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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
259
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.
CH de Cayenne
Cayenne, French Guiana
CH Ouest Guyanais
Saint-Laurent-du-Maroni, French Guiana
CHU de Pointe à Pitre
Les Abymes, Guadeloupe
CH de Monteran
Saint-Claude, Guadeloupe
CHU Martinique
Fort-de-France, Martinique
Etablissement Psychiatrique de Santé Mentale
Saint-Benoît, Reunion
Centre d'Accueil Psychiatrique Nord
Saint-Denis, Reunion
Centre d'Accueil Psychiatrique Ouest-Centre
Saint-Paul, Reunion
Centre d'Accueil d'Urgences Médico-Psychologique
Saint-Pierre, Reunion
Existence of a suicide
Reiteration of suicidal attempt after hospital discharge
Time frame: 6 months
Existence of a suicide
Reiteration of suicidal attempt after hospital discharge
Time frame: 13 months
Number of suicide attempts
To know total number of suicide
Time frame: 6 and 13 months after hospital discharge
Number of deaths by suicide
To know number of deaths by suicide
Time frame: 6 and 13 months after hospital discharge
Scores at the Hospital Anxiety and Depression Scale (HADS)
Pass the scale HADS
Time frame: 6 and 13 months after hospital discharge
Assessment of suicidal risk by the Sad Persons Scale and the Columbia Suicide Severity Rating Scale (C-SSRS).
Pass the scale Columbia
Time frame: 6 and 13 months after hospital discharge
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