Disclosure, Social Harm, and Support Activation Study
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Survey Questionnaire.
- Who it may be relevant to
- Registry conditions: Mental Illness, Suicidal. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Uganda
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Disclosure, Social Harm, and Support Activation Study:How Disclosure of Suicidality and Severe Emotional Distress Functions Socially in Rural Eastern Uganda
Overview
To characterize how disclosure of suicide or severe emotional distress functions socially in rural eastern Uganda: who people have disclosed to, what happened, what harms resulted, who they would want involved in future support, and under what conditions they would want support activated on their behalf.
Detailed description
This study aims to understand how disclosing suicidal thoughts or severe emotional distress leads to either social support or social harm in rural eastern Uganda, and to identify how support can be activated safely and according to individuals' preferences. Using a cross-sectional mixed-methods design, researchers will administer structured surveys to 80-100 adults with lived experience of suicidality or severe distress and conduct 20-30 in-depth interviews with participants representing helpful, harmful or forced, mixed, and non-disclosure experiences. The study will examine disclosure pathways, adverse social consequences, preferred support persons, acceptable conditions for contacting others, and willingness to undergo suicide screening, with safeguarding procedures integrated throughout data collection
Interventions
- Other Survey Questionnaire
Survey capturing disclosure history (who was told, when, why, how), disclosure outcomes (what happened, what harms resulted), disclosure comfort (willingness to tell specific people under specific conditions), social harm inventory (lifetime and recent harms following disclosure), preferred support persons and conditions for activation, and willingness to be screened
Primary outcome measures
- Social Harm Inventory [Time frame: Through 60 minute survey and interview]
Secondary outcome measures (2)
- Disclosure Comfort [Time frame: Through 60 min Interview and survey period]
- Support Activation Preferences [Time frame: Through 60 minute interview and survey period]
Eligibility criteria
Inclusion criteria
- Meets at least one of the following:
- self-reports a history of suicidal ideation or attempt,
- self-reports a period of severe depressive distress (persistent sadness, hopelessness, withdrawal lasting ≥2 weeks), or
- has previously disclosed suicidal thoughts or severe distress to another person
- Able and willing to provide informed consent
Exclusion criteria
- Currently in acute suicidal crisis with intent or plan (activate safeguarding protocol, defer enrollment to after stabilization)
- Unable to engage in a 25-30 minute survey without significant distress
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Other
Study locations
Uganda · 1 center
- Empower to Heal- Uganda — Mpunde
Identifiers
NCT: NCT07730307 · 2000034605_c