Suicide prevention in medical rehabilitation

Suicide prevention in medical rehabilitation - SUP-MR

Status

Active, not recruiting

Phases

Unknown

Study type

Observational

Source

DRKS

Registry ID

DRKS00024753

Enrollment

400

Registered

2021-03-15

Start date

2021-04-21

Completion date

Unknown

Last updated

2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

I00-I99 M00-M99

Interventions

Group 1: All patients are first screened with the PHQ-9 (Spritzer et al. 1999). We then use the Columbia Suicide Severity Rating Scale (C-SSRD

Posner et al. 2011) as a reference standard to determine suicidality. All patients who report either a score > 0 for item 9 of the PHQ-9 (thoughts that you would be better off dead or of hurting yours

Eligibility

Sex/Gender

All

Age

18 Years to 70 Years

Inclusion criteria

Inclusion criteria: We include patients aged 18 to 70 years with cardiovascular disease or musculoskeletal disorders and recruit them consecutively in equal numbers (200 patients each).

Exclusion criteria

Exclusion criteria: none

Design outcomes

Primary

Measure	Time frame
Our study tests the diagnostic accuracy (sensitivity and specificity) of item 9 of the PHQ-9 and the total score of the PHQ-9 (Spritzer et al. 1999) for identifying suicidality. We use the C-SSRS (Posner et al. 2011) as the reference standard for the presence of suicidality. The C-SSRS is a standardized interview and is administered to the patient by trained staff. All study participants will be initially screened with the PHQ-9 at the beginning of rehabilitation. Subsequently, regardless of the screening result and without knowledge of this result, suicidality will be assessed with the C-SSRS. A positive score on the C-SSRS is defined as suicidal ideation with intent to act or recent suicidal behavior. Cutoffs for possible suicidality are defined as a score > 0 for item 9 of the PHQ-9 and a score > 14 for the total score of the PHQ-9.	—

Measure

Time frame

Our study tests the diagnostic accuracy (sensitivity and specificity) of item 9 of the PHQ-9 and the total score of the PHQ-9 (Spritzer et al. 1999) for identifying suicidality. We use the C-SSRS (Posner et al. 2011) as the reference standard for the presence of suicidality. The C-SSRS is a standardized interview and is administered to the patient by trained staff. All study participants will be initially screened with the PHQ-9 at the beginning of rehabilitation. Subsequently, regardless of the screening result and without knowledge of this result, suicidality will be assessed with the C-SSRS. A positive score on the C-SSRS is defined as suicidal ideation with intent to act or recent suicidal behavior. Cutoffs for possible suicidality are defined as a score > 0 for item 9 of the PHQ-9 and a score > 14 for the total score of the PHQ-9.

—

Secondary

Measure	Time frame
To evaluate the suicide prevention concept implemented in the rehabilitation facility, we record, among other things, the completeness of the intervention provided, patients’ perception of the intervention, and the number of people reached. To describe the sample, we also record age, gender, education, partnership, treatment diagnosis and comorbidity, and somatization and anxiety (Spritzer et al. 1999).	—

Measure

Time frame

To evaluate the suicide prevention concept implemented in the rehabilitation facility, we record, among other things, the completeness of the intervention provided, patients’ perception of the intervention, and the number of people reached. To describe the sample, we also record age, gender, education, partnership, treatment diagnosis and comorbidity, and somatization and anxiety (Spritzer et al. 1999).

—

Countries

Germany

Contacts

Public ContactMatthias Bethge

Universität zu Lübeck, Institut für Sozialmedizin und Epidemiologie

matthias.bethge@uksh.de+49 451 50051280

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Feb 4, 2026