2.4 Enhanced usual care (control period)
self-harm
Enhanced Usual Care (EUC) was offered to all participants in the control condition who scored ≥3 on GHQ-12. EUC provided information on the impact of distress on physical and mental health and relevant information on available public mental health care services, including services by the District Mental Health Program (DMHP), and helplines for mental health support in and around the Mehsana district. The EUC also provided active support to participants in crisis. A crisis was defined as the participant revealing a recent self-harm attempt or expressing thoughts of self-harm during data collection. Such participants were encouraged to seek help immediately and data collectors sought participants’ consent to inform their family member or a friend about the crisis and mobilize social support to manage the crisis. This condition was considered as enhanced, as usual care provided in the community in these districts does not routinely provide information on mental health and distress or active support during a mental health crisis.