Suicide is a major health concern. Weeks following psychiatric admission are a highly suicide risk period for those having current suicidal ideation or attempt. Recently, a pilot study suggested the feasibility of positive psychology in patients in suicidal crisis. Notably, gratitude exercises suggested improvement in optimism and hopelessness, two dimensions associated to suicide. Moreover, gratitude has been associated to suicidal ideation and attempt, independently from depression. Thus, investigators want to conduct the first randomized controlled study in order to assess effectiveness of gratitude exercises (vs control task) in suicidal inpatients, on 1) psychological pain reduction 2) suicidal ideation, hopelessness, optimism, depressive symptomatology, and anxiety improvement.
Study design: monocentric randomized controlled study Methods: 206 inpatients (Department of Emergency Psychiatry and Post Acute Care), between 18 and 65 years-old, having attempted suicide before hospitalisation or having current active suicidal ideation at the time of the psychiatric hospitalisation. Patients suffering from schizophrenia are excluded. Randomization into two groups: Positive Psychology (i.e., gratitude journal) (n = 103) or Control Task (i.e., food journal) (n = 103), daily exercises during 7 days (in add-on from usual treatment). Clinical assessment: 1) at baseline (the day before the intervention beginning) (V0); 2) short daily self-assessments (immediately before and after the exercise); 3) the day following the last day of the intervention (V1). * V0 : socio-demographic data, treatments, psychopathology, suicidal ideation,depressive and anxious symptomatology, psychological pain, optimism, hopelessness. * Daily self-assessments: psychological pain, optimism, hopelessness * V1 : treatments suicidal ideation,depressive and anxious symptomatology, psychological pain, optimism, hopelessness, intervention satisfaction.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
206
Gratitude Journal (Emmons and Stern, 2013) Every evening, patients have to write down the things they feel grateful about.
Food journal (i.e. alimentary list): Patients have to write down the list of foods eaten during the day.
Unnamed facility
Montpellier, Hérault, France
RECRUITINGPsychological pain reduction using a likert scale
Psychological pain reduction, in gratitude vs control group, between the beginning and the end of the intervention, using a likert scale.
Time frame: At the inclusion and day 8 (the day after the end of the intervention)
Psychological pain reduction using a likert scale
Psychological pain reduction, in gratitude vs control group, the beginning and the end of each exercise, using a likert scale.
Time frame: At day 1, 2, 3, 4, 5, 6, 7
intensity of suicidal ideation
Reduction of suicidal ideation intensity, in gratitude vs control group between the beginning and the end of the intervention using a Likert Scale and the Scale for Suicidal Ideation (SSI).
Time frame: At the inclusion and day 8 (the day after the end of the intervention)
Intensity of hopelessness
Reduction of hopelessness, in gratitude vs control group between the beginning and the end of the intervention, using a Likert Scale and the Beck Hopelessness Scale (BHS).
Time frame: At the inclusion and day 8 (the day after the end of the intervention)
Intensity of optimism
Reduction of hopelessness, in gratitude vs control group between the beginning and the end of the intervention, using a Likert Scale and the Life Orientation Test-Revised (LOT-R).
Time frame: At the inclusion and day 8 (the day after the end of the intervention)
Intensity of depressive symptoms using the Beck Depression Inventory (BDI)
Reduction of depressive symptoms between the beginning and the end of the intervention, using the Beck Depression Inventory (BDI)
Time frame: Day 8 (the day after the end of the intervention)
Intensity of anxious symptoms using the State Anxiety Inventory- State (SAI-State)
Reduction of anxious symptoms between the beginning and the end of the intervention, using the State Anxiety Inventory- State (SAI-State)
Time frame: Day 8 (the day after the end of the intervention)
Perceived usefulness of the intervention using a likert scale
Evaluation of the perceived usefulness of each intervention, using a likert scale.
Time frame: Day 8 (the day after the end of the intervention)
Intensity of suicidal ideation
Reduction of suicidal ideation intensity, in gratitude vs control group between the beginning and the end of each exercise, using a Likert Scale.
Time frame: At day 1, 2, 3,4 5, 6, 7
Intensity of hopelessness
Reduction of hopelessness, in gratitude vs control group between the beginning and the end of each exercise, using a Likert Scale.
Time frame: At day 1, 2, 3, 4, 5, 6, 7
Intensity of optimism
Reduction of hopelessness, in gratitude vs control group between the beginning and the end of each exercise, using a Likert Scale.
Time frame: At day 1, 2, 3, 4, 5, 6, 7
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