Suicide Attempt
Conditions
Keywords
Suicide, Suicide attempted, Secondary Prevention, Relapse prevention, Case Management, Intervention Study
Brief summary
In France, suicide behaviours are a major public health concern that triggered the creation in 2013 of a National Observatory of Suicide. In continental France, the Algos protocol was found to be effective for the prevention of suicide attempts reiterations. This protocol is based on a procedure that keeps telephone and postal contacts with the suicide attempter and allows, via an algorithm, to assess the risk of suicide attempt recurrence, in order to intervene if necessary. Nevertheless, Algos does not involve primary care health practitioners, who could add a substantial additional efficacy, especially if they intervene downstream and in supplement to Algos. In addition, this kind of protocol has never been evaluated in the French overseas territories.
Detailed description
Since (1) Algos was never implemented in the French overseas departments (FOD) and does not involve primary care practitioners (PCP), (2) the additional effect of PCP involvement over and beyond Algos alone in unknown, and (3) little research on suicide behaviours has been conducted in the FOD, this proposal has the following main aim: to assess the effectiveness and the efficacy of the intervention, in supplement and downstream to Algos, of a healthcare professional, on the recurrence of suicide attempts in the FOD; the healthcare professional will be the patient's general practitioner, whenever possible.
Interventions
OTHERAPSOM vs Control
In complement to actions described in the control arm, the patient's general practitioner (GP) and the patient him/herself will be contacted within 21 days of hospital discharge in order to organize an appointment between them two; this consultation is expected to take place between day 22 and day 45 after hospital discharge. If the patient does not have a GP, a health-care professional (HCP) will be provided. .GP (or HCP) will also be contacted at 6 and 13 months.
Sponsors
Centre Hospitalier de Monteran, Guadeloupe
Centre Hospitalier Universitaire de la Guadeloupe
Centre Hospitalier de Cayenne
Centre Hospitalier de Ouest Guyanais Franck Joly
Centre d Accueil Psychiatrique Ouest-Centre, La Réunion
Centre d Accueil d Urgences Médico Psychologique, La Réunion
Centre d Accueil Psychiatrique Nord, La Réunion
Etablissement Publique de Santé Mentale de la Réunion
University Hospital Center of Martinique
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Man or woman over 16 years of age * Leaving the hospital within 15 days of the suicide attempt * Giving (him/herself or his/her legal representative)an oral consent to participate in the study * Having healthcare insurance * Reachable by phone, with possibility of confidential conversation, and by mail * Resident of Guadeloupe, French Guyana, Martinique, or Reunion Island * Able to understand and speak French
Exclusion criteria
* Homeless person * Disabled adult, person under judicial/court protection, legally incompetent adult * Participant unable to understand the study protocol, its risks and side effects, or declining to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Existence of a suicide | 6 months | Reiteration of suicidal attempt after hospital discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of suicide attempts | 6 and 13 months after hospital discharge | To know total number of suicide |
| Number of deaths by suicide | 6 and 13 months after hospital discharge | To know number of deaths by suicide |
| Scores at the Hospital Anxiety and Depression Scale (HADS) | 6 and 13 months after hospital discharge | Pass the scale HADS |
| Assessment of suicidal risk by the Sad Persons Scale and the Columbia Suicide Severity Rating Scale (C-SSRS). | 6 and 13 months after hospital discharge | Pass the scale Columbia |
Countries
French Guiana, Guadeloupe, Martinique, Reunion
Outcome results
None listed