Mixed-method Evaluation of a Parental Psychoeducation Programme in a Suicide Risk Prevention Group

Recruiting

• Conditions: Suicide Prevention
• Interventions: Behavioral: Self-questionnaire WHOQOL-bref; Behavioral: Self-questionnaire Evaluation Inventory - Parent; Behavioral: quiz of knowledge; Behavioral: semi-structured interviews (qualitative)

• Registration Number: NCT06576453
• Lead Sponsor: Assistance Publique - Hôpitaux de Paris

Brief Summary

The number of emergency consultations for children and adolescents for suicidal ideation and suicide attempts has been rising steadily since 2010, and even more so since 2020. In addition, 30% of children and adolescents who have committed a suicidal act reoffend within the year.

Psycho-education programmes for patients have been shown to be effective in a large number of psychiatric pathologies. The programs of psychoeducation for the caregivers of these patients have them also shown their effectiveness, however to date there is no parental psychoeducation program group, for the prevention of the suicidal risk of children and adolescents, which is validated. The service of child psychiatry at the Robert Debré hospital built a program for this purpose, according to current data from the science and has been offering it for 6 months to parents of patients who consulted for suicidal ideation. Rate this program through the description of its implementation would allow it to be validated, this in a dissemination objective. This validation through a mixed method would also allow us to describe the experience participants in this program and to understand improvements Track.

Detailed Description

Implementation study: non-randomized, single-center, quasi-experimental study before - after for the evaluation criteria of intermediate effectiveness (effectiveness). Study mixed qualitative-quantitative method for the evaluation of several judgment criteria.

The main objectives is to Evaluate the implementation of a parental psychoeducation program in a group of suicide prevention through parental support for the entire program.

The secondary objectives are to evaluate:

* reaching the target population (Reach)

* the intermediate effectiveness of the program

* the adoption of the program by health professionals

* the implementation on other dimensions

* the sustainability of the program

Study Timeline

• Study Start: 2024-05-23
• Study First Submitted: 2024-07-04
• Status Verified: 2024-08
• Study First Submitted QC: 2024-08-26
• Last Update Submitted: 2024-08-26
• Study First Posted: 2024-08-28
• Last Update Posted: 2024-08-28
• Primary Completion: 2025-06-30
• Study Completion: 2025-07-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Parent committing to participate in the 4 sessions of the parental psychoeducation prevention program suicide risk (PEPPS program)
• Parents of children under 15 years and 6 months
• Parents fluent in French

Read More

Exclusion Criteria

• Lack of affiliation with a social security scheme or CMU (universal health coverage)
• Parents under guardianship or curatorship

Read More

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
All of the participants	Self-questionnaire WHOQOL-bref	Parents participate in the PEPPS program (Parental psychoeducation program for suicide risk prevention) This is a group family psychoeducation program for parents child under 15 years 6 months having been urgently assessed at Robert University Hospital discharged for suicidal ideation or attempted suicide. This program is built according to a global model based on: * A support program for parents of Resourceful adolescents: parent of adolescents support program not specific to the theme of suicidal risk taking place in 3 to 4 sessions of 2 hours. * The global program of the Suicide Prevention Intervention Center at the Children Hospital of Philadelphia which offers a multi-family group intervention (parents and children). * The recommendations of the High Authority of Health which recommend an intervention psychoeducation type.
All of the participants	Self-questionnaire Evaluation Inventory - Parent	Parents participate in the PEPPS program (Parental psychoeducation program for suicide risk prevention) This is a group family psychoeducation program for parents child under 15 years 6 months having been urgently assessed at Robert University Hospital discharged for suicidal ideation or attempted suicide. This program is built according to a global model based on: * A support program for parents of Resourceful adolescents: parent of adolescents support program not specific to the theme of suicidal risk taking place in 3 to 4 sessions of 2 hours. * The global program of the Suicide Prevention Intervention Center at the Children Hospital of Philadelphia which offers a multi-family group intervention (parents and children). * The recommendations of the High Authority of Health which recommend an intervention psychoeducation type.
Participants - qualitative interview	quiz of knowledge	Semi-structured interviews (qualitative) will be carried out with parents who have followed either all or part of the sessions of the band. The parents interviewed will be chosen based on the wealth of information they will be likely to contribute to the study.The sampling method will follow the "snowball" model, described by Kathy Charmaz. According to this, the characteristics of new participants will be determined according to the results of the analysis of the first interviews until data saturation. We will conclude with the latter when no new information emerges from the data collection.
Participants - qualitative interview	semi-structured interviews (qualitative)	Semi-structured interviews (qualitative) will be carried out with parents who have followed either all or part of the sessions of the band. The parents interviewed will be chosen based on the wealth of information they will be likely to contribute to the study.The sampling method will follow the "snowball" model, described by Kathy Charmaz. According to this, the characteristics of new participants will be determined according to the results of the analysis of the first interviews until data saturation. We will conclude with the latter when no new information emerges from the data collection.
All of the participants	quiz of knowledge	Parents participate in the PEPPS program (Parental psychoeducation program for suicide risk prevention) This is a group family psychoeducation program for parents child under 15 years 6 months having been urgently assessed at Robert University Hospital discharged for suicidal ideation or attempted suicide. This program is built according to a global model based on: * A support program for parents of Resourceful adolescents: parent of adolescents support program not specific to the theme of suicidal risk taking place in 3 to 4 sessions of 2 hours. * The global program of the Suicide Prevention Intervention Center at the Children Hospital of Philadelphia which offers a multi-family group intervention (parents and children). * The recommendations of the High Authority of Health which recommend an intervention psychoeducation type.
Participants - qualitative interview	Self-questionnaire WHOQOL-bref	Semi-structured interviews (qualitative) will be carried out with parents who have followed either all or part of the sessions of the band. The parents interviewed will be chosen based on the wealth of information they will be likely to contribute to the study.The sampling method will follow the "snowball" model, described by Kathy Charmaz. According to this, the characteristics of new participants will be determined according to the results of the analysis of the first interviews until data saturation. We will conclude with the latter when no new information emerges from the data collection.
Participants - qualitative interview	Self-questionnaire Evaluation Inventory - Parent	Semi-structured interviews (qualitative) will be carried out with parents who have followed either all or part of the sessions of the band. The parents interviewed will be chosen based on the wealth of information they will be likely to contribute to the study.The sampling method will follow the "snowball" model, described by Kathy Charmaz. According to this, the characteristics of new participants will be determined according to the results of the analysis of the first interviews until data saturation. We will conclude with the latter when no new information emerges from the data collection.

Primary Outcome Measures

Name	Time	Method
implementation of a program parental psychoeducation in prevention groups suicide (program PEPPS).	Week 5	program membership = Number of parents who have been present at the 4 sessions / Number of parents included (having agreed to participate in the program)

Secondary Outcome Measures

Name	Time	Method
sustainability of the program (Maintenance): Interview	Week 9	Identify the brakes and levers implementation of the program, in order to identify avenues for improvement and dissemination of psychoeducation program: analysis qualitative
reaching the target population	Week 5	number of parents to whom the program has been proposed / number of parents having had a child having consulted for suicidal ideation
Intermediate program effectiveness by comparison of levels of parents' responses between the start of program and the end of the last session of the program	Week 5	parents' quality of life: score WHOQOL-BREF scale
adoption of the program by health professionals	Week 5	number of emergency professionals offering program for parents / number of emergency professionals treating children having consulted for suicidal ideation
Implementation on other dimensions	Week 5	Describe the parents' experience participant in the PEPPS program: analysis qualitative (interview)

Trial Locations

Locations (1)

Robert Debré Hospital, Child and adolescent psychiatry department; 🇫🇷 Paris, Ile De France, France