Program to Promote Engagement in Care for the Prevention of Recidivism

Januel138 enrolled

Overview

In France, the number of emergency visits for suicide attempts is estimated at 220,000 per year. Suicide management aims to reduce suicide risk factors in order to improve the mental health of patients and prevent recurrences. To day, no study has compared the approaches to health surveillance and case management in a clinical trial, nor established the benefit of each on commitment to care and beyond the prevention of suicidal recurrence.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

138

Conditions

Suicide Health Care Seeking Behavior Case Management

Interventions

suicide attempt patient using PEPS ProgramOTHER

The research protocol consists of two phases separated by randomization. A Hospital Phase common to both groups: Day zero is the day of the suicide attempt for which the patient came to the hospital. A post-hospital phase including the P.E.P.S. program for the intervention group and telephone reminders for the usual treatment group.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥18. * Male and female. * Admission to CH St Denis for a suicide attempt. * Referral for outpatient follow-up. * Patient with no psychiatric follow-up or who has been out of follow-up for at least three months. * Patient having given their written informed consent. Exclusion Criteria: * Patients not affiliated with social security or state medical aid. * Patients who do not have the required faculties to be evaluated (cognitive and delusional disorders). * Patients treated for more than 72 hours after their procedure (maximum length of stay in the UAS and/or in medical intensive care. * Patient currently under psychiatric care. * Patients who cannot be called back by telephone (no telephone, homeless, incarceration). * Patients who do not master the French language.

Outcomes

Primary Outcomes

Clinical Global Impression (CGI)

rating scales are measures of symptom severity, treatment response and the efficacy of treatments in treatment studies of patients with mental disorders.

Time frame: Day 0

Suicide Intent Scale

The Suicide Intent Scale (SIS) developed by A.T. BECK in 1974, is the only scale that focuses solely on the assessment of the suicide attempt that has just taken place.

Time frame: Day 0

Montgomery-Asberg depression rating scale

This scale is widely used to measure the changes brought about by the treatment of depression. It assesses the severity of symptoms in a wide variety of areas such as mood, sleep and appetite, physical and mental fatigue, and thoughts of suicide.

Time frame: Day 0

Secondary Outcomes

Evaluating the effectiveness of the P.E.P.S. program in preventing suicidal recidivism

percentage of all suicidants who relapse during the 12-month study period.

Time frame: 1 year

Evaluate the level of possible generalization of the program

percentage of all suicides of subjects likely to benefit from the program (subjects fulfilling the inclusion and non-inclusion criteria).

Time frame: 1 year

Evaluate the feasibility of the program

percentage of subjects included in the intervention group who received all interventions); weighted by the percentage of acceptance to participate in the study

Time frame: 1 year

Central Contacts

Youcef BENCHERIF

CONTACT

01.43.09.32.32 y.bencherif@epsve.fr

Rusheenthira THAVASEELAN

CONTACT

0143.0932.32 r.thavaseelan@epsve.fr

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.