YCMAP

Our Aim

To evaluate the clinical and cost-effectiveness of culturally adapted psychological therapy in adolescent patients with a history of self-harm.

Background

Our Y-CMAP (Youth Culturally Adapted Manual Assisted Problem-Solving Training) study aims to evaluate the clinical and cost-effectiveness of this culturally adapted psychological therapy in young people with a history of self-harm.

Our previous C MAP (Culturally adapted Manual Assisted Problem-Solving Training) study in Karachi determined the effectiveness of a 6-8 session CBT-based intervention in adults who had recently engaged in self-harm. Our results showed a significant reduction in suicidal ideation and hopelessness after the intervention. These CMAP findings highlight the usefulness of such an intervention to health services in Pakistan for patients who present after a self-harm episode.

Objectives

To determine the clinical effectiveness over 1 year of the Culturally adapted Manual Assisted brief psychological intervention (Y-CMAP).

To reliably determine the cost effectiveness over 1 year of the Y-CMAP

Explore the mechanism of change using statistical models to examine change in process variables in relation to outcome variables/ process variables.

To assess the characteristics of further episodes of self-harm as measured by the number of subsequent self-harm events, time to next event and severity of event as measured by the adapted Suicide Attempt Self-Injury Interview.