To determine the clinical effectiveness over 1 year of the Culturally adapted Manual Assisted brief psychological intervention (Y-CMAP) on the following outcomes
To reliably determine the cost effectiveness over 1 year of the Y-CMAP intervention
To determine the generalizability of findings across a range of urban centers across Pakistan.
Explore the mechanism of change using statistical models to examine change in process variables in relation to outcome variables/ process variables.
To assess the characteristics of further episodes of self-harm as measured by the number of subsequent self-harm events, time to next event and severity of event as measured by the adapted Suicide Attempt Self-Injury Interview.