Suicide Prevention Algorithm in the French Overseas Territories

NCT03427190 | Completed

• 1 other identifier: 15/B/04
• Study Type: interventional
• Target: 259
• Locations: 4 countries
• Sites: 9

Brief Summary

In France, suicide behaviours are a major public health concern that triggered the creation in 2013 of a National Observatory of Suicide. In continental France, the "Algos" protocol was found to be effective for the prevention of suicide attempts reiterations. This protocol is based on a procedure that keeps telephone and postal contacts with the suicide attempter and allows, via an algorithm, to assess the risk of suicide attempt recurrence, in order to intervene if necessary. Nevertheless, Algos does not involve primary care health practitioners, who could add a substantial additional efficacy, especially if they intervene downstream and in supplement to Algos. In addition, this kind of protocol has never been evaluated in the French overseas territories.

Conditions

Suicide Attempt

Keywords

Suicide; Suicide attempted; Secondary Prevention; Relapse prevention; Case Management; Intervention Study

Outcome Measures

Primary Outcomes (2)

• Existence of a suicide

  Reiteration of suicidal attempt after hospital discharge

  6 months

• Existence of a suicide

  Reiteration of suicidal attempt after hospital discharge

  13 months

Secondary Outcomes (4)

• Number of suicide attempts

  6 and 13 months after hospital discharge

• Number of deaths by suicide

  6 and 13 months after hospital discharge

• Scores at the Hospital Anxiety and Depression Scale (HADS)

  6 and 13 months after hospital discharge

• Assessment of suicidal risk by the Sad Persons Scale and the Columbia Suicide Severity Rating Scale (C-SSRS).

  6 and 13 months after hospital discharge

Study Arms (2)

Control

ACTIVE COMPARATOR

Phone contact with patient will be made by a professional psychologist within 21 days of hospital discharge. If contact cannot be made after 9 attempts, post-cards will be sent monthly at M2, M3, M4 and M5, asking the participant to establish contact with the designated psychologist. The phone call will determine whether or not the participant is in a state of suicidal crisis. If yes, steps will be taken to attend the crisis within 24 hours.

Other: APSOM vs Control

APSOM

OTHER

In complement to actions described in the control arm, the patient's general practitioner (GP) and the patient him/herself will be contacted within 21 days of hospital discharge in order to organize an appointment between them two; this consultation is expected to take place between day 22 and day 45 after hospital discharge. If the patient does not have a GP, a health-care professional (HCP) will be provided. .GP (or HCP) will also be contacted at 6 and 13 months.

Other: APSOM vs Control

Interventions

APSOM vs Control OTHER

In complement to actions described in the control arm, the patient's general practitioner (GP) and the patient him/herself will be contacted within 21 days of hospital discharge in order to organize an appointment between them two; this consultation is expected to take place between day 22 and day 45 after hospital discharge. If the patient does not have a GP, a health-care professional (HCP) will be provided. .GP (or HCP) will also be contacted at 6 and 13 months.

APSOM; Control

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Man or woman over 16 years of age
• Leaving the hospital within 15 days of the suicide attempt
• Giving (him/herself or his/her legal representative)an oral consent to participate in the study
• Having healthcare insurance
• Reachable by phone, with possibility of confidential conversation, and by mail
• Resident of Guadeloupe, French Guyana, Martinique, or Reunion Island
• Able to understand and speak French

You may not qualify if:

• Homeless person
• Disabled adult, person under judicial/court protection, legally incompetent adult
• Participant unable to understand the study protocol, its risks and side effects, or declining to participate

Sponsors & Collaborators

• University Hospital Center of Martinique: lead
• Centre Hospitalier de Monteran, Guadeloupe: collaborator
• Centre Hospitalier Universitaire de la Guadeloupe: collaborator
• Centre Hospitalier de Cayenne: collaborator
• Centre Hospitalier de Ouest Guyanais Franck Joly: collaborator
• Centre d Accueil Psychiatrique Ouest-Centre, La Réunion: collaborator
• Centre d Accueil d Urgences Médico Psychologique, La Réunion: collaborator
• Centre d Accueil Psychiatrique Nord, La Réunion: collaborator
• Etablissement Publique de Santé Mentale de la Réunion: collaborator

Study Sites (9)

CH de Cayenne

Cayenne, 97306, French Guiana

Location

CH Ouest Guyanais

Saint-Laurent-du-Maroni, 97393, French Guiana

Location

CHU de Pointe à Pitre

Les Abymes, 97189, Guadeloupe

Location

CH de Monteran

Saint-Claude, 97120, Guadeloupe

Location

CHU Martinique

Fort-de-France, 97261, Martinique

Location

Etablissement Psychiatrique de Santé Mentale

Saint-Benoît, 97470, Reunion

Location

Centre d'Accueil Psychiatrique Nord

Saint-Denis, 97405, Reunion

Location

Centre d'Accueil Psychiatrique Ouest-Centre

Saint-Paul, 97863, Reunion

Location

Centre d'Accueil d'Urgences Médico-Psychologique

Saint-Pierre, 97448, Reunion

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

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• JEHEL Louis, MD-PhD

  CHU de Martinique

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: January 30, 2017
• First Posted: February 9, 2018
• Study Start: October 9, 2017
• Primary Completion: August 8, 2019
• Study Completion: October 16, 2020
• Last Updated: January 28, 2021

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

FR (2); MA (1); GU (2); RE (4)