Treatment of Suicidal Recidivism in Adolescents Population
Conditions
Keywords
Cognitive behavioral, security plan, suicidal Recidivism in adolescents
Brief summary
The recommendation for the treatment of suicidal adolescents, Cognitive Behavioral Therapy (CBT) targeted new generation offer effective approaches to suicidal crisis and relapse prevention
Detailed description
The recommendation for the treatment of suicidal adolescents, Cognitive Behavioral Therapy (CBT) targeted new generation offer effective approaches to suicidal crisis and relapse prevention. Since 2009, our team is engaged in a partnership between France and Quebec Interuniversity agreement concluded by a University Picardie Jules Verne-University of Montreal. In this context, two teams G4 (Amiens and Rouen) have received training in suicidal crisis, including the security plan by a university instructor and TCC Québec, Dr. Labelle. Furthermore, we complete a descriptive and prospective study of risk and protective factors for adolescent suicide in which the Quebec team of Professor Labelle contributes as an expert (sponsor: Rouen). 200 subjects were recruited on 2 years by 3 (CHU Amiens, CH Compiègne, CHU Rouen) with an assessment of recurrence at 1 year (lost rates of view = 15%). The first results highlight the central role of personal coping strategies (coping) in suicidal recurrence. We want extend this study to validate the implementation of the security plan (safety level) with suicidal adolescents. The security plan is the initial step of the TCC approach short of suicidal crisis. It is established after working with adolescents and their families (chain analysis of the suicidal crisis, coping self-evaluation and identification of support resources). Developed by Stanley B from Columbia University and adapted for francophone adolescents R Labelle and JJ Breton wrote this list those resources and coping strategies to apply in case ideation and suicidal crisis. Signed by the young person and his family, he then uses to frame the monitoring and management plan of the youth and his family environment, friendly and professional in case of suicidal crisis.
Interventions
OTHERSecurity Plan
This study compared two groups of adolescents aged 12-17 hospitalized for TS and randomized to a group treated with the Security Plan plus the usual treatment and a group receiving standard treatment only.
Sponsors
Centre Hospitalier Universitaire, Amiens
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
12 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Adolescents between 12 and 17, boys and girls, hospitalized for attempted suicide * Adolescents whose parents gave informed consent and who themselves expressed their willingness to participate in research. * Patients covered by the social insurance system
Exclusion criteria
* Clinical situations with self-injury without suicidal intent or suicide attempt * mental disorders significantly impair the self-assessment questionnaire capacities: Intellectual disability, autism spectrum disorder, acute psychotic state and, psychopathy (including assessment questionnaire Frick) and the active use of alcohol and toxic (DEP teen\> 20) * have benefited a security plan before the study * adolescents deprived of liberty.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Occurrence of suicide attempt | 12 months | Occurrence of suicide attempt recurrence (documented by CNRS) during the year following randomization. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Occurrence of relapse Suicide attempt | 6 months | Occurrence of relapse Suicide attempt within 6 months of randomization. |
| Observance | 6 months and 12 months | Observance at 6 months and 1 year using the categories used in the Giraud study |
| coping strategies of the adolescent | 12 months | Compare at 1 year the evolution of coping strategies of the adolescent assessed by changes in coping scores assessed by self-questionnaire Friedenberg (ACS) from randomization to 1 year later. |
| Evolution of social support perceived by the teen evaluat | 12 months | Compare at 1 year evolution of social support perceived by the teen evaluated by varying the scores of self-questionnaire Sarason (SSQ6) from randomization to 1 year later. |
Countries
France
Contacts
STUDY_DIRECTORJean-Marc GUILE, professor
CHU amiens-Picardie
PRINCIPAL_INVESTIGATORLEGRAND, Doctor
CHP Philippe Pinel Amiens
PRINCIPAL_INVESTIGATORGERARDIN, Doctor
University Hospital, Rouen
PRINCIPAL_INVESTIGATORBALEYTE, Doctor
University Hospital, Caen
PRINCIPAL_INVESTIGATORBernadette BAKHACHE, Doctor
CH St-Quentin
PRINCIPAL_INVESTIGATORMaud PERCQ, Doctor
EPSMD Aisne
PRINCIPAL_INVESTIGATORVERVEL, Doctor
CH Compiègne
Outcome results
None listed