Culturally adapted intervention for preventing suicide in older adults

Elderly Culturally Adapted Manual Assisted Brief Psychological Therapy (E-CMAP) for Older Adults With Suicidal Ideation: An Exploratory Randomized Controlled Trial From Pakistan

Not applicable Interventional Pakistan Institute of Living and Learning · NCT06019650

This study is testing a new culturally tailored program to help older adults who are having thoughts of suicide, to see if it can improve their mental health and quality of life.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment192 (estimated)
Ages50 Years and up
SexAll
SponsorPakistan Institute of Living and Learning Academic / other
Locations1 site (Rawalpindi, Punjab Province)
Trial IDNCT06019650 on ClinicalTrials.gov

What this trial studies

This study aims to evaluate the effectiveness of a culturally adapted psychological intervention, known as E-CMAP, for older adults experiencing suicidal ideation. The intervention will be refined through expert discussions and tested in a multicenter randomized controlled trial. Participants will be assessed for changes in suicidal thoughts, hopelessness, depression, quality of life, and other related factors three months after randomization. The study seeks to address the significant public health issue of suicide among the elderly, particularly in low and middle-income countries.

Who should consider this trial

Good fit: Ideal candidates are individuals aged 50 and above who have a recent history of suicidal ideation and can provide informed consent.

Not a fit: Patients with severe mental or physical illnesses that prevent them from providing consent may not benefit from this study.

Why it matters

Potential benefit: If successful, this intervention could significantly reduce suicidal ideation and improve mental health outcomes for older adults.

How similar studies have performed: Other studies have shown promise in culturally adapted interventions for mental health, suggesting potential success for this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

In the context of this study, suicidal ideation is defined as; "Passive thoughts about wanting to be dead or active thoughts about killing oneself, these thoughts may include plan but not accompanied by preparatory behavior" (Griffin et al., 2020)

* 50 years and above
* Has recent history of experiencing suicidal ideation
* Participants living within the catchment area of the participating practices and hospitals.
* Capacity to give informed consent.

Exclusion Criteria:

* Unable to provide consent due to severe mental or physical illness.
* Unlikely to be available for outcome assessments (temporary residence)

Where this trial is running

Rawalpindi, Punjab Province

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Suicidal Ideationsuicidal ideation,self-harmolder adultelderlyECMAPPakistanLMIC
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.