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NCT Number: NCT07722455

Hand in Hand, We Rise (Xie Shou Gong Jin)

This study aims to conduct a cluster randomized controlled trial to assess the feasibility of implementing the "Hand in Hand, We Rise" (Xie Shou Gong Jin) multi-stakeholder collaborative school-based suicide prevention program in rural public junior high schools. Six schools will be randomly assigned in a 1:1 ratio to either the intervention group or the control group; the intervention group will simultaneously implement the "Youth Strengths & Skills Curriculum (YSSC)" curriculum for students, "Life Gatekeeper" training for teachers, and mental health information dissemination for caregivers. The primary objectives are to evaluate recruitment, retention, adherence, implementation fidelity, acceptability, and safety within real-world school settings, and to preliminarily estimate changes in indicators such as suicidal ideation, depression, anxiety, loneliness, help-seeking attitudes, mental health stigma, self-esteem, school climate, and bullying. The findings will provide parameters and an implementation basis for a subsequent large-scale, multi-school cluster randomized controlled trial.

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Key information

Conditions

Suicide Behavior Behavioral Symptoms Mental Health Personal Satisfaction Psychological Well-Being Self-Injurious Behavior Suicide Awareness Suicide Prevention

Age range

11 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adolescent inclusion criteria include: (a) is a registered student at one of the participating schools, (b) be between the ages of 11-15, (c) fluent in reading Chinese during the consent process, (d) be willing to participate in the YSSC curriculum during their psychoeducation class.
  • Caregiver inclusion criteria include: (a) age 18 or above, (b) can read and speak Chinese, (c) be a primary caregiver of an adolescent enrolled in the participating schools, and (d) willing to discuss perceived needs related to adolescent suicide prevention.
  • Teacher inclusion criteria include: (a) age 18 or above, (b) can read and speak Chinese, (c) be a full-time teacher of the participating schools.

Exclusion criteria

  • Individuals will be excluded from the study if they are determined to have symptoms that would prevent them from giving meaningful consent or participate in study activities, such as significant cognitive impairment.

Treatment and study plan

Xie Shou Gong Jin

Behavioral

Six schools will be randomly assigned in a 1:1 ratio to either the intervention group or the control group; the intervention group will simultaneously implement the "Youth Strengths & Skills Curriculum (YSSC)" curriculum for students, "Life Gatekeeper" training for teachers, and mental health information dissemination for caregivers.

Regular psychoeducation class

Behavioral

Psychoeducation classroom as usual in schools, provided by teachers to students as part of the regular school curriculum

Primary outcomes

  1. Suicide Ideation Attributes Scale (SIDAS)

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up

    Frequency and severity of suicide ideation will be evaluated by SIDAS at baseline, 4 months and 8 months follow-up to evaluate suicide ideation as one of the primary outcomes among adolescents.

  2. Columbia-Suicide Severity Rating Scale (C-SSRS)

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up

    Severity of suicide risk will be assessed by the Columbia-Suicide Severity Rating Scale (C-SSRS) at baseline, 4 months and 8 months follow-up to evaluate the overall risk of suicide as one of the primary outcomes among adolescents.

  3. Session Evaluation Form (SEF)

    Time frame: 4 months (post-intervention)

    The 13-item SEF measuring perceived feasibility, acceptability, and intervention utility of the intervention at 4 months follow-up/postintervention

  4. Client Satisfaction Survey (CSQ-8)

    Time frame: 4 months (post-intervention)

    The 8-item CSQ assessing satisfaction will be used to measure intervention acceptability at 4 months follow-up/post-intervention.

Secondary outcomes

  1. Patient Health Questionnaire (PHQ-9)

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up

    Severity of depression as a secondary outcome will be measured by the Patient Health Questionnaire (PHQ-9) at baseline, 4 months and 8 months follow-up among adolescents.

  2. Generalized Anxiety Disorder (GAD-7)

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up

    Severity of anxiety symptoms as a secondary outcome will be measured by the Generalized Anxiety Disorder (GAD-7), at baseline, 4 months and 8 months follow-up among adolescents.

  3. Attitudes Toward Seeking Professional Psychological Help

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up

    Help-seeking attitude will be measured by the Attitudes Toward Seeking Professional Psychological Help, at baseline, 4 months and 8 months follow-up among adolescents, caregivers, and school teachers.

  4. Perceived Devaluation Discrimination (PDD) scale

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up

    Perception of stigma against mental health will be measured by the Perceived DevaluationDiscrimination (PDD) scale, as a secondary outcome, at baseline, 4 months and 8 months follow-up among adolescents, caregivers, and school teachers.

  5. Stigma of Suicide Scale (SOSS)-short form

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up

    Stigma against suicide will be measured by Stigma of Suicide Scale (SOSS)-short form, as a secondary outcome, at baseline, 4 months and 8 months follow-up among adolescents, caregivers, and school teachers.

  6. Adapted Delaware School Climate Survey

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up

    Peer bullying will be measured by the Adapted Delaware School Climate Survey, as a secondary outcome, at baseline, 4 months and 8 months follow-up among adolescents.

  7. Rosenberg Self-Esteem Scale

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up

    The 10-item Rosenberg Self-Esteem Scale will be used to assess self-esteem as a secondary outcome at baseline, 4 months (post-intervention) and 8 months follow-up. This scale will be assessed among adolescents.

  8. Suicide Prevention Gatekeeper Self-Efficacy Scale (GKSES)

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up

    The Suicide Prevention Gatekeeper Self-Efficacy Scale (GKSES) will be used to assess self-efficacy among teachers and caregivers as a secondary outcome at baseline, 4 months (post-intervention) and 8 months follow-up.

  9. Brief Difficulties in Emotion Regulation Scale (DERS-16)

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up.

    The 16-item Brief Difficulties in Emotion Regulation Scale (DERS-16) will be used to assess difficulties in emotion regulation as a secondary outcome at baseline, 4 months (post-intervention) and 8 months follow-up among adolescents.

  10. WHO-5 Well-Being Index

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up

    The subjective psychological well-being will be measured by WHO-5 Well-Being Index as a secondary outcome at baseline, 4 months (post-intervention) and 8 months follow-up among adolescents.

  11. Child and Adolescent Mindfulness Measure (CAMM)

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up.

    The 10-item Child and Adolescent Mindfulness Measure (CAMM) will be used to assess mindfulness as a secondary outcome among adolescents at baseline, 4 months (post-intervention) and 8 months follow-up.

  12. Children's Hope Scale

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up.

    Hope will be measured by the 6-item Children's Hope Scale (CHS) as a secondary outcome among adolescents at baseline, 4 months (post-intervention) and 8 months follow-up.

  13. Self-Compassion Scale Short Form

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up.

    Self-compassion among adolescents will be measured by the 12-item Self-Compassion Scale Short Form (SCS-SF) as a secondary outcome at baseline, 4 months (post-intervention) and 8 months follow-up.

  14. Resilience Scale (CYRM-R)

    Time frame: Baseline, 4 months (post-intervention) and 8 months follow-up.

    The 12-item Child and Youth Resilience Measure-Revised (CYRM-R) will be used to assess resilience as a secondary outcome at baseline, 4 months (post-intervention) and 8 months follow-up among adolescents.

Other outcomes

  1. Adverse Childhood Experience

    Time frame: Baseline

    Adverse childhood experience will be measured by baseline as a potential intervention effect moderator. This scale will be assessed among adolescents.

Study contacts

Contact information is provided by the study sponsor or research team.

Shufang Sun, PhD

CONTACT

[email protected]

401-484-0012

Sponsors and collaborators

Lead sponsor

Brown University

Other

Collaborators

  • Beijing Normal University

Registry information

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jul 23, 2026
Registry last updated
Jul 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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