Methodical Search of Protective Factors During Interview of Suicidal Elderly Patients: Effect on the Proposed Care
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 15
- 试验地点
- 1
- 主要终点
- Number of outpatients (with a low to moderate risk of suicidal recurrence)
研究概览
简要总结
Suicidal intentionality is generally stronger among the elderly, suicidal acts are more violent and are combined with a greater physical fragility. The suicide of an older adult is a situation that often leads to helplessness feelings.
Analysis of the literature reveals two types of major interventions in order to reduce suicide rate: reducing risk factors and increasing protective factors. Risk factors are well documented, particularly from studies using psychological autopsies. However, protective factors are much less studied for the elderly. Yet the identification of relevant and available protective mechanisms in a suicidal crisis is essential to effectively guide nurses and health professionals in therapeutic commitment and intervention.
详细描述
France has a suicide rate (16.2 per 100 000 inhabitants) well above the European average rate (10.2 per 100 000 inhabitants). The Poitou-Charentes region is in a situation of excess mortality by suicide compared to France (+ 25%). While the ratio of suicide attempts per suicide is about 200/1 before 25 years, it is estimated to be 4/1 after 65 years, or even 1/1 in elderly men. In France, suicide attempts are not systematically recorded and the frequency of suicidal ideation is poorly understood. The consensus conference on suicidal crisis highlights a number of clinical points specific to the elderly population (suicidal ideas are not always clearly expressed or unidentified, there are various manifestations of the psychic crisis, greater vulnerability of this population), but the complexity of interactions between suicidal risk factors limits our predictive capabilities of suicidal intention in an elderly person. Analysis of the literature reveals two types of major interventions in order to reduce the suicide rate: those aimed at reducing risk factors and those aimed at increasing protective factors. The objective of our research is to determine the effect of protective factor methodical search on post-crisis patient care.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Attempted suicide and / or suicidal ideas
- •Informed and agreed to participate
排除标准
- •Cognitive disorders
- •Refusal to participate
结局指标
主要结局
Number of outpatients (with a low to moderate risk of suicidal recurrence)
时间窗: 7 days
Based on risk, emergency and hazard, patients are classified as being at low, moderate and high risk of suicidal recurrence. Patients with low to moderate risk of suicidal recurrence are either inpatient or outpatient.
次要结局
- Number of patients considering that their physical or mental state did not alter their social life(7 days)
- Number of patients with a sense of success and self-esteem(7 days)
- Number of patients considering their family environment to be satisfactory(7 days)
- Number of patients considering that their health has improved(3 months)
- Number of patients with social protection factors(7 days)
- Number of patients able to adapt to difficult situations(7 days)
- Number of patients with extraversion capabilities(7 days)
- Number of patients with openness to others(7 days)
- Number of patients considering themselves to be in good health(7 days)
- Number of patients maintaining autonomy(7 days)
- Number of patients with religious practice(7 days)
- Number of patients with at least one environmental protection factor(7 days)