28% of global suicides occurs in India (17% of world population) and responsible media reporting of suicide holds promise as a low cost strategy in this resource constrained setting. Research by the investigators has documented that print media in India offers readers a daily diet of prominent, graphic and simplistic reports of suicidal behaviours written by crime reporters. The report contravenes WHO media guidelines and carries substantial risks  for the  population while missing opportunities to draw on suicide prevention content. Research from many ecological studies from elsewhere in the world suggests that many lives could be saved each year in India through improved media reporting. There is however, scarce evidence and we do  not know what effects  guideline oriented reporting will have in the very different context of India . We therefore propose a multiple group randomised controlled trial to assess the protective effects of exposure to educative suicide content in the print media in India on beliefs about refraining  from suicide as well as on knowledge, attitudes and behavioural outcomes. This will be the first such experiment in South Asia and promises to have a profound impact on media guidelines or practices in the region and consequently a meaningful reduction in suicide rates 
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