Peer-Aid and Hope Box: A Feasibility Study of a Combined Intervention for Suicidal Patients Hospitalized in a Psychiatric Crisis Unit
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 42
- 试验地点
- 2
- 主要终点
- Feasibility Evaluation of the Combined HOPAIR Intervention (Peer Support, Hope Box, and Postcard Reminder) for Suicidal Inpatients in Psychiatric Crisis Units at 3-Month Post-Intervention.
研究概览
简要总结
Since 2014, suicide prevention has been a national priority and is one of the 3 priority areas of the mental health plan's roadmap .
Hospitalization offers a crucial opportunity for life-preserving intervention . Brief health interventions and contacts are reputed to be easy to implement, effective and inexpensive .
The Hope Box is a practical emotional management tool that aims to encourage the expression of reasons for living by materializing them in a customizable box, filled with objects, photos, writings and memories in order to find comfort and hope .
Peer support use their experiential knowledge of disorders and recovery to accompany people and help humanize care . They can play a decisive role in suicide prevention .
In contrast to an approach focusing only on risk factors, peer support and the Hope Box are both focus on protective factors, the strengths of the people concerned and hope.
The primary objective of this study is to evaluate the feasibility of the HOPAIR intervention (peer-support and Hope Box, completed by a reminder postcard) with suicidal people hospitalized in psychiatric crisis units. Its secondary objective is to assess the potential effectiveness on intensity of hopelessness, sense of self-efficacy, reasons for living, perceived social support and suicidal recurrence at 3 months.
This is a mixed-methods study involving 40 patients and 2 peer support in two crisis hospitalization units.
详细描述
Around 703,000 people die by suicide each year worldwide, with suicide prevention being a national priority in France since 2014. The period after a patient is discharged from the hospital is a particularly high-risk time for suicide, especially for those with a history of suicide attempts.
This study proposes a new intervention called HOPAIR, which combines three key components:
- Peer support: A professional peer-helper, who has personal experience with mental health challenges, meets with the patient to share their recovery story and foster a sense of hope and connection.
- The Hope Box: A personalized box that patients fill with objects, photos, and memories to engage their five senses and serve as a tool for emotional management, comfort, and distraction during times of distress.
- A reminder postcard: Sent one month after the initial intervention to reinforce the key concepts of the Hope Box and maintain motivation.
The primary objective of the HOPAIR study is to evaluate the feasibility of this combined intervention for suicidal patients hospitalized in a psychiatric crisis unit. The study also aims to assess the potential effectiveness of HOPAIR on several factors after three months, including:
- Feelings of hopelessness and self-efficacy
- Reasons for living
- Perceived social support
- The presence of suicidal thoughts and repeat suicide attempts The study is a mixed-methods, bi-centric research project that will recruit patients 24-48 hours after admission. The intervention will take place within two to four days of admission, followed by the postcard mailing one month later, and a final evaluation at three months. This evaluation will include re-administering scales to measure the study's objectives and conducting qualitative interviews with a subset of participants to assess their satisfaction with the program.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Hospitalized in a psychiatric crisis unit;
- •Having attempted suicide in the month preceding hospitalisation;
- •Able to give free and informed consent;
- •Having given consent;
- •French-speaking person with at least B1 level (reading and writing);
- •With access to the technical resources required for the study;
- •With a postal address.
排除标准
- •Presenting a relational modality incompatible with the proposed intervention (agitation, acute delirium, major cognitive disorders or psychic disorganisation, etc.);
- •Included in another research protocol related to suicide prevention.
研究组 & 干预措施
HOPAIR Intervention: Meeting between Peer helper and Concerned Individual in Psychiatric Crisis Unit
This intervention begins with an initial discussion focused on the individual's lived experience, followed by an explanation of the Hope Box's principle, utility, and use. After each intervention, the peer supporter will complete a satisfaction self-questionnaire to provide feedback.
干预措施: HOPAIR Intervention: Meeting between Peer Helper and Concerned Individual in Psychiatric Crisis Unit (Other)
结局指标
主要结局
Feasibility Evaluation of the Combined HOPAIR Intervention (Peer Support, Hope Box, and Postcard Reminder) for Suicidal Inpatients in Psychiatric Crisis Units at 3-Month Post-Intervention.
时间窗: 37 months
It will be assessed by : * Achievement of the target of recruiting two peer support (yes/no). * Completion of training by the two peer support (yes/no). * Recruitment capacity of 40 patients, 20 in each center; * Collection and description of the characteristics of the resulting sample at the time of inclusion by the IPA within 24 hours of arrival in the department; * The acceptability of the intervention and the use of the Hope Box through feedback from the people concerned by means of a semi-directive telephone interview at 3 months by the IPA; * Feedback from peer support after each intervention, using self-questionnaires;
次要结局
- Effectiveness of the HOPAIR intervention on indicators of well-being at 3 months post-intervention.(37 months)
- Effectiveness of the HOPAIR intervention on indicators of suicidality at 3 months post-intervention.(37 months)