Peer Delivered Youth Suicide Prevention in Nepal
Starting soon · Not applicable
Conditions studied: Suicide, Suicide Prevention
In brief
South Asia has the highest suicide rate in the world with important risk profile differences from high-income settings. Investigators will conduct formative research to co-design a package of brief interventions and implementation strategies to prevent youth-suicide and then test the package in a pilot feasibility hybrid type 2 cluster randomized controlled trial in Nepal. Potential health impacts may be substantial as results can be applied not only in similar South Asian primary healthcare contexts, but also in low-resource settings in the US and abroad, where the suicide burden remains high. Using experience-based co-design and equity-focused implementation frameworks, this study will assess the feasibility and acceptability of a Youth-focused, Peer-delivered, Family-engaged Suicide Prevention Package (YPF-SuPP) integrated within existing mhGAP services in Nepal's decentralized primary healthcare system. This pilot trial will generate preliminary data to inform the design of a future fully powered effectiveness trial and potential scale-up of youth suicide prevention strategies.
Key facts
- Study ID
- NCT07680179
- Run by
- Yale University
- People needed
- 160
- Starts
- 2026-06-01
- Expected to finish
- 2028-06-01
- Last updated by the study team
- 2026-07-02
Who can join
Age: 12 and older, up to 24. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Peer Volunteers
- Age ≥18 years
- No current untreated mental disorder or suicide risk, as assessed and confirmed by a Nepali mental health specialist (MD or PhD)
- Meets hiring and eligibility criteria of the local implementing partner NGO
- Fluent in spoken Nepali
- Trial Youth Patient Participants
- Age 12-24 years
- Resident of the study site
- Screens positive to the Nepali Ask Suicide Screening Questions or a lifetime history of a suicide attempt
- Ability to provide informed consent or assent
- For participants under 18 years of age, written informed consent from a legal guardian
- Fluent in Nepali
- Family Members (intervention group only)
- Family member (defined as any individual that is a parent, grandparent, aunt/uncle, or cousin as well as significant others) selected by the youth participants enrolled in the study
- Resident of the study site
- Over 18 years of age
- Ability to provide informed consent or assent
- Fluent in Nepali
You may not qualify if…
- Peer Volunteers
- Plans to leave the peer volunteer role within the next 6 months
- Unable to provide voluntary informed consent for any reason
- Trial Youth Patient Participants
- Requires immediate psychiatric hospitalization at the time of assessment
- Unable to provide informed consent or assent due to impaired decision-making capacity
- Participants under 18 years of age without written informed consent from a legal guardian
- Planning to leave the study area in the next 6 months
- Family Members
- Requires immediate psychiatric hospitalization at the time of assessment
- Unable to provide informed consent or assent due to impaired decision-making capacity
- Planning to leave the study area in the next 6 months
Where it is running
- Sochai Nepal — Makwanpur, Nepal
Full record on ClinicalTrials.gov
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