Program to Promote Engagement in Care for the Prevention of Recidivism

Not Applicable

• Conditions: Case Management; Suicide; Health Care Seeking Behavior
• Interventions: Other: suicide attempt patient using PEPS Program

• Registration Number: NCT04366466
• Lead Sponsor: Januel

Brief Summary

In France, the number of emergency visits for suicide attempts is estimated at 220,000 per year. Suicide management aims to reduce suicide risk factors in order to improve the mental health of patients and prevent recurrences.

To day, no study has compared the approaches to health surveillance and case management in a clinical trial, nor established the benefit of each on commitment to care and beyond the prevention of suicidal recurrence.

Detailed Description

Not available

Study Timeline

• Status Verified: 2020-04
• Study First Submitted: 2020-04-16
• Study First Submitted QC: 2020-04-24
• Study First Posted: 2020-04-29
• Last Update Submitted: 2020-04-29
• Last Update Posted: 2020-04-30
• Study Start: 2020-05
• Primary Completion: 2021-08
• Study Completion: 2021-09

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 138

Inclusion Criteria

• Age ≥18.
• Male and female.
• Admission to CH St Denis for a suicide attempt.
• Referral for outpatient follow-up.
• Patient with no psychiatric follow-up or who has been out of follow-up for at least three months.
• Patient having given their written informed consent.

Exclusion Criteria

• Patients not affiliated with social security or state medical aid.
• Patients who do not have the required faculties to be evaluated (cognitive and delusional disorders).
• Patients treated for more than 72 hours after their procedure (maximum length of stay in the UAS and/or in medical intensive care.
• Patient currently under psychiatric care.
• Patients who cannot be called back by telephone (no telephone, homeless, incarceration).
• Patients who do not master the French language.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Suicide attempt patient who will participate to PEPS Program	suicide attempt patient using PEPS Program	The intervention group will test the program of Promotion of Commitment to Care for the Prevention of Suicidal Recidivism.
suicide attempt patient who will receive sanitory supervision	suicide attempt patient using PEPS Program	The control group will establish the health monitoring

Primary Outcome Measures

Name	Time	Method
Clinical Global Impression (CGI)	Day 0	rating scales are measures of symptom severity, treatment response and the efficacy of treatments in treatment studies of patients with mental disorders.
Montgomery-Asberg depression rating scale	Day 0	This scale is widely used to measure the changes brought about by the treatment of depression. It assesses the severity of symptoms in a wide variety of areas such as mood, sleep and appetite, physical and mental fatigue, and thoughts of suicide.
Suicide Intent Scale	Day 0	The Suicide Intent Scale (SIS) developed by A.T. BECK in 1974, is the only scale that focuses solely on the assessment of the suicide attempt that has just taken place.

Secondary Outcome Measures

Name	Time	Method
Evaluate the feasibility of the program	1 year	percentage of subjects included in the intervention group who received all interventions); weighted by the percentage of acceptance to participate in the study
Evaluating the effectiveness of the P.E.P.S. program in preventing suicidal recidivism	1 year	percentage of all suicidants who relapse during the 12-month study period.
Evaluate the level of possible generalization of the program	1 year	percentage of all suicides of subjects likely to benefit from the program (subjects fulfilling the inclusion and non-inclusion criteria).