Conclusions
ideation, depression, adult self-harm, self-harm
CMAP intervention is promising for improving clinical outcomes predictive of suicide, coping resources, health-related QoL, and perceived service quality among adult self-harm survivors in Pakistan. All individuals who participated in the trial reported low repetition rates and there were low suicide rates. These findings on the role of brief interventions and enhanced usual care in improving outcomes predictive of self-harm and suicide (hopelessness, suicidal ideation and depression) are particularly important for low-resource settings where delivering more resource-intensive interventions is challenging.