Suicidal Ideation
Conditions
Brief summary
Two programmes have been built to prevent suicidal ideation; one focuses on stress management based on cognitive and behavioural principles and the other on health promotion.
Detailed description
The main objective will be assessing their respective effectiveness on suicidal ideation (at least one occurrence over a 12-month period after the end of the intervention), through a randomized controlled trial, in medical students and interns.
Interventions
OTHERVideos and/or SMS
Participants assigned to one of the intervention programmes will watch videos on a website for two months then will receive SMSs for four months.
Sponsors
Centre Hospitalier Charles Perrens, Bordeaux
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
An open three-arm randomized controlled trial will be conducted to assess the effectiveness of two programmes of suicide prevention in fourth-year medical students and first-year interns; one based on stress management using cognitive and behavioural principles and the other on health promotion. Their respective effectiveness will be compared with a control condition. Participants will be assessed using validated questionnaires online at inclusion (before intervention) and at 6 (end of the intervention), 12, and 18 months.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Being registered in the fourth year of medical studies or in the first year of residency (internship), as they appear as two critical periods over medical studies * Being registered in the i-Share cohort * 18 year-old and over * Speaking and reading French * Having given an informed consent * Ability to understand the type, the aims and the methodology of the study * Agreement for online clinical assessment * Having a mobile phone number and an e-mail address * To be beneficiary of a health insurance programme
Exclusion criteria
* Refusing to participate * Protective supervision: curatorship, guardianship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Suicidal ideation observed at least at one of the three assessment contacts (6, 12, 18 months). | 18 months | The electronic Columbia-Suicide Severity Rating Scale (e-CSSRS) will be used to investigate suicide ideation & behaviors. Questionnaire was developped with NIMH support to screen & quantify suicide risk using consecutive questions. No score is computed when using this scale. Questionnaire investigates suicide ideation using several questions (response yes/no): 1. Have you wish you were dead? 2. Have you actually had any thought of killing yourself? If 1 and/or 2 are answered yes, 4 other questions are asked. For this study, suicide ideation will be considered as a yes answered to question 1 or 2. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Suicidal behaviour identified at least once after the intervention. | 18 months | The electronic Columbia-Suicide Severity Rating Scale (e-CSSRS) will be used to investigate suicide ideation and behaviors. This questionnaire was developped with NIMH support to screen and quantify suicide risk using consecutive questions. No score is computed when using this scale. The questionnaire investigates also suicide behaviours using questions (response yes/no) on * actual attempt (have you made a suicide attempt? Have you done anything to harm yourself? have you done anything dangerous where you could have died?) * interrupted attempt * aborted or self-interrupted attempt * preparatory acts or behavior For the present study, suicide behavior will be considered as a yes to any of these 4 questions. |
Countries
France
Contacts
Primary ContactMARIE TOURNIER, MD, Prof
Backup ContactHELEN SAVARIEAU
Outcome results
None listed