ArticleTrials2020
Evaluation of the SPIRIT Integrated Suicide Prevention Programme: study protocol for a cluster-randomised controlled trial in rural Gujarat, India.
Article in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- Risk Factors Addressed in Programs for the Prevention of Child and Adolescent Suicide in the School Setting: A Systematic Review.Actas espanolas de psiquiatria · 2025Pooled it
- Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries.The Cochrane database of systematic reviews · 2023Pooled it
- Analysis of real-world scale-up processes for school-based mental health interventions.Administration and policy in mental health · 2026Article
- Strengthening suicide prevention: Evaluating a capacity building programme for community health workers in India.Global mental health (Cambridge, England) · 2026Article
- Health worker delivered Contact and Safety Planning (CASP) for suicide prevention in Chhattisgarh, India: Protocol for a non-randomized, controlled pilot study.F1000Research · 2025Article
- Scoping review on socioemotional skills in the prevention of suicidal behavior among adolescents.Cadernos de saude publica · 2024Article
- Banning highly hazardous pesticides saves the lives of young people, particularly females, in low- and middle-income countries.BMC public health · 2023Article
- Suicide Mortality Rate as a Sustainable Development Goal (SDG): A Bibliometric Analysis.The Psychiatric quarterly · 2022Review
- Identifying challenges and recommendations for advancing global mental health implementation research: A key informant study of the National Institute of Mental Health Scale-Up Hubs.Asian journal of psychiatry · 2021Article
- Letter to the Editor: Problems with studying community-level pesticide storage to prevent suicide.Trials · 2021Article
- Implementation of a comprehensive surveillance system for recording suicides and attempted suicides in rural India.BMJ open · 2020Article
- The NIMH global mental health research community and COVID-19.The lancet. Psychiatry · 2020Article
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13 authors at 6 institutions in 3 countries.
Funding
Abstract
backgroundSuicide is a major public health challenge globally and specifically in India where 36.6% and 24.3% of all suicides worldwide occur in women and men, respectively. The United Nations Sustainable Development Goals uses suicide rate as one of two indicators for Target 3.4, aimed at reducing these deaths by one third by 2030. India has no examples of large-scale implementation of evidence-based interventions to prevent suicide; however, there is a sizeable evidence base to draw on for suicide prevention strategies that have been piloted in India or proven to be effective regionally or internationally.
methodThe SPIRIT study is designed as a cluster-randomized superiority trial and uses mixed methods to evaluate the implementation, effectiveness and costs of an integrated suicide prevention programme consisting of three integrated interventions including (1) a secondary-school-based intervention to reduce suicidal ideation among adolescents, (2) a community storage facility intervention to reduce access to pesticides and (3) training for community health workers in recognition, management, and appropriate referral of people identified with high suicidal risk. DISCUSSION: Combining three evidence-based interventions that tackle suicide among high-risk groups may generate a synergistic impact in reducing suicides at the community level in rural areas in India. Examination of implementation processes throughout the trial will also help to prepare a roadmap for policymakers and researchers looking to implement suicide prevention interventions in other countries and at scale.
trial registrationClinical Trial Registry of Indian Council of Medical Research, India: CTRI/2017/04/008313. Registered on 7 April 2017. http://ctri.nic.in/Clinicaltrials/pmaindet2.php?trialid=18256&EncHid=&userName=SPIRIT Trial registry was last modified on 28 June 2019.
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