A Youth Culturally adapted Manual Assisted Psychological therapy (Y-CMAP) for adolescent Pakistani patients with a recent history of self-harm.
Lead Research Organisation:
University of Manchester
Department Name: School of Medical Sciences
Abstract
Suicide is a serious global public health issue ranked amongst the leading causes of death in many countries. The worldwide rates of suicide have increased by 60% in the last 45 years. The 1.8% total global burden of disease attributed to suicide in 1998 is expected to increase to 2.4% by 2020. The WHO Mental Health Action Plan 2013-2020 and all the member states have committed to work towards the global target of a 10% reduction in the suicide rate by 2020. WHO's Mental Health Gap Action Programme includes suicide as one of the priority conditions and the recent WHO report "Preventing suicide: a global imperative" calls for suicide prevention to be a high priority on the global public health agenda. More than 800,000 people across the world die due to suicide each year and for each suicide there are more than 20 people attempting suicide. Self-harm is one of the strongest predictors of death by suicide in adolescence, increasing the risk approximately 10-fold. Each suicide takes the life of the individual and has a tremendous effect on friends, family and the wider community. Up to 75% of all suicides occur in in low- and middle-income countries (LMIC) where resources and services are limited for treatment and support. There is a clear gap in the robust evaluation of culturally appropriate suicide prevention strategies in LMIC. Individuals who have a history of self-harm are at much higher risk of dying by suicide than individuals who do not have such a history. The WHO recommends offering appropriate treatment as a key component of all suicide prevention strategies.
There are more than 100,000 acts of self-harm in Pakistan annually. The aim of Y-CMAP is to evaluate the clinical and cost-effectiveness of this culturally adapted psychological therapy in adolescent patients with a history of self-harm. Our study in Karachi determined the effectiveness of a 6-8 session CBT-based intervention (C MAP) in adults who had recently self-harmed. The assessments were carried out at baseline, 3 & 6 months. There was a significant reduction from baseline in suicidal ideation and hopelessness in the intervention group compared to the Treatment as Usual (TAU) group at each follow up assessment. The findings from C MAP highlight the applicability of such an intervention to health services in Pakistan for patients who present after a self-harm episode. The proposed research will be conducted in Karachi, Lahore, Rawalpindi, Multan and Hyderabad. Participants will be randomized either to the Intervention (Y-CMAP) or TAU. The existing age appropriate culturally adapted intervention (Y-CMAP) for young people includes an evaluation of the self-harm episode, crisis skills, problem solving and basic cognitive techniques to manage emotions, negative thinking and relapse prevention strategies. The intervention will be delivered in eight sessions over 12 weeks. Assessments will be conducted at baseline and at 3 months (end of intervention), 6 months and 12 months after randomization. The outcome measures will include questionnaires to measure the repetition of self-harm, severity of suicidal ideation; depression; hopelessness; and quality of life. In addition, qualitative interviews and focus groups will provide rich information regarding the experiences of participants, therapists and key stakeholders. This will inform implementation as well as the development of more effective and sensitive services for self-harm management. TAU will be standard routine care delivered by local medical, psychiatric and primary care services according to clinical judgment. A record will be kept of any treatment received by each participant. This trial will inform future research and national clinical practice guidelines. We have established contacts with the ministry of health and will enter discussions to present the results to them and attempt to influence policy change.
There are more than 100,000 acts of self-harm in Pakistan annually. The aim of Y-CMAP is to evaluate the clinical and cost-effectiveness of this culturally adapted psychological therapy in adolescent patients with a history of self-harm. Our study in Karachi determined the effectiveness of a 6-8 session CBT-based intervention (C MAP) in adults who had recently self-harmed. The assessments were carried out at baseline, 3 & 6 months. There was a significant reduction from baseline in suicidal ideation and hopelessness in the intervention group compared to the Treatment as Usual (TAU) group at each follow up assessment. The findings from C MAP highlight the applicability of such an intervention to health services in Pakistan for patients who present after a self-harm episode. The proposed research will be conducted in Karachi, Lahore, Rawalpindi, Multan and Hyderabad. Participants will be randomized either to the Intervention (Y-CMAP) or TAU. The existing age appropriate culturally adapted intervention (Y-CMAP) for young people includes an evaluation of the self-harm episode, crisis skills, problem solving and basic cognitive techniques to manage emotions, negative thinking and relapse prevention strategies. The intervention will be delivered in eight sessions over 12 weeks. Assessments will be conducted at baseline and at 3 months (end of intervention), 6 months and 12 months after randomization. The outcome measures will include questionnaires to measure the repetition of self-harm, severity of suicidal ideation; depression; hopelessness; and quality of life. In addition, qualitative interviews and focus groups will provide rich information regarding the experiences of participants, therapists and key stakeholders. This will inform implementation as well as the development of more effective and sensitive services for self-harm management. TAU will be standard routine care delivered by local medical, psychiatric and primary care services according to clinical judgment. A record will be kept of any treatment received by each participant. This trial will inform future research and national clinical practice guidelines. We have established contacts with the ministry of health and will enter discussions to present the results to them and attempt to influence policy change.
Technical Summary
Design: A multi-centre single blind RCT with randomisation by individual patients to compare the Y-CMAP in addition to TAU with TAU alone. There is a built in 12-month internal pilot phase with clear stop/go criteria to prove viability to proceed to a full trial across all the study sites. The pilot phase will be judged successful if sufficient GPs, schools and hospitals are recruited to enrol 200 participants in the first 12 months. Assessments will be conducted for both the groups at baseline, 3 (end of intervention),6,9 and 12 months after randomisation
Setting: Participants will be recruited from general practices, emergency departments, medical wards of participating hospitals and self-referrals.
Intervention: Y-CMAP is based on the principles of Problem Solving and CBT.
Sample size: This is based on the primary outcome, repetition of self-harm in 12-month period (yes/no). The TAU arm of the study has an expected self-harm rate of 20% and a clinically important effect would be a reduction to 7.5% in the intervention group. Under these assumptions, and assuming a 5% significance level and 90% power, a study with no clustering would require 158 patients per arm. The study has a partially nested design due to therapist clustering in the Y-CMAP arm. Based on previous analysis of therapist trials we believe that the ICC is likely to have a value between 0.01 and 0.05 for this type of outcome measure. Assuming an ICC of 0.05, and a cluster size of 16 patients per therapist, a Design Effect of 1.75 is calculated This increases the numbers required to 277 per group. Furthermore, there is expected to be a 15% loss to follow-up, and so the final numbers recruited will be 326 per group, 652 in total.
Primary outcome measure: Repetition rate of self-harm at 12 months after randomisation as measured by the adapted Suicide Attempt Self-Injury Interview (SASII). Client Service Receipt Inventory (CSRI): We will collect information on the use of health and other services.
Setting: Participants will be recruited from general practices, emergency departments, medical wards of participating hospitals and self-referrals.
Intervention: Y-CMAP is based on the principles of Problem Solving and CBT.
Sample size: This is based on the primary outcome, repetition of self-harm in 12-month period (yes/no). The TAU arm of the study has an expected self-harm rate of 20% and a clinically important effect would be a reduction to 7.5% in the intervention group. Under these assumptions, and assuming a 5% significance level and 90% power, a study with no clustering would require 158 patients per arm. The study has a partially nested design due to therapist clustering in the Y-CMAP arm. Based on previous analysis of therapist trials we believe that the ICC is likely to have a value between 0.01 and 0.05 for this type of outcome measure. Assuming an ICC of 0.05, and a cluster size of 16 patients per therapist, a Design Effect of 1.75 is calculated This increases the numbers required to 277 per group. Furthermore, there is expected to be a 15% loss to follow-up, and so the final numbers recruited will be 326 per group, 652 in total.
Primary outcome measure: Repetition rate of self-harm at 12 months after randomisation as measured by the adapted Suicide Attempt Self-Injury Interview (SASII). Client Service Receipt Inventory (CSRI): We will collect information on the use of health and other services.
Planned Impact
Impact on service users: The overall objective of the trial is to bring about a reduction of self-harm, overall morbidity, a reduction in rates of suicide and a better quality of life. In low income countries there is a huge treatment gap and up to 9 out of 10 people with mental health difficulties do not receive appropriate treatment. Outcomes from our earlier studies provide a strong foundation to build on and aid the translation of research into action. There can be other wide ranging positive outcomes, including increased awareness, improvements in relationships and academic performance. It is suggested that therapies which enhance self-efficacy such as Cognitive Behavioural
Therapy (CBT) may reduce relapse and recurrence rates of many mental disorders including depression and anxiety.
Community awareness: The participants understanding of mental health issues will improve. We have experience of promoting our research within the Pakistani community including presentations or seminars with community leaders, local Pakistani media (newspapers, TV & radio), and promotional material in GP surgeries. The importance of addressing mental health difficulties promoted through general public awareness will guide people to seek early clinical help for their mental health problems.
Service users as co-researchers: We organise an annual course on the fundamentals of qualitative research methods at the Pakistan Institute of Living and Learning, and service users are invited to attend. Service users on the advisory board were trained in research methods and will contribute to the qualitative analysis in the proposed trial. Our team has significant expertise in this area and we have trained over 70 users and carers in research methods. Service users provide helpful additional insights into the themes emerging from the data and contribute greatly to the interpretation of findings. We will continue to offer this training to service users and carers.
Impact on services: There is limited data available to guide treatment choices for clinicians in Pakistan. The outcome of this trial will have implications for health services, in terms of helping to improve the organization of care and interventions offered for patients who self-harm and thus improve the quality of health services with potential reduction in overall costs. One of the outputs of this study will be a portfolio of user-defined, evidence-based, manual assisted intervention; a resource pack and training programme on 'how to do it' for use across local health services. This trial will provide detailed clinical and cost-effectiveness analyses which will inform future research and national clinical practice guidelines. Together these data will be useful to inform planning of effective and culturally appropriate interventions in Pakistan.
Research and clinical capacity: There is limited research capacity in Pakistan if funded we will be able to train research assistants in robust research methods. There will be workshops on fundamentals of quantitative and qualitative research methods, which will be open for aspiring academics from outside the research team. We have developed the curriculum and trained more than 500 clinicians in Tier-1 psychosocial interventions for mental illness. We have initiated discussions with the nursing schools and departments of psychology that if the results show that Y-CMAP is effective it should be included in the curriculum.
Impact on policy: Research from the Global Mental Health Group have recommended that scaling up services for people with mental disorders is the most important priority for global mental health. We have contacts with the ministry of health (See letter of support) and once the trial is completed we will enter discussions to present the results to them to take this work towards implementation.
Therapy (CBT) may reduce relapse and recurrence rates of many mental disorders including depression and anxiety.
Community awareness: The participants understanding of mental health issues will improve. We have experience of promoting our research within the Pakistani community including presentations or seminars with community leaders, local Pakistani media (newspapers, TV & radio), and promotional material in GP surgeries. The importance of addressing mental health difficulties promoted through general public awareness will guide people to seek early clinical help for their mental health problems.
Service users as co-researchers: We organise an annual course on the fundamentals of qualitative research methods at the Pakistan Institute of Living and Learning, and service users are invited to attend. Service users on the advisory board were trained in research methods and will contribute to the qualitative analysis in the proposed trial. Our team has significant expertise in this area and we have trained over 70 users and carers in research methods. Service users provide helpful additional insights into the themes emerging from the data and contribute greatly to the interpretation of findings. We will continue to offer this training to service users and carers.
Impact on services: There is limited data available to guide treatment choices for clinicians in Pakistan. The outcome of this trial will have implications for health services, in terms of helping to improve the organization of care and interventions offered for patients who self-harm and thus improve the quality of health services with potential reduction in overall costs. One of the outputs of this study will be a portfolio of user-defined, evidence-based, manual assisted intervention; a resource pack and training programme on 'how to do it' for use across local health services. This trial will provide detailed clinical and cost-effectiveness analyses which will inform future research and national clinical practice guidelines. Together these data will be useful to inform planning of effective and culturally appropriate interventions in Pakistan.
Research and clinical capacity: There is limited research capacity in Pakistan if funded we will be able to train research assistants in robust research methods. There will be workshops on fundamentals of quantitative and qualitative research methods, which will be open for aspiring academics from outside the research team. We have developed the curriculum and trained more than 500 clinicians in Tier-1 psychosocial interventions for mental illness. We have initiated discussions with the nursing schools and departments of psychology that if the results show that Y-CMAP is effective it should be included in the curriculum.
Impact on policy: Research from the Global Mental Health Group have recommended that scaling up services for people with mental disorders is the most important priority for global mental health. We have contacts with the ministry of health (See letter of support) and once the trial is completed we will enter discussions to present the results to them to take this work towards implementation.
Organisations
- University of Manchester (Lead Research Organisation)
- Lahore General Hospital (Collaboration)
- Himachal Pradesh University (Collaboration)
- Ziauddin University (Collaboration)
- Riphah International University (Collaboration)
- Rashid Latif Medical College (Collaboration)
- Health Services Academy (Collaboration)
- Iqra University (Collaboration)
- Liaquat University of Medical & Health Sciences (Collaboration)
- Fatima Jinnah Women's University (Collaboration)
- Health Department of Sindh (Collaboration)
- University of the Punjab (Collaboration)
Publications
Alhuzali H
(2022)
Emotions and Topics Expressed on Twitter During the COVID-19 Pandemic in the United Kingdom: Comparative Geolocation and Text Mining Analysis.
in Journal of medical Internet research
Alvi MH
(2023)
Burden of mental disorders by gender in Pakistan: analysis of Global Burden of Disease Study data for 1990-2019.
in BJPsych bulletin
Arshad U
(2020)
A Systematic Review of the Evidence Supporting Mobile- and Internet-Based Psychological Interventions For Self-Harm
in Suicide and Life-Threatening Behavior
Farooq Ahmad
(2022)
Mental Health Policies in Low and Lower Middle- Income Countries (LLMICs): A Narrative Synthesis
in PROSPERO
Husain MO
(2019)
Demographic and psychosocial characteristics of self-harm: The Pakistan perspective.
in Psychiatry research
Husain, M.O.
(2019)
Demographic and psychosocial characteristics of self-harm: the Pakistan perspective
in Psychiatry research
Maryam Tahir
(2022)
, Muhammad Bilal Arif, Ayesha Khaliq, Jahanara Miah, Ameer Bukhsh Khoso, Dhanwanti Dileep, Usman Arshad, Tayyeba Kiran
in Prevalence and Risk Factors for Self-harm, Suicidal Ideation and Suicide among Prisoners in Low and Lower Middle Income Countries (LLMICs): A Systematic Review and Meta-Analysis CRD42021229931
Memon R
(2021)
Recognising values and engaging communities across cultures: towards developing a cultural protocol for researchers.
in BMC medical ethics
Mohsin Et Al
(2022)
Cost-effectiveness of a Culturally adapted Manual Assisted brief Psychological (C-MAP) intervention for self-harm in Pakistan
in Science direct
Muqaddas Asif
(2022)
Prevalence and risk factors of self-harm in substance misuse in South Asia.
in PROSPERO
Naz A
(2021)
Exploring Lived Experiences of Adolescents Presenting with Self-Harm and Their Views about Suicide Prevention Strategies: A Qualitative Approach.
in International journal of environmental research and public health
Nusrat Husain
(2022)
Evaluation of a Mental Health Awareness Program for medical staff in Karachi Prisons
Nusrat Husain
(2022)
Evaluation of a Mental Health Awareness Program for medical staff in Karachi Prisons
Sehrish Irshad, Rabia Sattar
(2022)
Controlled interventions to prevent to reduce suicidal behavior in educational settings
in SAGE clinical psychology: science and practice. Under review
Sheehy K
(2019)
An examination of the relationship between shame, guilt and self-harm: A systematic review and meta-analysis.
in Clinical psychology review
Sparasci, O
(2022)
Impact of COVID-19 on mental health research: is this the breaking point?
in The British Journal of Psychiatry
Tirmizi, U Et Al
(2022)
Self-harm and suicide prevention in Prison settings in Pakistan: Stakeholders' Perspective
Yang K
(2022)
A mental state Knowledge-aware and Contrastive Network for early stress and depression detection on social media
in Information Processing & Management
Zhang T
(2023)
PHQ-aware depressive symptoms identification with similarity contrastive learning on social media
in Information Processing & Management
| Description | All parliamentary mental health summit |
| Geographic Reach | Asia |
| Policy Influence Type | Implementation circular/rapid advice/letter to e.g. Ministry of Health |
| Description | A pilot trial of a culturally adapted intervention to prevent self-harm in young people with ASD |
| Amount | $38,000 (USD) |
| Organisation | Organization for Autism Research |
| Sector | Charity/Non Profit |
| Country | United States |
| Start | 01/2022 |
| End | 01/2024 |
| Description | Development and evaluation of mental health care plan for food affected areas in Pakistan |
| Amount | £145,000,000 (PKR) |
| Organisation | Health Department of Sindh |
| Sector | Public |
| Country | Pakistan |
| Start | |
| Description | CUST university |
| Organisation | Health Services Academy |
| Country | Pakistan |
| Sector | Hospitals |
| PI Contribution | MOU signed by PILL for strengthening capacity and capability of both partners |
| Collaborator Contribution | MOU signed by PILL for strengthening capacity and capability of both partners |
| Impact | MOU signed by PILL for strengthening capacity and capability of both partners |
| Start Year | 2021 |
| Description | Center for Research on Parent and child health and wellbeing |
| Organisation | Ziauddin University |
| Country | Pakistan |
| Sector | Academic/University |
| PI Contribution | MOU signed by PILL for strengthening capacity and capability of both partners and developing plans for innovative solutions to improve health and well-being |
| Collaborator Contribution | MOU signed by PILL for strengthening capacity and capability of both partners and developing plans for innovative solutions to improve health and well-being |
| Impact | MOU signed by PILL for strengthening capacity and capability of both partners and developing plans for innovative solutions to improve health and well-being |
| Start Year | 2022 |
| Description | Fatima jinnah university |
| Organisation | Fatima Jinnah Women's University |
| Country | Pakistan |
| Sector | Academic/University |
| PI Contribution | In collaboration with PILL and Fatima jinnah university, global mental health and research group University of Manchester launched National Center for Research on Suicide Prevention - Creating hope through actions. Strengthen capacity and capability in suicide prevention program. |
| Collaborator Contribution | In collaboration with PILL and Fatima jinnah university, global mental health and research group University of Manchester launched National Center for Research on Suicide Prevention - Creating hope through actions. Strengthen capacity and capability in suicide prevention program. |
| Impact | In collaboration with PILL and Fatima jinnah university, global mental health and research group University of Manchester launched National Center for Research on Suicide Prevention - Creating hope through actions. Strengthen capacity and capability in suicide prevention program. |
| Start Year | 2021 |
| Description | Government College University Lahore |
| Organisation | Government College University |
| Country | Pakistan |
| Sector | Academic/University |
| PI Contribution | MOU signed between GC university Lahore and PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners and reporting research in mental health in Pakistan. |
| Collaborator Contribution | MOU signed between GC university Lahore and PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners and reporting research in mental health in Pakistan. |
| Impact | MOU signed between GC university Lahore and PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners and reporting research in mental health in Pakistan. |
| Start Year | 2021 |
| Description | Implementation plan for mental health policy |
| Organisation | Health Department of Sindh |
| Country | Pakistan |
| Sector | Public |
| PI Contribution | Sindh Mental health policy submitted by the team and approved by the Department of Health Sindh DoH Sind invited research team to develop and submit proposal to improve health and well-being of flood affected population in Sind. Implementation plan for mental health policy, establishing research infrastructure in Sindh, capacity capability building. |
| Collaborator Contribution | Sindh Mental health policy submitted by the team and approved by the Department of Health Sindh DoH Sind invited research team to develop and submit proposal to improve health and well-being of flood affected population in Sind. Implementation plan for mental health policy, establishing research infrastructure in Sindh, capacity capability building. |
| Impact | Sindh Mental health policy submitted by the team and approved by the Department of Health Sindh DoH Sind invited research team to develop and submit proposal to improve health and well-being of flood affected population in Sind. Implementation plan for mental health policy, establishing research infrastructure in Sindh, capacity capability building. |
| Start Year | 2022 |
| Description | Iqra university |
| Organisation | Iqra University |
| Country | Pakistan |
| Sector | Academic/University |
| PI Contribution | MOU signed by PILL for strengthening capacity and capability of both partners |
| Collaborator Contribution | MOU signed by PILL for strengthening capacity and capability of both partners |
| Impact | MOU signed by PILL for strengthening capacity and capability of both partners |
| Start Year | 2021 |
| Description | Lahore General Hospital |
| Organisation | Lahore General Hospital |
| Country | Pakistan |
| Sector | Hospitals |
| PI Contribution | Lahore General Hospital |
| Collaborator Contribution | MOU signed by PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners |
| Impact | MOU signed by PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners |
| Start Year | 2021 |
| Description | Liaquat University of Medical and Health Science (LUMHS) and Civil hospital Hyderabad |
| Organisation | Liaquat University of Medical & Health Sciences |
| Country | Pakistan |
| Sector | Academic/University |
| PI Contribution | Liaquat University of Medical and Health Science (LUMHS) and Civil hospital Hyderabad. PILL Liaquat University of Medical and Health Science and Civil hospital Hyderabad. MOU signed between LUMHS/ Civil hospital Hyderabad and PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners like Strengthen capacity in research by offering supervision, training programs to students in developing research protocols. |
| Collaborator Contribution | Liaquat University of Medical and Health Science (LUMHS) and Civil hospital Hyderabad. PILL Liaquat University of Medical and Health Science and Civil hospital Hyderabad. MOU signed between LUMHS/ Civil hospital Hyderabad and PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners like Strengthen capacity in research by offering supervision, training programs to students in developing research protocols. |
| Impact | Liaquat University of Medical and Health Science (LUMHS) and Civil hospital Hyderabad. PILL Liaquat University of Medical and Health Science and Civil hospital Hyderabad. MOU signed between LUMHS/ Civil hospital Hyderabad and PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners like Strengthen capacity in research by offering supervision, training programs to students in developing research protocols. |
| Start Year | 2021 |
| Description | RIPHAH International University |
| Organisation | Riphah International University |
| Country | Pakistan |
| Sector | Academic/University |
| PI Contribution | MOU signed by PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners |
| Collaborator Contribution | MOU signed by PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners |
| Impact | MOU signed by PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners |
| Start Year | 2021 |
| Description | Rashid Lalif Medical Complex |
| Organisation | Rashid Latif Medical College |
| Country | Pakistan |
| Sector | Academic/University |
| PI Contribution | MOU signed by PILL for strengthening capacity and capability of both partners |
| Collaborator Contribution | MOU signed by PILL for strengthening capacity and capability of both partners |
| Impact | MOU signed by PILL for strengthening capacity and capability of both partners |
| Start Year | 2021 |
| Description | Rashid Lalif Medical Complex |
| Organisation | Rashid Latif Medical College |
| Country | Pakistan |
| Sector | Academic/University |
| PI Contribution | MOU signed by PILL for strengthening capacity and capability of both partners |
| Collaborator Contribution | MOU signed by PILL for strengthening capacity and capability of both partners |
| Impact | MOU signed by PILL for strengthening capacity and capability of both partners |
| Start Year | 2021 |
| Description | Services Hospital Lahore (SHL) |
| Organisation | Lahore General Hospital |
| Country | Pakistan |
| Sector | Hospitals |
| PI Contribution | Collaboration between SHL and PILL to be supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners. |
| Collaborator Contribution | Capacity and capability building |
| Impact | Capacity and capability building |
| Start Year | 2021 |
| Description | University of Punjab (Institute of Psychology) |
| Organisation | University of the Punjab |
| Country | Pakistan |
| Sector | Academic/University |
| PI Contribution | University of Punjab - To explore joint work in research particularly in the area of self-harm. MOU signed by PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners. |
| Collaborator Contribution | University of Punjab - To explore joint work in research particularly in the area of self-harm. MOU signed by PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners. |
| Impact | University of Punjab - To explore joint work in research particularly in the area of self-harm. MOU signed by PILL supported by Manchester Global mental and Culture psychiatry research group for strengthening capacity and capability of both partners. |
| Start Year | 2021 |
| Description | 13th international tipping point_1st Public health conference For Youth conference |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Talked about Suicide Prevention by Empowering Adolescents: Evidence from Pakistan |
| Year(s) Of Engagement Activity | 2022 |
| Description | All Parliamentary Mental Health Summit |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Summit Inaugural was by President of Pakistan showing commitment to support mental health research and innovation in Pakistan.Each session was jointly chaired by a parlimentarian and mental health expert. This group will develop aa mental health strategy and an implementation plan align with the sustainable developmental goals PILL in collaboration with the Prof Husain from University of Manchester, MNA Mr Riaz Fatyana SDGs Taskforce and other parliamentarians organized the first Pakistan mental health summit 2020 Outcomes include Learning from our research work in Pakistan and input from other internationally renowned stakeholders on the day and further 18 months will provide a unique opportunity to work out a road map for Pakistan Mental Health Strategy and the SDG's 2020-2030. |
| Year(s) Of Engagement Activity | 2020 |
| Description | Awareness session on self-harm and suicide prevention |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Undergraduate students |
| Results and Impact | Two awareness sessions on on self-harm and suicide prevention attended by students and their teachers at University of Sindh Jamshoro & Multan - Mian Nawaz Sharif University. |
| Year(s) Of Engagement Activity | 2021 |
| Description | CAMH (Child and adolescent mental health) Program |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Postgraduate students |
| Results and Impact | Lecture on depression, it's role in self -harm. Also discussed prevention strategies for self-harm, warning signs , myths and available support in Pakistan |
| Year(s) Of Engagement Activity | 2020 |
| Description | CIMH - 2020 |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | The Global Mental Health and Cultural Psychiatry research group (Lancashire and South Cumbria NHS Foundation Trust, University of Manchester, Manchester Global Foundation, Pakistan Institute of living and learning) has held the 10th annual Culture and International Mental Health (CIMH) Conference with this year's theme 'Turning the world upside down'. Turning the World Upside Down authored by Lord Nigel Crisp explores what richer countries can learn from poorer ones and suggests that, instead of talking of international development - where the richer help the poorer - we should think in terms of co-development, each learning from the other. This vision of global health inspired by the words of Lord Nigel Crisp formed the theme for this years' CIMH conference. In line with the current social distancing guidelines and the UK national lockdown, the conference was held virtually over zoom. The team were delighted to welcome 96 attendees at the conference and a fantastic programme with 13 speakers from across the globe. The discussions focused on suicide and self-harm prevention in adults and young people, parental mental health and anxiety in adolescents across the UK, Pakistan, Turkey, Uganda, Nigeria and Kenya and Sub-Saharan Africa. Close to 800,000 people die due to suicide each year and 78% of suicides occur in low-middle income countries (WHO). Poor parental mental health can have a detrimental effect on the health and development of children, leading to an increased risk of mental health problems for the children themselves. Professor Imran Bashir Chaudhry, consultant psychiatrist and chairman psychiatry at Ziauddin group of Hospitals Karachi provided a keynote speech on 'Suicide prevention: From evidence generation to policy development. Professor Chaudhry spoke of the impressive research work delivered by the Pakistan Institute of Living and Learning, funded by the Medical Research council and led by the University of Manchester. The work has led to a parliamentary summit and working with the presidential office and parliament to contribute to the development of policy on suicide prevention in Pakistan including a proposal to decriminalize suicide. Special guest speaker at CIMH 2020 was Professor Carolyn Chew Graham, GP Principal in Central Manchester, Professor of General Practice Research at Keele University, Honorary Professor of Primary Care Mental Health at Midlands Partnership Foundation Trust, Honorary Professor of Primary Care, University of Manchester, and Visiting Professor at the University of York. Professor Chew Graham focused her discussion on the valuable qualitative work on suicide and self-harm prevention in Pakistan. Presenting powerful quotes from participant's, Professor Chew Graham provided valuable learning on adapting to context and that public health initiatives should ensure that the importance of mental health and illness are recognised and a stronger emphasis placed on training for the management of self-harming behaviours. Professor Nusrat Husain who leads the organisation of the conference said: "The CIMH conference provided an excellent programme and range of opportunities to learn, and develop skills with a broader outlook on mental health through talks by international and national speakers from globally diverse cultural backgrounds. The conference highlighted the strong need to develop research on suicide prevention as a top priority." |
| Year(s) Of Engagement Activity | 2020 |
| Description | CIMH conference presentation - Suicide Prevention: From Evidence Generation to Policy Development |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Prof Imran Chaudhry (PI) presented the roadmap of CMAP research and its impact in Pakistan at the 2020 Culture and International Mental Health conference which was held online this year. |
| Year(s) Of Engagement Activity | 2020 |
| Description | Child and Adolescent mental health course - Training program |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Interactive Child and Adolescent mental health course with Students, Health professionals, Teachers. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Conference |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | International Psychiatric Conference organised by Pakistan Psychiatric Society- presented on evidence based research on self-harm/suicide prevention work, delegates included with doctors, researchers, students. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Consolidated newsletter on common mental health problems and Self harm / Suicide Information Leaflet |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Consolidated version of newsletter on common mental disorders associated with self-harm and suicide developed both in Urdu and English for general public. Spreading awareness regarding mental disorders among general public for reducing stigma and increasing awareness on mental health issues. |
| Year(s) Of Engagement Activity | 2020 |
| Description | Effective supervision Level 1 |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Postgraduate students |
| Results and Impact | Effective supervision Workshop - Level 1 - Interactive workshop on effective supervision and it's role in clinical settings. |
| Year(s) Of Engagement Activity | 2022 |
| Description | First Round Table Conference to develop suicide prevention strategy |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Organized in Collaboration with University of Manchester and SDGs Taskforce( Mr. Riaz Fatyana, member of National assembly of Pakistan at the Royal College of Psychiatris This was organized to develop Pakistan suicide prevention strategy and road map for future research. In Pakistan self harm is a criminal offense, the main output of this meeting was presentation of a bill in the Parliament by Mr Riaz fatyana to decriminalize self-harm and suicide in Pakistan which is a tremendous milestone. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Importance of involving psychologists in Self harm and Suicide prevention work in Pakistan |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | Presented Role and Scope of using psychologists in self-harm and suicide prevention work. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Mental Health Care and Suicide Nexus event |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | "Policy Dialogue-Mental Health Care and Suicide Nexus", was organized by Riphah Institute of Public Policy attended by PILL team for informative discussion on mental health care and suicide. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Mental Health Question Time |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | Awareness session -PILL in collaboration with the Prof Husain from University of Manchester and MNA Mr Riaz Fatyana SDGs Taskforce organized "Mental Health Question Time" on the 10th March at Pakistan National Council of Arts People from all walks of life attended and had the opportunity to interact with others and mental health experts from Pakistan and across the Globe to discuss issues around mental health "Question time" session was conducted in order to increase awareness regarding different mental health issues. Stake holders, general public and service users fully participated in discussions. Feedback was very positive. Informational material around common mental disorders also distributed. |
| Year(s) Of Engagement Activity | 2020 |
| Description | Mental Health Question Time |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Policymakers/politicians |
| Results and Impact | PILL in collaboration with the Prof Husain from University of Manchester and MNA Mr Riaz Fatyana SDGs Taskforce organized "Mental Health Question Time" on the 10th March at Pakistan National Council of Arts People from all walks of life attended and had the opportunity to interact with others and mental health experts from Pakistan and across the Globe to discuss issues around mental health "Question time" session was conducted in order to increase awareness regarding different mental health issues. Stake holders, general public and service users fully participated in discussions. Feedback was very positive. Informational material around common mental disorders also distributed. .. |
| Year(s) Of Engagement Activity | 2020 |
| Description | Newsletter - Self-harm and suicide prevention |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | Translated newsletter in Sindhi language to increase awareness among community about self-harm and suicide prevention in Pakistan. |
| Year(s) Of Engagement Activity | 2021 |
| Description | PRIMARY CARE AND MENTAL HEALTH RESEARCH OPPORTUNITIES IN PAKISTAN - GLOBAL CHALLENGES - MANCHESTER SOLUTIONS! |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Organised by PILL and global mental health and cultural psychiatry research group - Presentations on self-harm suicide prevention work, translational research, still birth, digital mental health, multi-morbidity and older adults. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Pakistan Mental health Policy |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Summit to support mental health and research in Pakistan and to develop mental health policies. 6 discussion group with stakeholders taking a life course approach from preconception to older adults. Identification in Gaps in knowledge. Suggestions and recommendations for mental health policy-Pakistan |
| Year(s) Of Engagement Activity | 2020 |
| Description | Parenting Matters in Children and Adolescents: Challenges and Way Forward Webinar |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Parenting Matters in Children and Adolescents: Challenges and Way Forward webinar organised by Punjab University and PILL - Informative talk on parenting styles and it's impact on child mental health. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Parliamentary summit - Policy on suicide in Pakistan |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Policymakers/politicians |
| Results and Impact | A parliamentary initiative to develop policy and healthcare provision for individuals at risk of self harm and suicide. Discussions on the decriminalization of suicide in Pakistan |
| Year(s) Of Engagement Activity | 2020 |
| Description | Presentation on " Self-harm and suicide prevention in Pakistan" |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presented work done in Pakistan on Self-harm and Suicide prevention. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Presentation on "self-harm and suicide prevention: Evidence from Pakistan" at Round table conference on 9th September 2019 |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presented work done in Pakistan on Self harm and Suicide prevention and their findings. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Prisoner and Suicidal ideation |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | PILL and central prison Karachi - discussion with police personal and researcher on role of EMDR in prison setting and capacity building of police staff. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Radio program |
| Form Of Engagement Activity | A broadcast e.g. TV/radio/film/podcast (other than news/press) |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | National/international Radio show hosted by Pendle community radio Awaz 103.1 for raising awareness, reducing the stigma around suicide and encouraging well-informed action. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Research Integrity Day -workshop |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Research Integrity Day workshop focused on Plagiarism: fostering a culture of academic integrity with students, professionals and researchers to ensure that research is carried out to the highest possible standards. |
| Year(s) Of Engagement Activity | 2022 |
| Description | Self care day event |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Interactive session on self-care, embedded with progressive muscle relaxation exercise and Dialectical behavior therapy (DBT). |
| Year(s) Of Engagement Activity | 2021 |
| Description | Self-harm and Suicide Prevention: Evidence from Pakistan |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Policymakers/politicians |
| Results and Impact | Roundtable conference to develop suicide prevention strategy in Pakistan |
| Year(s) Of Engagement Activity | 2020 |
| Description | Self-harm and Suicide prevention in Pakistan: Our response to a public health tragedy |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presented work done in Pakistan on Self-Harm and Suicide prevention |
| Year(s) Of Engagement Activity | 2019 |
| Description | Seminar - World Mental Health Day |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Postgraduate students |
| Results and Impact | Pakistan Institute of Living & Learning in collaboration with Ziauddin University and Dow University of Health Sciences organized World Mental Health Day seminar to raise awareness about mental health issues and highlighted inequalities in mental health in Pakistan and globally. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Suicide Prevention Day |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | World Suicide Prevention Day (WSPD) Jointly translated WSPD information leaflet in Urdu - Translated version available on WSPD website |
| Year(s) Of Engagement Activity | 2022 |
| Description | Suicide bereavement " leave no one behind" seminar |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Suicide bereavement " leave no one behind" seminar organised by PILL and global mental health and cultural psychiatry - Informative talk on suicide bereavement, it's impact on loved ones, stigma and gaps in research. |
| Year(s) Of Engagement Activity | 2021 |
| Description | Suicide prevention day |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Supporters |
| Results and Impact | Suicide prevention day-contributed to awareness sessions on self-harm and suicide prevention with non-managerial staff at all four sites of GSK in Karachi (west wharf, korangi, site area and Jamshoro) Self-harm and suicide awareness session delivered to almost 400 non health professional staff. |
| Year(s) Of Engagement Activity | 2019 |
| Description | Suicide prevention day |
| Form Of Engagement Activity | Engagement focused website, blog or social media channel |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | Jointly translated WSPD information leaflet in Urdu. Translated version shared with WSPD and uploaded on PILL website and other social sites as well distributed printed copies at school, colleges, universities, communities and GPs clinics. Printed on newspaper (local and national) as well |
| Year(s) Of Engagement Activity | 2021 |
| Description | Suicide prevention day - virtual event |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | Role play and informative talk on Self harm and suicide prevention. E-Information leaflets were also shared with participants |
| Year(s) Of Engagement Activity | 2020 |
| Description | Talk on developing research in suicide and self harm prevention |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Undergraduate students |
| Results and Impact | A talk delivered by study CI Prof Nusrat Husain at the Department of Psychology, Foundation University, Islamabad, Rawalpindi Campus |
| Year(s) Of Engagement Activity | 2019 |
| Description | Understanding Self Harm: Perception of Clinicians from Pakistan |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presented qualitative work done in Pakistan on self-harm and suicide prevention (CMAP) |
| Year(s) Of Engagement Activity | 2019 |
| Description | Workshop - World Mental Health day |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Professional Practitioners |
| Results and Impact | Improving employee mental health through art therapy and mindfulness activities and an interactive engagement session on employee mental health. |
| Year(s) Of Engagement Activity | 2021 |
| Description | World Mental health day Awareness session |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Session with teachers to increase awareness about mental health issues. Participants fully participated in the session |
| Year(s) Of Engagement Activity | 2022 |
| Description | World Suicide Prevention Day (WSPD) |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Jointly translated WSPD information leaflet in Urdu with a translated version available on WSPD website |
| Year(s) Of Engagement Activity | 2019 |
| Description | World mental health day - Awareness walk and seminar |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | World mental health day Awareness walk and seminar organized jointly by Pakistan Institute of Living and Learning, Phoenix Foundation for Research and Development attended by researchers, para medical staff, students and psychologists to raise awareness on mental health issues. |
| Year(s) Of Engagement Activity | 2021 |
| Description | World mental health day Awareness session |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Awareness session with students and teachers to increase awareness about mental health |
| Year(s) Of Engagement Activity | 2022 |
| Description | World mental health day Live webinar |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | To increase awareness about mental health |
| Year(s) Of Engagement Activity | 2022 |
| Description | World mental health day Radio program |
| Form Of Engagement Activity | A broadcast e.g. TV/radio/film/podcast (other than news/press) |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | World Mental Health day Radio program: COVID 19 and it's impact on mental health. Team member of Pakistan Institute of Living and Learning (PILL) talked about Covid-19 and its Impact on Mental Health during a radio program "Kaam ke BAAt" with Rubina Alvi on FM 96. |
| Year(s) Of Engagement Activity | 2021 |
| Description | World mental health day conference |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | World mental health day conference organised by PILL in collaboration with global mental health and cultural psychiatry research group, delegates included researchers, para-medical staff, students, psychologists to raise awareness on mental health issues around the world and to mobilize efforts in support of mental health. |
| Year(s) Of Engagement Activity | 2021 |
| Description | World mental health day seminar |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Conducted a seminar on mental health to increase awareness and reduce stigma |
| Year(s) Of Engagement Activity | 2022 |
| Description | World mental health day- Awareness seminar |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | National |
| Primary Audience | Public/other audiences |
| Results and Impact | World mental health day Awareness seminar delivered by PILL Quetta team to raise awareness on mental health issues with members of the public. |
| Year(s) Of Engagement Activity | 2021 |
| Description | World suicide prevention day Awareness session at hospital |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Patients, carers and/or patient groups |
| Results and Impact | Presented Self harm and suicide prevention work to increase awareness about warning signs and available help |
| Year(s) Of Engagement Activity | 2022 |
| Description | World suicide prevention day Awareness session at public health school |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presented Self harm and suicide prevention work to increase awareness about warning signs and available help |
| Year(s) Of Engagement Activity | 2022 |
| Description | World suicide prevention day Awareness session at refugee school |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Schools |
| Results and Impact | Presented Self harm and suicide prevention work to increase awareness about warning signs and available help |
| Year(s) Of Engagement Activity | 2022 |
| Description | World suicide prevention day Awareness session in low resource setting |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | Presented Self harm and suicide prevention work to increase awareness about warning signs and available help |
| Year(s) Of Engagement Activity | 2022 |
| Description | World suicide prevention day Radio program |
| Form Of Engagement Activity | A broadcast e.g. TV/radio/film/podcast (other than news/press) |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | Talked about self-harm and suicide prevention on a radio program"App ki sehat with shakil salim" |
| Year(s) Of Engagement Activity | 2022 |
| Description | World suicide prevention day Awareness session in Hindu community |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Patients, carers and/or patient groups |
| Results and Impact | Presented Self-harm and suicide prevention work to increase awareness about self-harm /suicide prevention |
| Year(s) Of Engagement Activity | 2022 |
| Description | collaborative Partnerships in strengthening social sciences: Addressing indigenous and Global challenges |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Professional Practitioners |
| Results and Impact | Presented 'SEPAK: Cultural Adaptation of a School based Suicide Prevention Program through PPIE in Pakistan' |
| Year(s) Of Engagement Activity | 2022 |