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Cognitive Behavioural Group Therapy Versus Individual Supportive Therapy for the Prevention of Repeat Suicide Attempts

Not Applicable
Active, not recruiting
Conditions
Suicide, Attempt
Suicidal Ideation
Registration Number
NCT02664701
Lead Sponsor
Centre Hospitalier Universitaire de Nīmes
Brief Summary

The primary objective of this study is to evaluate the efficacy of a program of 6 sessions of Cognitive Behavioural Group Therapy (CBGT) (as compared to 6 sessions of Individual Supportive Therapy (IST)) designed for preventing repeat suicide attempts at 12 months post-psychotherapy in adults admitted to inpatient care for suicide attempts.

Detailed Description

The secondary objectives of this study are to assess the efficacy of CBGT on:

A. parameters describing the incidence of suicide and repeat suicide attempts, as well as suicide re-attempt free follow-up time,

B. long-term changes in suicidal ideation,

C. long-term changes in psychiatric symptoms (depression, hope for the future, hospitalization).

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
240
Inclusion Criteria
  • The patient has been correctly informed
  • The patient must have given his/her informed and signed consent
  • The patient must be insured or beneficiary of a health insurance plan
  • French speaking adults (18 years or older) freely hospitalized (in centres or via emergency services) for prevention of suicide and who have a medium or high suicide risk score according to a Mini International Neuropsychiatric Interview structured interview
  • Presence of suicidal ideation according to the Beck Suicide Ideation Scale (score > 3)
  • Prior (or recent) suicide attempt within the last three month
  • The patient is able to understand the study and capable of giving his/her informed consent
  • The patient is available during the weekly time slots proposed by the investigator
Exclusion Criteria
  • The patient is participating in another study that may interfere with the results or conclusions of this study
  • Within the past three months, the patient has participated in another study that may interfere with the results or conclusions of this study
  • The patient is in an exclusion period determined by a previous study
  • The patient is under judicial protection, or is an adult under guardianship
  • The patient refuses to sign the consent, or it is impossible to correctly inform the patient
  • Emergency situations preventing proper study conduct
  • History of schizophrenia or other psychotic troubles
  • Presence of psychotic symptoms at initial interview
  • Serious cognitive impairment
  • Medical incapacity to participate

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
The primary clinical endpoint is the duration (in days) of a suicide reattempt-free follow-up period12 months
Secondary Outcome Measures
NameTimeMethod
The Columbia suicide severity rating scale (C-SSRS)12 months
Number of suicide re-attempts during the follow-up period.12 months

A suicide attempt is defined as either an "actual attempt" or an "interrupted attempt" using the definitions in the C-SSRS assessment.

Beck Suicide Ideation Scale (BSSI)12 months
Beck Hopelessness Scale (BHS)12 months
Cumulative days of hospitalization12 months
Completed suicide (yes/no)12 months
Beck Depression Inventory-II (BDI-II)12 months

Trial Locations

Locations (18)

CHU de Clermont Ferrand - Hôpital Gabriel-Montpied

🇫🇷

Clermont Ferrand, France

CHU de Lyon - Groupement Hospitalier Edouard Herriot

🇫🇷

Lyon Cedex 3, France

CHRU de Montpellier - Hôpital Lapeyronie

🇫🇷

Montpellier, France

CHRU de Nîmes - Hôpital Universitaire Carémeau

🇫🇷

Nîmes Cedex 09, France

Clinique Les Sophoras

🇫🇷

Nîmes, France

CMME

🇫🇷

Paris, France

CH Henri Laborit

🇫🇷

Poitiers, France

CHRU de Tours - Clinique Psychiatrique Universitaire

🇫🇷

Saint Cyr sur Loire, France

CHRU de Strasbourg - Hôpital Civil

🇫🇷

Strasbourg Cedex, France

CHU de Clermont Ferrand - Hôpital Gabriel-Montpied

🇫🇷

Clermont Ferrand, France

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CHU de Clermont Ferrand - Hôpital Gabriel-Montpied
🇫🇷Clermont Ferrand, France
Pierre-Michel Llorca, MD, PhD
Principal Investigator

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