Feasibility Study of a Culturally Adapted Problem-Solving Therapy for Postnatal Women with Suicidal Thoughts in Pakistan

What this Trial Is About

Researchers are studying the feasibility and acceptability of a culturally adapted Manual-Assisted Problem-Solving Intervention CMAP-SI for women experiencing suicidal thoughts during the postnatal period. The study focuses on women aged 16 to 44 years in Pakistan, aiming to adapt the CMAP intervention to the local cultural context and evaluate its potential to reduce suicidal ideation in this vulnerable group. Participants receiving the CMAP-SI intervention will engage in a brief problem-solving therapy based on cognitive behavioral therapy principles. The therapy involves 4 weekly sessions followed by 4 sessions every two weeks, each lasting about 50 minutes. The intervention has been culturally tailored with Urdu translations and case scenarios relevant to Pakistani culture, addressing issues such as gender roles, family conflicts, and financial difficulties. The study also includes a comparison group receiving treatment as usual by their primary care physicians. During the study, women will be assessed at baseline and again at 3 months for feasibility and acceptability of the intervention, as well as changes in suicidal ideation, depression, social support, life events, and quality of life. Various validated scales like the Beck Scale for Suicidal Ideation and Edinburgh Postnatal Depression Scale will be used. Researchers will also collect data on any suicide attempts or self-harm incidents. Safety protocols include recording participants primary care contacts and treatment details. The total study duration for each participant is at least 3 months from baseline assessment.

A Problem-Solving Intervention for Women With Suicidal Ideation During Postnatal Period in Pakistan