Adaptation and feasibility assessment of a school-based Suicide Prevention Intervention for Adolescents (SPREAD Study) in Nigeria: protocol for a cluster randomised controlled feasibility trial.

ABSTRACT:

Introduction

Adolescent suicide constitutes a critical public health challenge in low-income and middle-income countries (LMICs), where structural deficits in mental health infrastructure compound an already substantial burden. In Nigeria, where suicidal ideation among secondary school students has been documented at a lifetime prevalence of 22.9%, curative clinic-based responses are neither scalable nor sustainable. School-based universal interventions offer a pragmatic upstream alternative. The Youth Aware of Mental Health (YAM) programme has demonstrated robust efficacy in European contexts, reducing incident suicide attempts by approximately 50%; however, its transferability to the West African educational and cultural environment remains untested. This protocol describes a stu

SUBMITTER: Adewuya AO 

PROVIDER: S-EPMC13629916 | biostudies-literature | 2026 Oct

REPOSITORIES: biostudies-literature