Outpatient Nurse Monitoring Under the Prevention of Recurrent Suicidal

University Hospital, Montpellier380 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Enrollment

380

Conditions

Mood Disorder Reactive Depression

Interventions

Supported with intensive nursing follow post hospitalizationOTHER

Intensive nursing follow post - hospitalization

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

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

Outcomes

Primary Outcomes

Composite suicidal outcome including suicidal attempt recurrence or hospitalization for suicidal crisis or worsening of suicidal ideation

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

Time frame: 12 months from EPAC (Emergency Psychiatry and Acute Care) discharge

Secondary Outcomes

Suicide attempt recurrence

Occurrence of at least one suicide attempt, defined as medically documented or self-reported attempt or death by suicide

Time frame: 12 months from EPAC discharge

Emergency hospitalization for suicidal crisis without attempt

Occurrence of at least one emergency hospitalization for suicidal crisis, defined as persistent and high-intensity suicidal ideations

Time frame: 12 months from EPAC discharge

Worsening of suicidal ideations

Increase ≥2 points on the C-SSRS severity score compared with EPAC discharge

Time frame: 3 months, 6 months and 12 months after EPAC discharge

Frequency of suicidal ideation

Frequency of suicidal ideation measured with the C-SSRS (Columbia-Suicide Severity Rating Scale).

Time frame: At inclusion, at EPAC discharge, and at 3 months, 6 months and12 months after EPAC discharge

Intensity of suicidal ideation

Intensity of suicidal ideation measured with the C-SSRS (Columbia-Suicide Severity Rating Scale).

Time frame: At inclusion, at EPAC discharge, and at 3 months, 6 months and 12 months after EPAC discharge

Data from ClinicalTrials.gov

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