Effectiveness of Standard Emergency Department Psychiatric Treatment Associated With Treatment Delivery by a Suicide Prevention Center

NCT00641498 | Completed

• 2 other identifiers: 0601401PHRC suicide
• Study Type: interventional
• Target: 607
• Locations: 1 country
• Sites: 2

Brief Summary

Very few studies have proved the effectiveness of treatment for suicide attempt patients. Our objective is to evaluate the addition of the resources of an suicide prevention centre to standard psychiatric treatment in the Emergency Department. Consecutive suicide attempt patients in 2 Emergency departments (multicenter study) were included after standard psychiatric treatment and referral. After Written informed consent, psychological assessment (depression, suicide intention) was carried out After randomisation, control patients were given an information card describing the Suicide Prevention Center (SPC); experimental patients had a first meeting with a psychologist of the SPC. To verify the hypothesis of a decrease in suicidal behaviors in the experimental group, an evaluation of these behaviors was carried out every month during a two year follow-up.

Conditions

Suicide Attempted

Keywords

suicide; parasuicide; prevention; individual supportive psychotherapy

Outcome Measures

Primary Outcomes (1)

• Suicide behavior defined by self poisoning or other suicidal attempts in the emergency departments of the region. Death by suicide will be identified by the examination of information obtained from the national death statistics office (INSERM).

  2 years

Secondary Outcomes (1)

• Level of depression, suicide ideation, level of despair, level of alexithymia

  2 years

Study Arms (2)

Control

NO INTERVENTION

Usual therapy

Active group

EXPERIMENTAL

Individual supportive psychotherapy initiated in the Emergency department

Behavioral: Psychotherapy

Interventions

Psychotherapy BEHAVIORAL

Individual supportive

Active group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• parasuicide by self-poisoning
• Glasgow score=15
• Standard psychiatric treatment

You may not qualify if:

• No speaking french
• committed inpatient

Sponsors & Collaborators

• University Hospital, Toulouse: lead

Study Sites (2)

Service d'Accueil des Urgences

Brive-la-Gaillarde, 19100, France

Location

Laboratoire de Stress Post-Traumatique

Toulouse, 31059, France

Location

Related Publications (2)

• Cailhol L, Marcoux M, Mathur A, Yrondi A, Birmes P. Predictors of prospective suicide attempts in a group at risk of personality disorder following self-poisoning. Front Psychiatry. 2023 Jun 9;14:1084730. doi: 10.3389/fpsyt.2023.1084730. eCollection 2023.

  PMID: 37363177 DERIVED

• Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2.

  PMID: 33884617 DERIVED

MeSH Terms

Conditions

Suicide, Attempted; Suicide

Interventions

Psychotherapy

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Behavioral Disciplines and Activities

Study Officials

• Philippe BIRMES, PhD

  University Hospital, Toulouse

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 17, 2008
• First Posted: March 24, 2008
• Study Start: March 1, 2007
• Primary Completion: December 1, 2009
• Study Completion: October 1, 2011
• Last Updated: March 30, 2015

Record last verified: 2015-03

Locations

FR (2)