Prevention of Suicide Mortality in Noord-Brabant: The Effect of Implementation of a Regional Suicide Prevention system. A staggered implementation stepped wedge trial design.
- Conditions
- suicidal behavior10042460
- Registration Number
- NL-OMON48694
- Lead Sponsor
- GGZ Breburg Groep (Rijen)
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Pending
- Sex
- Not specified
- Target Recruitment
- 296
- Moderate to High suicide risk. Assessing the suicide risk occurs in two steps. First, we look into question 9 'How often have you been bothered by thoughts that you would be better off dead or of hurting yourself in some way in the last two weeks* of the Patient Health Questionnaire (PHQ-9)? When one scores 2 or higher - which means that the person in question has these thoughts in more than half of the days in a week - a number of additional questions will be asked. It concerns the following six questions. Over the past month: 1. Did you think you'd be better off when you were dead or did you wish you were dead? 2. Did you want to hurt yourself? 3. Did you think of suicide? 4. Did you made suicide plans? 5. Did you undertake a suicide attempt? Throughout life: 6. Did you think you'd be better off when you were dead or did you wish you were dead? Based on these questions the suicide risk is assessed. The suicide risk is high when a person answers (1) yes to question 4 OR; (2) 'yes' to question 5 OR; (3) *yes* to both question 3 and question 6 OR; if (4) the responsible professional has the impression that the suicide risk is high. The suicide risk is moderate when a person answers: (1) 'yes' to question 3 and 'no' to question 6 OR; (2) 'yes' to both question 2 and question 6. If the suicide risk is 'moderate' or 'high', the person is assigned into the monitoring system.
- 18 years and older
- Ability to read and write Dutch
- Low suicide risk
- younger than 18 years
- Not able to read and write Dutch
Study & Design
- Study Type
- Observational non invasive
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <p>The primary outcome measure is the number of completed suicides, measured in<br /><br>the 12 months preceding implementation of the regional prevention system, and<br /><br>in the twelve months after implementation of this regional suicide prevention<br /><br>system in the whole province of Noord-Brabant as for the individual districts. </p><br>
- Secondary Outcome Measures
Name Time Method <p>Non-fatal suicide attempts: estimated by means of the number of ambulance,<br /><br>presentation at emergency rooms (not by ambulance), admissions to SMHIs and<br /><br>police reports, all in the context of suicidal behaviour. moreover, individual<br /><br>suicidal ideation will be assessed by the Suicidal Ideation Attributes Scale<br /><br>(SIDAS) and the Patient Health Questionnaire (PHQ-9) at baseline, and 3, 6, 9<br /><br>and 12 months after entering the prevention program. Questions will also be<br /><br>asked on demographics and first experiences with the monitoring system (online<br /><br>and by phone). Finally, implementation outcomes * reach, effectiveness,<br /><br>adoption, implementation and maintenance - and stakeholders* experiences will<br /><br>be assessed.</p><br>