Assessment of Preventive Efficacy of an Algorithm Taking Place After Suicide Attempts Among Attempters Admitted to Hospital in the French Overseas Territories
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 259
- 试验地点
- 18
- 主要终点
- Existence of a suicide
研究概览
简要总结
In France, suicide behaviours are a major public health concern that triggered the creation in 2013 of a National Observatory of Suicide. In continental France, the "Algos" protocol was found to be effective for the prevention of suicide attempts reiterations. This protocol is based on a procedure that keeps telephone and postal contacts with the suicide attempter and allows, via an algorithm, to assess the risk of suicide attempt recurrence, in order to intervene if necessary. Nevertheless, Algos does not involve primary care health practitioners, who could add a substantial additional efficacy, especially if they intervene downstream and in supplement to Algos. In addition, this kind of protocol has never been evaluated in the French overseas territories.
详细描述
Since (1) Algos was never implemented in the French overseas departments (FOD) and does not involve primary care practitioners (PCP), (2) the additional effect of PCP involvement over and beyond Algos alone in unknown, and (3) little research on suicide behaviours has been conducted in the FOD, this proposal has the following main aim: to assess the effectiveness and the efficacy of the intervention, in supplement and downstream to Algos, of a healthcare professional, on the recurrence of suicide attempts in the FOD; the healthcare professional will be the patient's general practitioner, whenever possible.
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
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Man or woman over 16 years of age
- •Leaving the hospital within 15 days of the suicide attempt
- •Giving (him/herself or his/her legal representative)an oral consent to participate in the study
- •Having healthcare insurance
- •Reachable by phone, with possibility of confidential conversation, and by mail
- •Resident of Guadeloupe, French Guyana, Martinique, or Reunion Island
- •Able to understand and speak French
排除标准
- •Homeless person
- •Disabled adult, person under judicial/court protection, legally incompetent adult
- •Participant unable to understand the study protocol, its risks and side effects, or declining to participate
结局指标
主要结局
Existence of a suicide
时间窗: 13 months
Reiteration of suicidal attempt after hospital discharge
次要结局
- Number of suicide attempts(6 and 13 months after hospital discharge)
- Number of deaths by suicide(6 and 13 months after hospital discharge)
- Scores at the Hospital Anxiety and Depression Scale (HADS)(6 and 13 months after hospital discharge)
- Assessment of suicidal risk by the Sad Persons Scale and the Columbia Suicide Severity Rating Scale (C-SSRS).(6 and 13 months after hospital discharge)