Effect of Psychosocial Treatment by the Case Manager in Patients After a Suicide Attempt

NCT00664872 | Completed DMC

• 1 other identifier: NSC96-2314-B195-011
• Study Type: interventional
• Target: 147
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine the case manager are effective in the treatment of suicide attempters.

Conditions

Suicide, Attempted

Keywords

case manager; suicide; attempt; effectiveness

Outcome Measures

Primary Outcomes (1)

• treatment adherence, defined as outpatient mental health clinic attendance

  6-month, and 12-month

Secondary Outcomes (1)

• During follow-up periods (6-month, and 12-month), interventional group will have (1) less repeated suicide attempts (behavior) (2) less suicidal ideation, (3) lower depression score, (4) better patients' satisfaction with care

  6-month, and 12-month

Study Arms (1)

case management

EXPERIMENTAL

Other: proactive psychosocial intervention by care managers; Behavioral: case management

Interventions

proactive psychosocial intervention by care managers OTHER

A case manager will be assigned to each of the participants in the intervention group. All case managers are psychologists. After discharge from the emergency department, the participants receive six sessions of proactive psychosocial intervention by their case manager over four months. Duration of each session is approximately 30 minutes. The intervention consists of telephone or face-to-face contacts with the case manager at scheduled intervals or when clinically necessary. If a patient declines medication therapy from the psychiatrist, case manager will provide psychotherapy using the model of cognitive-behavioural approach and problem-solving therapy. Case managers will receive backup and supervision by psychiatrist investigators and monthly supervision of therapy. Case managers will regularly monitor suicide risk, clinical status and provide follow-up.

case management

case management BEHAVIORAL

case management

Eligibility Criteria

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

You may qualify if:

• Participants recruit adults who:
• Discharge from an emergency department of a teaching hospital after attempt suicide
• Aged above 18 years old
• Agree to provide written inform consent.

You may not qualify if:

• Patients were too ill to be interviewed
• Patients have immediate and severe suicide risk.

Sponsors & Collaborators

• Shen-Ing,Liu: lead
• National Science and Technology Council, Taiwan: collaborator

Study Sites (1)

Mackay Memorial Hospital

Taipei, 251, Taiwan

Location

Related Publications (1)

• 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

Case Management

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Patient Care Planning; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Officials

• Shen-Ing Liu, MD.PHD

  Department of Psychiatry, Mackay Memorial Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Attending Physician

Study Record Dates

• First Submitted: April 18, 2008
• First Posted: April 23, 2008
• Study Start: August 1, 2007
• Primary Completion: January 1, 2008
• Study Completion: July 1, 2008
• Last Updated: January 9, 2014

Record last verified: 2014-01

Locations

TW (1)