title: Prevention of: self harm in British South Asian women: study protocol of an exploratory RCT of culturally adapted manual assisted Problem Solving Training (C- MAP).
abstract: BACKGROUND
  Suicide is a major public health problem worldwide. In the UK suicide is the second most common cause of death in people aged 15-24 years. Self harm is one of the commonest reasons for medical admission in the UK. In the year following a suicide attempt the risk of a repeat attempt or death by suicide may be up to 100 times greater than in people who have never attempted suicide. Research evidence shows increased risk of suicide and attempted suicide among British South Asian women. There are concerns about the current service provision and its appropriateness for this community due to the low numbers that get involved with the services. Both problem solving and interpersonal forms of psychotherapy are beneficial in the treatment of patients who self harm and could potentially be helpful in this ethnic group.The paper describes the trial protocol of adapting and evaluating a culturally appropriate psychological treatment for the adult British South Asian women who self harm.
  
  
  METHODS
  We plan to test a culturally adapted Problem Solving Therapy (C- MAP) in British South Asian women who self harm. Eight sessions of problem solving each lasting approximately 50 minutes will be delivered over 3 months. The intervention will be assessed using a prospective rater blind randomized controlled design comparing with treatment as usual (TAU). Outcome assessments will be carried out at 3 and 6 months. A sub group of the participants will be invited for qualitative interviews.
  
  
  CONCLUSIONS
  This study will test the feasibility and acceptability of the C- MAP in British South Asian women. We will be informed on whether a culturally adapted brief psychological intervention compared with treatment as usual for self-harm results in decreased hopelessness and suicidal ideation. This will also enable us to collect necessary information on recruitment, effect size, the optimal delivery method and acceptability of the intervention in preparation for a definitive RCT using repetition of self harm and cost effectiveness as primary outcome measures.
  
  
  BACKGROUND
  Current Controlled Trials 08/H1013/6.
authors.affiliation: The Lantern Centre, Lancashire Care NHS Foundation Trust, Vicarage Lane, Fulwood, Preston, Lancashire PR2 8DY, UK.
authors.forename: Nusrat
authors.initials: N
authors.lastname: Husain
authors.forename: Nasim
authors.initials: N
authors.lastname: Chaudhry
authors.forename: Steevart V
authors.initials: SV
authors.lastname: Durairaj
authors.forename: Imran
authors.initials: I
authors.lastname: Chaudhry
authors.forename: Sarah
authors.initials: S
authors.lastname: Khan
authors.forename: Meher
authors.initials: M
authors.lastname: Husain
authors.forename: Diwaker
authors.initials: D
authors.lastname: Nagaraj
authors.forename: Farooq
authors.initials: F
authors.lastname: Naeem
authors.forename: Waquas
authors.initials: W
authors.lastname: Waheed
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D044466:Asian People / Q000523:psychology*; D003466:Cultural Characteristics; D004739:England / Q000453:epidemiology; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008875:Middle Aged; D010865:Pilot Projects; D011340:Problem Solving; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012107:Research Design; D016728:Self-Injurious Behavior / Q000208:ethnology / Q000517:prevention & control* / Q000523:psychology; D059020:Suicidal Ideation; D013405:Suicide / Q000208:ethnology / Q000523:psychology; D013997:Time Factors; D016896:Treatment Outcome; D016387:Women's Health; D055815:Young Adult; D000092864:Suicide Prevention