Mood Disorder, Reactive Depression
Conditions
Brief summary
To evaluate the impact of a specific nursing management (personalized and close, through consultation at the hospital, at home or by phone) monitoring in post-hospitalization, the suicide attempt of recurrence and suicidal crisis, in the year following a suicide attempt in patients suffering from a mood disorder (unipolar or bipolar) or reactive depression.
Detailed description
Main objective: To evaluate the impact of a specific nursing management (personalized and close, through consultation at the hospital, at home or by phone) monitoring in post-hospitalization, the suicide attempt of recurrence and suicidal crisis, in the year following a suicide attempt in patients suffering from a mood disorder (unipolar or bipolar) or reactive depression. Secondary objectives: Studying during the year following the suicide attempt index, the impact of this device on: * The frequency and intensity of suicidal ideation * the spontaneous use of emergency care * the death rate from suicide and other causes * the cumulative duration of hospitalization for suicidal behavior * The patient's quality of life * the number of patients lost to at the end of search Studying patient compliance with intensive nursing monitoring program. To study the role of the nurse to determine the factors that promote the construction of a therapeutic alliance. Establish a mapping of needs and resources suicidal patient for nursing care in post-emergency.
Interventions
OTHERSupported with intensive nursing follow post hospitalization
Intensive nursing follow post - hospitalization
Sponsors
University Hospital, Montpellier
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Patient suffering from a mood disorder (unipolar or bipolar) or reactive depression whose reason for hospitalization in the Psychiatric Emergency Unit Post has attempted suicide
Exclusion criteria
* Patients with bipolar disorder, current episode manic in * Patient Hospitalized full-time (for high suicide risk incompatible with an output of emergencies or clinical transfer) within 3-5 days of the TS * Patient suffering from a somatic pathology associated with the prognosis is committed in the short term. * Patients suffering from a neurodegenerative pathology of dementia or pre-dementia types. * Homeless Patient
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Composite suicidal outcome including suicidal attempt recurrence or hospitalization for suicidal crisis or worsening of suicidal ideation | 12 months from EPAC (Emergency Psychiatry and Acute Care) discharge | Composite endpoint including any of the following events: * Suicide attempt recurrence, * Emergency hospitalization for suicidal crisis without suicide attempt * Worsening of suicidal ideations defined as an increase ≥2 points on the C-SSRS severity subscale compared with EPAC discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Suicide attempt recurrence | 12 months from EPAC discharge | Occurrence of at least one suicide attempt, defined as medically documented or self-reported attempt or death by suicide |
| Emergency hospitalization for suicidal crisis without attempt | 12 months from EPAC discharge | Occurrence of at least one emergency hospitalization for suicidal crisis, defined as persistent and high-intensity suicidal ideations |
| Worsening of suicidal ideations | 3 months, 6 months and 12 months after EPAC discharge | Increase ≥2 points on the C-SSRS severity score compared with EPAC discharge |
| Frequency of suicidal ideation | At inclusion, at EPAC discharge, and at 3 months, 6 months and12 months after EPAC discharge | Frequency of suicidal ideation measured with the C-SSRS (Columbia-Suicide Severity Rating Scale). |
| Intensity of suicidal ideation | At inclusion, at EPAC discharge, and at 3 months, 6 months and 12 months after EPAC discharge | Intensity of suicidal ideation measured with the C-SSRS (Columbia-Suicide Severity Rating Scale). |
| Psychological pain | At inclusion, at EPAC discharge, and at 3 months, 6 months and 12 months after EPAC discharge | Psychological pain measured with Visual Analog Scale (VAS) |
| Number of unscheduled healthcare visits for suicidal ideation | At 3 months, 6 months and12 months after EPAC discharge | — |
| All-cause mortality and mortality by suicide | At 3 months, 6 months and12 months after EPAC discharge | — |
| Total duration of psychiatric hospitalization during the year following the suicide attempt | At 3 months, 6 months and12 months after EPAC discharge | — |
| Number of participants lost to follow-up at the end of the study | At 12 months after EPAC discharge | — |
| Patient quality of life | At inclusion, at 3 months, 6 months and12 months after EPAC discharge | — |
| Adherence to the therapeutic program proposed and/or prescribed in the service. | 12 months after EPAC discharge | — |
Contacts
PRINCIPAL_INVESTIGATORGrégory Mykolow
University Hospital, Montpellier
Outcome results
None listed