Suicide, Attempted
Conditions
Keywords
Suicide, Attempted, prevention suicidal act, telephone contact, professional coordination
Brief summary
The prevention of recurrent suicidal about people who have made a suicide attempt is a major strand in the prevention of suicide. It is estimated that 10-15 % of people who made a suicide attempt die by suicide. Recidivism rate of suicide increases even faster than the subject is close to the index suicide attempt. A one month recurrence rate is 5 %, 12-25 % at one year. Most people who made a suicide attempt receive ambulatory monitoring. On this population, there is a low adherence to care. The main objective of the study is to test the effectiveness of a prevention program of recurrent suicidal acts for people who made a suicide attempt. The secondary objectives of this study are the assessment of adherence to care; the identification of sub - populations benefiting most from this program; the evaluation of the possible generalization level of the program (eligibles persons rate) and its feasibility level.
Detailed description
This is a randomized, controlled and prospective trial comparing an experimental group (usual treatment + interventions) to a control group (usual treatment only). All participants are evaluated after one year of monitoring. The search duration is 2 years (one inclusion year and one year of follow-up). It is planned to include 330 patients, 165 patients in each group. The program (experimental group) includes three interventions: * A series of three telephone calls ( the second week , one month and three months after discharge from hospital ) * A systematic telephone contact with the referring physician * A telephone helpline for people who made a suicide attempt and referring physicians.
Interventions
OTHERUsual treatment and Prevention program
Prevention program of recurrent suicidal acts includes three interventions: * A series of three telephone calls ( the second week , one month and three months after discharge from hospital ) * A systematic telephone contact with the referring physician * A telephone helpline for people who made a suicide attempt and referring physicians.
OTHERUsual Treatment
Usual Treatment
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adults ≥ 18 years. * Patients admitted to the emergency department for a suicide attempt. * Patients referred to outpatient care. * Patients who have given their written consent.
Exclusion criteria
* Patients not affiliated to social security. * Patients do not have the faculties needed to be evaluated (cognitive or delusional disorder). * Patients hospitalized for longer than 72 hours. * Patients can not be recalled by phone (no phone, homeless, incarcerated) * Patients who do not speak French.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| suicidal act frequency | 12 months | The primary endpoint is the occurrence of a suicidal act (occurrence or not). The suicidal act includes suicide and suicide attempt. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| suicide attempts frequency | 12 months | Number of occurrence of suicide attempts. |
| Adherence to health care | 12 months | Adherence to health care: Defined by: * The Initialization of outpatient care proposed by the suicidology's team at the initial interview or during telephone contacts. * The number of consultations within 3 months after the first appointment with the referring doctor. |
| Number of eligibles persons | 12 months | Number of eligibles persons: Number of people (among all people admitted to the emergency department fo a suicide attempt) meeting the criteria of selection. |
| Number of participants responding to telephone calls | 12 months | Number of participants responding to telephone calls: We consider the failure to call after three unsuccessful telephone calls to three different days. |
| Number of people lost sight of | 12 months | Number of people lost sight of: A person is considered lost sight if no information can be obtained after contact with the person himself, a third (nearest designated), a doctor (general practitioner and / or psychiatrist) and the nearest emergency department. |
Countries
France
Outcome results
None listed