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Assertive case management intervention for preventing reattempt of suicide attempters at psychiatric hospitals in Japan

Assertive case management intervention for preventing reattempt of suicide attempters at psychiatric hospitals in Japan - ACTION-JP study

Status
Recruiting
Phases
Phase 2
Study type
Interventional
Source
JPRN
Registry ID
JPRN-jRCT1010250041
Enrollment
220
Registered
2025-10-20
Start date
2025-05-15
Completion date
Unknown
Last updated
2025-11-17

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

Conditions

Suicide attempt Suicide attempt

Interventions

Assertive case management(psychoeducation program and scheduled assertive case management follow-up)

Sponsors

Kawanishi Chiaki
Lead Sponsor
Ishibashi Ryutaro
Collaborator

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

MeasureTime 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

MeasureTime 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.

Contacts

Public ContactRyutaro Ishibashi

Sapporo Medical University

ryutaroishibashi@sapmed.ac.jp+81-11-611-2111

Outcome results

None listed

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