Evaluation of a Regional Post-discharge Monitoring System for Suicide Attempters in the North-Pas de Calais Region of France
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 12,989
- 试验地点
- 28
- 主要终点
- Age
研究概览
简要总结
VigilanS is an innovative healthcare program. Participants of this program are all patients leaving in the Nord-Pas de Calais region who survived a suicide attempt.
General goals of the post hospitalization monitoring system for suicidal attempters are:
- Standardize general healthcare's practices by offering alert networks and innovative response procedures in case of suicidal crisis.
- Coordinate the various health partners' actions around the patient (GP, psychiatrist, psychologist).
- Contribute to reducing mortality and morbidity by suicide (subsequent suicide) in determined territories.
The evaluation of VigilanS will be quantitative and qualitative.
详细描述
Every patient who is discharged after a suicidal gesture will be proposed to enter the program. He will be handed a "green card" with a toll-free and unique phone number and an information letter which explains the program and his rights as a patient.
Phone calls Calling team is composed of 4 psychologists and 3 psychiatric nurses especially trained to detect and manage suicidal crises. Monday to Friday, from 9 AM until 6 PM, there is two callers located in the emergencies' calling center. They will give calls to patients after their entry in the program and they will also receive incoming calls at the number available on "green cards" handed to patients.
Calls 10 days after discharge
Subjects who did at least two suicidal attempts before entering the VigilanS program will be call 10 to 20 days after their discharge from the hospital.
After every call, a short report is sent to the patient psychiatrist or his GP. 6 months calls
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •leaving in the Nord-Pas de Calais region
- •entering in the VigilanS program after a suicide attempt
排除标准
- •refusal to enter in the program
研究组 & 干预措施
VigilanS Nord-Pas de Calais cohort
All patients leaving in the Nord-Pas de Calais region and entering in the VigilanS program after a suicide attempt
结局指标
主要结局
Age
时间窗: inclusion
Number of emergency calls
时间窗: 6 months
Length of the hospital stay at inclusion
时间窗: inclusion
MINI (Mini International Neuropsychiatric Interview) lifetime 5.5.0
时间窗: 6 months
psychopathological evaluation
Columbia Suicide Severity Rating Scale C-SSRS
时间窗: 6 months
review of suicidal behaviours and thoughts
Number of hospitalization after a suicide attempt
时间窗: 6 months
Marital status
时间窗: inclusion
If patients had or not attempted suicide
时间窗: 6 months
Yes or no
Sex
时间窗: 6 months
Means of suicide attempts
时间窗: 6 months
Reason of suicide attempts
时间窗: 6 months
Presence of accompanying people
时间窗: inclusion
Number of subsequent suicide attempts
时间窗: 6 months
次要结局
- Number of suicidal attempts in Nord-Pas de Calais region(each year during 3 years)
- Number of suicidal conducts in Picardie region(1 year)
- Number of hospital stays after a suicide attempt(each year during 3 years)
- Care pathway(1 year)
- Local mortality by suicide(each year during 3 years)
- Number of phone intervention and of calls leading to triggering of emergency department(each year during 3 years)
- Number of incoming and outgoing calls(each year during 3 years)
- Number of "green cards" distributed(each year during 3 years)
- Number of postcards sent(each year during 3 years)