An intervention to reduce stigma and improve management of depression, risk of suicide/self-harm and other significant emotional or medically unexplained complaints among adolescents living in urban slums: protocol for the ARTEMIS project

作者：Sandhya Kanaka Yatirajula, Sudha Kallakuri, Srilatha Paslawar, Ankita Mukherjee, Amritendu Bhattacharya, Susmita Chatterjee, Rajesh Sagar, Ashok Kumar, Heidi Lempp, Usha Raman, Renu Singh, Beverley M. Essue, Laurent Billot, David Peiris, Robyn Norton, Graham Thornicroft, Pallab K Maulik · 发表于：Trials · 年份：2022 · DOI：10.1186/s13063-022-06539-8 · 被引用次数：23 · 研究领域：Suicide and Self-Harm Studies、Mental Health Treatment and Access、COVID-19 and Mental Health

BACKGROUND: There are around 250 million adolescents in India. Adolescents are vulnerable to common mental disorders with depression and self-harm accounting for a major share of the burden of death and disability in this age group. Around 20% of children and adolescents are diagnosed with/ or live with a disabling mental illness. A national survey has found that suicide is the third leading cause of death among adolescents in India. The authors hypothesise that an intervention involving an anti-stigma campaign co-created by adolescents themselves, and a mobile technology-based electronic decision support system will help reduce stigma, depression, and suicide risk and improve mental health for high-risk adolescents living in urban slums in India. METHODS: The intervention will be implemented as a cluster randomised control trial in 30 slum clusters in each of the cities of Vijayawada and New Delhi in India. Adolescents aged 10 to 19 years will be screened for depression and suicide ideation using the Patient Health Questionnaire (PHQ-9). Two evaluation cohorts will be derived-a high-risk cohort with an elevated PHQ-9 score ≥ 10 and/or a positive response (score ≥ 2) to the suicide risk question on the PHQ-9, and a non-high-risk cohort comprising an equal number of adolescents not at elevated risk based on these scores. DISCUSSION: The key elements that ARTEMIS will focus on are increasing awareness among adolescents and the slum community on these mental health conditions as...