Ignite Creation Date:
2024-10-26 @ 3:43 PM
Last Modification Date:
2024-10-26 @ 3:43 PM
Study NCT ID:
NCT06652815
Status:
NOT_YET_RECRUITING
Last Update Posted:
None
First Post:
2024-10-16
Brief Title:
Cognition Metacognition and Stigma in Patients With Suicidal Ideation
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Cognition Metacognition and Stigma in Patients With Suicidal Ideation
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-10
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Deficits of executive function meta cognition and stigma is known in suicidal ideation however their relationship is unknown Since many studies use a single indicator of executive function and it was considered important to study Metacognition executive functioning and stigma are the possible driving force behind the suicidal behavior in human being With respect to research in the Indian context there is paucity of studies exploring these factors The purpose of the present study is to explore the relationships between executive functioning metacognition and stigma in suicidal ideation and suicide attempters in the Indian setup where there is a lacuna in research regarding the same Having a detailed understanding of these psychological parameters will be helpful in suicide prevention and management
Detailed Description:
Worldwide 10 to 20 million individuals attempt suicide every year The suicide rate in India is 103 In the last three decades the suicide rate has increased by 43 but the male female ratio has been stable at 14 1 Majority 71 of suicide in India are by persons below the age of 44 years which imposes a huge social emotional and economic burden Those having suicide ideas about one third of them act with a suicide attempt and 60 of these transitions occur within the first year after onset of suicidal thoughts
Executive functioning and Suicide Studies reported that deficits in some executive functions are correlated with an elevated risk for suicide attempts Executive dysfunction may interfere with an individuals ability to understand that they are at risk for suicide as well as with their ability to cope with that risk Although past studies have identified the role of cognitive factors in suicide little has been done to explore the cognitive processes involved in suicidal thinking in adults Ong et al 2016 Neuropsychological alterations can lead to inaccurate perception interpretation and response to environmental information which could be a risk factor for suicide Fernández-Sevillano et al 2021
Metacognition is an essential process regarding decision making and coping with stressful life events It describes the awareness of persons cognitions in relation to suicide thoughts beliefs and attributions The suicidal person feels helpless and decides that death is only solution The person has narrowed all hisher options solely to death Knowing these patterns will give some guidance in talking to a suicidal person It is significant for assessing to try to accept and understand feelings meta-emotion and thoughtattributions meta-cognition the person is expressing Abdulla et al 2018
Stigma is most often defined as a mark of disgrace or infamy a stain or reproach as on ones reputation In suicide investigators talk about public and self-stigma Both forms of stigma can separately cause social isolation demoralization hopelessness and other consequences that interfere with the previous functioning Because of the high incidence of psychological changes after stigma it is crucial for the bereaved to have close mental health services But stigma is a barrier to treatment seeking After suicide attempt most survivors feel stigmatized but it is not yet known which factors modify the perception of stigma Sabina et al 2017
The purpose of the present study is to explore the relationships between executive functioning metacognition and stigma in suicidal ideation and suicide attempters in the Indian setup where there is a lacuna in research regarding the same
Research questions
What is the executive functioning metacognitive beliefs and stigma in persons with high suicide ideation or attempts
Is there any relationship among executive functioning metacognitive beliefs and stigma in these individuals Hypotheses There will be a relationship among executive functioning metacognitive beliefs and stigma in persons with high suicide ideation or attempts
Objective To assess the executive functioning metacognitive beliefs and stigma in persons with high suicide ideation or attempts
To study the relationship among executive functioning metacognitive beliefs and stigma in persons with high suicide ideation or attempts
Methodology Samples size Total number of sample for this study will be N212 The sample size 212 was calculated on the basis of estimated population of 1000 using Epitools online sample size calculator httpsepitoolsausvetcomauoneproportion and Confidence level was 095 with Desired precision of estimate005
Sampling Probability sampling Simple random sampling Every Individual with high suicide ideation or suicide attempts visiting to ABVIMS -Dr RML Hospital for treatment will be screened for this study
The present study is a cross sectional study For the purpose of this study individuals with suicidal ideation and attempts who are seeking treatment at the outpatient department of Psychiatry as well as medical emergency of Dr RML Hospital or referred to Department of Clinical Psychology would be approached to participate in the study
After establishing the rapport diagnostic clarifications ICD-10 and screening for high suicide ideation using Beck Scale for Suicidal Ideation BSSI inclusion and exclusion criteria will be applied Participant who fulfils inclusion criteria will be introduced to the study details then they will be explained about the purpose of the study and its associated aspects and informed consent will be taken Their socio- demographics details will also be gathered Following this Depression Anxiety and Stress Scale DASS-21 Wisconsin Card Sorting Test WCST Metacognitions Scale MCQ-30 and Stigma of Suicide Scale SOSS will be administered
All the data will be kept confidential in lock and key and using password protected files Once all the assessment will be completed data entry in excel sheets will be done and analysis of the data will be done using appropriate SPSS statistical package After all the analysis completed result and discussion of the study will be prepared
Detail of tools to be used
1 ICD-10 Research diagnostic criteria
2 Socio-demographic and clinical data sheet
3 Depression Anxiety and Stress Scale-21 Items DASS-21
4 Beck Scale for Suicidal Ideation BSSI
5 Wisconsin Card Sorting Test WCST
6 Metacognitions Scale MCQ-3
7 Stigma of Suicide Scale SOSS
Executive functioning and Suicide Studies reported that deficits in some executive functions are correlated with an elevated risk for suicide attempts Executive dysfunction may interfere with an individuals ability to understand that they are at risk for suicide as well as with their ability to cope with that risk Although past studies have identified the role of cognitive factors in suicide little has been done to explore the cognitive processes involved in suicidal thinking in adults Ong et al 2016 Neuropsychological alterations can lead to inaccurate perception interpretation and response to environmental information which could be a risk factor for suicide Fernández-Sevillano et al 2021
Metacognition is an essential process regarding decision making and coping with stressful life events It describes the awareness of persons cognitions in relation to suicide thoughts beliefs and attributions The suicidal person feels helpless and decides that death is only solution The person has narrowed all hisher options solely to death Knowing these patterns will give some guidance in talking to a suicidal person It is significant for assessing to try to accept and understand feelings meta-emotion and thoughtattributions meta-cognition the person is expressing Abdulla et al 2018
Stigma is most often defined as a mark of disgrace or infamy a stain or reproach as on ones reputation In suicide investigators talk about public and self-stigma Both forms of stigma can separately cause social isolation demoralization hopelessness and other consequences that interfere with the previous functioning Because of the high incidence of psychological changes after stigma it is crucial for the bereaved to have close mental health services But stigma is a barrier to treatment seeking After suicide attempt most survivors feel stigmatized but it is not yet known which factors modify the perception of stigma Sabina et al 2017
The purpose of the present study is to explore the relationships between executive functioning metacognition and stigma in suicidal ideation and suicide attempters in the Indian setup where there is a lacuna in research regarding the same
Research questions
What is the executive functioning metacognitive beliefs and stigma in persons with high suicide ideation or attempts
Is there any relationship among executive functioning metacognitive beliefs and stigma in these individuals Hypotheses There will be a relationship among executive functioning metacognitive beliefs and stigma in persons with high suicide ideation or attempts
Objective To assess the executive functioning metacognitive beliefs and stigma in persons with high suicide ideation or attempts
To study the relationship among executive functioning metacognitive beliefs and stigma in persons with high suicide ideation or attempts
Methodology Samples size Total number of sample for this study will be N212 The sample size 212 was calculated on the basis of estimated population of 1000 using Epitools online sample size calculator httpsepitoolsausvetcomauoneproportion and Confidence level was 095 with Desired precision of estimate005
Sampling Probability sampling Simple random sampling Every Individual with high suicide ideation or suicide attempts visiting to ABVIMS -Dr RML Hospital for treatment will be screened for this study
The present study is a cross sectional study For the purpose of this study individuals with suicidal ideation and attempts who are seeking treatment at the outpatient department of Psychiatry as well as medical emergency of Dr RML Hospital or referred to Department of Clinical Psychology would be approached to participate in the study
After establishing the rapport diagnostic clarifications ICD-10 and screening for high suicide ideation using Beck Scale for Suicidal Ideation BSSI inclusion and exclusion criteria will be applied Participant who fulfils inclusion criteria will be introduced to the study details then they will be explained about the purpose of the study and its associated aspects and informed consent will be taken Their socio- demographics details will also be gathered Following this Depression Anxiety and Stress Scale DASS-21 Wisconsin Card Sorting Test WCST Metacognitions Scale MCQ-30 and Stigma of Suicide Scale SOSS will be administered
All the data will be kept confidential in lock and key and using password protected files Once all the assessment will be completed data entry in excel sheets will be done and analysis of the data will be done using appropriate SPSS statistical package After all the analysis completed result and discussion of the study will be prepared
Detail of tools to be used
1 ICD-10 Research diagnostic criteria
2 Socio-demographic and clinical data sheet
3 Depression Anxiety and Stress Scale-21 Items DASS-21
4 Beck Scale for Suicidal Ideation BSSI
5 Wisconsin Card Sorting Test WCST
6 Metacognitions Scale MCQ-3
7 Stigma of Suicide Scale SOSS
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None