Positive Psychology in Suicidal Patients

Not Applicable

• Conditions: Suicidal Crisis; Suicidal Thoughts
• Interventions: Behavioral: Positive Psychology; Behavioral: Placebo (food journal)

• Registration Number: NCT02855736
• Lead Sponsor: University Hospital, Montpellier

Brief Summary

Suicide is a major health concern. Weeks following psychiatric admission are a highly suicide risk period for those having current suicidal ideation or attempt. Recently, a pilot study suggested the feasibility of positive psychology in patients in suicidal crisis. Notably, gratitude exercises suggested improvement in optimism and hopelessness, two dimensions associated to suicide. Moreover, gratitude has been associated to suicidal ideation and attempt, independently from depression. Thus, investigators want to conduct the first randomized controlled study in order to assess effectiveness of gratitude exercises (vs control task) in suicidal inpatients, on 1) psychological pain reduction 2) suicidal ideation, hopelessness, optimism, depressive symptomatology, and anxiety improvement.

Detailed Description

Study design: monocentric randomized controlled study

Methods:

206 inpatients (Department of Emergency Psychiatry and Post Acute Care), between 18 and 65 years-old, having attempted suicide before hospitalisation or having current active suicidal ideation at the time of the psychiatric hospitalisation. Patients suffering from schizophrenia are excluded.

Randomization into two groups: Positive Psychology (i.e., gratitude journal) (n = 103) or Control Task (i.e., food journal) (n = 103), daily exercises during 7 days (in add-on from usual treatment).

Clinical assessment: 1) at baseline (the day before the intervention beginning) (V0); 2) short daily self-assessments (immediately before and after the exercise); 3) the day following the last day of the intervention (V1).

* V0 : socio-demographic data, treatments, psychopathology, suicidal ideation,depressive and anxious symptomatology, psychological pain, optimism, hopelessness.

* Daily self-assessments: psychological pain, optimism, hopelessness

* V1 : treatments suicidal ideation,depressive and anxious symptomatology, psychological pain, optimism, hopelessness, intervention satisfaction.

Study Timeline

• Study Start: 2015-09
• Status Verified: 2016-07
• Study First Submitted: 2016-07-08
• Study First Submitted QC: 2016-08-01
• Last Update Submitted: 2016-08-01
• Study First Posted: 2016-08-04
• Last Update Posted: 2016-08-04
• Primary Completion: 2017-04
• Study Completion: 2017-07

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 206

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention group	Positive Psychology	Positive Psychology (gratitude journal)
Control group	Placebo (food journal)	Alimentary list

Primary Outcome Measures

Name	Time	Method
Psychological pain reduction using a likert scale	At the inclusion and day 8 (the day after the end of the intervention)	Psychological pain reduction, in gratitude vs control group, between the beginning and the end of the intervention, using a likert scale.

Secondary Outcome Measures

Name	Time	Method
Intensity of depressive symptoms using the Beck Depression Inventory (BDI)	Day 8 (the day after the end of the intervention)	Reduction of depressive symptoms between the beginning and the end of the intervention, using the Beck Depression Inventory (BDI)
Psychological pain reduction using a likert scale	At day 1, 2, 3, 4, 5, 6, 7	Psychological pain reduction, in gratitude vs control group, the beginning and the end of each exercise, using a likert scale.
Intensity of suicidal ideation	At day 1, 2, 3,4 5, 6, 7	Reduction of suicidal ideation intensity, in gratitude vs control group between the beginning and the end of each exercise, using a Likert Scale.
intensity of suicidal ideation	At the inclusion and day 8 (the day after the end of the intervention)	Reduction of suicidal ideation intensity, in gratitude vs control group between the beginning and the end of the intervention using a Likert Scale and the Scale for Suicidal Ideation (SSI).
Intensity of optimism	At day 1, 2, 3, 4, 5, 6, 7	Reduction of hopelessness, in gratitude vs control group between the beginning and the end of each exercise, using a Likert Scale.
Intensity of anxious symptoms using the State Anxiety Inventory- State (SAI-State)	Day 8 (the day after the end of the intervention)	Reduction of anxious symptoms between the beginning and the end of the intervention, using the State Anxiety Inventory- State (SAI-State)
Intensity of hopelessness	At day 1, 2, 3, 4, 5, 6, 7	Reduction of hopelessness, in gratitude vs control group between the beginning and the end of each exercise, using a Likert Scale.
Perceived usefulness of the intervention using a likert scale	Day 8 (the day after the end of the intervention)	Evaluation of the perceived usefulness of each intervention, using a likert scale.