suicide attempts
Conditions
Interventions
Assertive case management(psychoeducation program and scheduled assertive case management follow-up) Usual clinical practice
Sponsors
Department of Neuropsychiatry, Sapporo Medical University Graduate School of Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1) Aged 18 years or older. 2) Diagnosed with a Diagnostic and Statistical Manual of Mental Disorders, fourth edition (DSM-IV) Axis I psychiatric disorder based on clinical evaluation. 3) Confirmed suicidal intent at the time of the index suicide attempt, as assessed using the Columbia-Suicide Severity Rating Scale (C-SSRS). 4) Enrollment in the study within one month of the index suicide attempt. 5) Ability to understand the study procedures and provide written informed consent. 6) Ability to understand and communicate in Japanese. 7) Ability to participate in scheduled intervention sessions (psychoeducation and assertive case management) during hospitalization. 8) Ability to attend scheduled follow-up visits at participating facilities for evaluations and assertive case management sessions. 9) No prior participation in the current study.
Exclusion criteria
Exclusion criteria: 1) Absence of a DSM-IV Axis I psychiatric diagnosis. 2) Have a history of previous exposure to an assertive case management intervention program of ACTION-J study or the current study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the change from baseline in the total score of the Columbia Suicide Severity Rating Scale (C-SSRS) at the 6-month follow-up. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Incidence of key events, including all-cause mortality, suicide, first recurrent suicide attempt, and self-harm. These will be reported as proportions and person-year rates. 2.Frequency of suicide attempts and self-harm. 3.Continuity of psychiatric care. 4.Change from baseline in C-SSRS scores at each follow-up point. 5.Change from baseline in BDI-II scores. 6.Change from baseline in GAF Scale scores. | — |
Countries
Japan
Contacts
Public ContactRyutaro Ishibashi
Sapporo Medical University Department of neuropsychiatry
Outcome results
None listed