Effectiveness of Telephone Contact and Professional Coordination for Preventing Recurrent Suicidal Acts
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 320
- 试验地点
- 2
- 主要终点
- suicidal act frequency
研究概览
简要总结
The prevention of recurrent suicidal about people who have made a suicide attempt is a major strand in the prevention of suicide. It is estimated that 10-15 % of people who made a suicide attempt die by suicide. Recidivism rate of suicide increases even faster than the subject is close to the index suicide attempt. A one month recurrence rate is 5 %, 12-25 % at one year. Most people who made a suicide attempt receive ambulatory monitoring. On this population, there is a low adherence to care.
The main objective of the study is to test the effectiveness of a prevention program of recurrent suicidal acts for people who made a suicide attempt.
The secondary objectives of this study are the assessment of adherence to care; the identification of sub - populations benefiting most from this program; the evaluation of the possible generalization level of the program (eligibles persons rate) and its feasibility level.
详细描述
This is a randomized, controlled and prospective trial comparing an experimental group (usual treatment + interventions) to a control group (usual treatment only). All participants are evaluated after one year of monitoring. The search duration is 2 years (one inclusion year and one year of follow-up). It is planned to include 330 patients, 165 patients in each group.
The program (experimental group) includes three interventions:
- A series of three telephone calls ( the second week , one month and three months after discharge from hospital )
- A systematic telephone contact with the referring physician
- A telephone helpline for people who made a suicide attempt and referring physicians.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults ≥ 18 years.
- •Patients admitted to the emergency department for a suicide attempt.
- •Patients referred to outpatient care.
- •Patients who have given their written consent.
排除标准
- •Patients not affiliated to social security.
- •Patients do not have the faculties needed to be evaluated (cognitive or delusional disorder).
- •Patients hospitalized for longer than 72 hours.
- •Patients can not be recalled by phone (no phone, homeless, incarcerated)
- •Patients who do not speak French.
结局指标
主要结局
suicidal act frequency
时间窗: 12 months
The primary endpoint is the occurrence of a suicidal act (occurrence or not). The suicidal act includes suicide and suicide attempt.
次要结局
- suicide attempts frequency(12 months)
- Adherence to health care(12 months)
- Number of eligibles persons(12 months)
- Number of participants responding to telephone calls(12 months)
- Number of people lost sight of(12 months)