RCT of Post-Suicide Attempt Case Management (ACTION-J)

Conditions

Suicide Attempt

Keywords

Suicide Attempt

Brief summary

This study will determine the effectiveness of continuous follow-up care by case manager in preventing further suicide attempts

Detailed description

It is well known that many subjects who survived a suicide attempt will make further suicide attempts, even after the medical treatment at critical emergency unit. To examine the effectiveness of continuous follow-up care by case manager after the suicide attempt, a randomized, controlled, multicenter trial by J-MISP (Japanese Multimodal Intervention Trials).This research project is one of the strategic research projects funded by The Japanese Ministry of Health, Labor and Welfare. In this study, J-MISP will implement the intervention for suicide attempters, a considerably high-risk group of further suicide attempts, who are transported by emergency services.

Inui-Yukawa M, Miyaoka H, Yamamoto K, Kamijo Y, Takai M, Yonemoto N, Kawanishi C, Otsuka K, Tachikawa H, Hirayasu Y.

2021-07-195 citations

10.1016/j.psychres.2021.114125

Assertive case management versus enhanced usual care for people with mental health problems who had attempted suicide and were admitted to hospital emergency departments in Japan (ACTION-J): a multicentre, randomised controlled trial.

Kawanishi C, Aruga T, Ishizuka N, Yonemoto N, Otsuka K, Kamijo Y, Okubo Y, Ikeshita K, Sakai A, Miyaoka H, Hitomi Y, Iwakuma A, Kinoshita T, Akiyoshi J, Horikawa N, Hirotsune H, Eto N, Iwata N, Kohno M, Iwanami A, Mimura M, Asada T, Hirayasu Y, ACTION-J Group.

2014-08-0573 citations

10.1016/s2215-0366(14)70259-7

A randomized controlled multicenter trial of post-suicide attempt case management for the prevention of further attempts in Japan (ACTION-J).

Hirayasu Y, Kawanishi C, Yonemoto N, Ishizuka N, Okubo Y, Sakai A, Kishimoto T, Miyaoka H, Otsuka K, Kamijo Y, Matsuoka Y, Aruga T.

2009-09-2623 citations

10.1186/1471-2458-9-364

Interventions

BEHAVIORALCase management

Case management, Usual clinical practice and Providing paper based information for suicide prevention

OTHEREnhanced usual care

Usual clinical practice and Providing paper based information for suicide prevention

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

20 Years to No maximum

Healthy volunteers

No

Inclusion criteria

1. Over 20 years old 2. Suffering from Axis I disorder 3. Had intent for suicide (confirmed more than 2 times) 4. Able to understand this study and provide informed consent 5. Able to have interview before trial registry and psycho education at hospital 6. Able to have interview for assessment at continuous follow-up care by case manager at the hospital

Exclusion criteria

1. Not suffering from Axis I disorder as a primary diagnosis

Design outcomes

Primary

Measure	Time frame
First recurrent suicide behavior (suicide attempted and completed suicide)	Minimum 1.5 year

Secondary

Measure	Time frame
Any cause of death	Minimum 1.5 year
Repeated recurrent incidence of suicide attempts	Minimum 1.5 year
Utilization or personal or social resources	Minimum 1.5 year
Number of self-injury	Minimum 1.5 year
Physical function	Minimum 1.5 year
Beck hopeless scale	Minimum 1.5 year
SF-36	Minimum 1.5 year
Adverse events	Minimum 1.5 year
Health care utilization	Minimum 1.5 year

Other

Measure	Time frame
Incidence proportion of the first episode of recurrent suicidal behaviour (attempted suicide or completed suicide)	at 1 month after the randomization

Countries

Japan

Outcome results

None listed