Effectiveness of Standard Emergency Department Psychiatric Treatment Associated With Treatment Delivery by a Suicide Prevention Center

Not Applicable

Completed

• Conditions: Suicide Attempted
• Interventions: Behavioral: Psychotherapy

• Registration Number: NCT00641498
• Lead Sponsor: University Hospital, Toulouse

Brief Summary

Very few studies have proved the effectiveness of treatment for suicide attempt patients. Our objective is to evaluate the addition of the resources of an suicide prevention centre to standard psychiatric treatment in the Emergency Department. Consecutive suicide attempt patients in 2 Emergency departments (multicenter study) were included after standard psychiatric treatment and referral. After Written informed consent, psychological assessment (depression, suicide intention) was carried out After randomisation, control patients were given an information card describing the Suicide Prevention Center (SPC); experimental patients had a first meeting with a psychologist of the SPC.

To verify the hypothesis of a decrease in suicidal behaviors in the experimental group, an evaluation of these behaviors was carried out every month during a two year follow-up.

Detailed Description

Very few studies have proved the effectiveness of treatment for suicide attempt patients. Our objective is to evaluate the addition of the resources of an existent suicide prevention centre to standard psychiatric treatment in the Emergency Department. Consecutive suicide attempt (self poisoning) patients in 2 Emergency departments (multicenter study) were included after standard psychiatric treatment and referral. After Written informed consent, psychological assessment (depression, suicide intent scale/SIS Beck Depression Inventory, Toronto Ale, Beck Hopelessness Sc, Audit, mini, PDQ 4) was carried out After randomisation, control patients were given an information card describing the Suicide Prevention Center (SPC); experimental patients had a first meeting with a psychologist of the SPC. The number of subjects included should be 405 per group. To verify the hypothesis of a decrease in suicidal behaviors in the experimental group, an evaluation of these behaviors was carried out every month during a two year follow-up The frequency of subsequent suicidal behavior will be monitored by the scrutiny of the Emergency Dept records. Death by suicide will be identified by the examination of information obtained from the national death statistics office (INSERM).

Study Timeline

• Study Start: 2007-03
• Study First Submitted: 2008-03-17
• Study First Submitted QC: 2008-03-17
• Study First Posted: 2008-03-24
• Primary Completion: 2009-12
• Study Completion: 2011-10
• Status Verified: 2015-03
• Last Update Submitted: 2015-03-27
• Last Update Posted: 2015-03-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 607

Inclusion Criteria

• parasuicide by self-poisoning
• Glasgow score=15
• Standard psychiatric treatment

Exclusion Criteria

• No speaking french
• committed inpatient

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Active group	Psychotherapy	Individual supportive psychotherapy initiated in the Emergency department

Primary Outcome Measures

Name	Time	Method
Suicide behavior defined by self poisoning or other suicidal attempts in the emergency departments of the region. Death by suicide will be identified by the examination of information obtained from the national death statistics office (INSERM).	2 years

Secondary Outcome Measures

Name	Time	Method
Level of depression, suicide ideation, level of despair, level of alexithymia	2 years

Trial Locations

Locations (2)

Service d'Accueil des Urgences; 🇫🇷 Brive-la Gaillarde, France

Laboratoire de Stress Post-Traumatique; 🇫🇷 Toulouse, France