Suicide Risk 30 Days After a Potentially Traumatic Event in Patients Treated by a Medico-psychological Emergency Unit

NCT04898049 | Unknown DMC

• 1 other identifier: 38RC20.398
• Study Type: observational
• Target: 240
• Locations: 1 country
• Sites: 4

Brief Summary

The national french survey "Mental health in general population", showed that the risk of suicide was significantly increased during exposure to a potentially traumatic event (PTE), with an increasing gradient depending on the psychological impact. This included not only people suffering from post-traumatic stress disorder but also those confronted with PTE, presenting or having presented phenomena of reviviscence or at least an element of psychopathological impact. This risk could concern 30.2% of the population over the entire lifetime. Internationally, recent reviews of the literature tend to show that victims of interpersonal violence are more at risk of suicide (OR 1.99 95% CI: 1.73-2.28). Nevertheless, the literature remains heterogeneous, the definitions vague and the temporal proximity of the violence little taken into account. It is therefore a large-scale phenomenon that remains little explored. To increase our knowledge in this area, the investigators will focus on patients treated by Emergency Medical Psychological Cells (CUMP), that is victims of disasters, accidents involving a large number of victims or events that may have significant psychological repercussions due to the circumstances surrounding them.

Conditions

Suicide Risk

Keywords

Suicide risk; potentially traumatic event; medico-psychological emergency unit; 30 days

Outcome Measures

Primary Outcomes (1)

• Suicidal risk

  Absence or presence of the suicidal risk assessed using the French transcultural adaptation of the Mini-International Neuropsychiatric Interview (MINI) after the possible psychological trauma

  30 days

Secondary Outcomes (14)

• Depressive disorders

  30 days

• Bipolar disorders

  30 days

• Panic disorder

  30 days

• Agoraphobia

  30 days

• Social phobia

  30 days

Eligibility Criteria

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

Study Population

Patients fulfilling the inclusion and non-inclusion criteria and having signed the consent will be included. Within 30 days (± 5 days), an appointment, by videoconference, will be made by the CUMP of the Grenoble center for the completion of the MINI scale and screening for suicidal behavior. This interview will be carried out either with the psychiatrist or the psychologist or with the psychiatric resident. If the patient does not answer, the trusted third party or the attending physician will be contacted by telephone in order to investigate the causes or to detect a possible death by suicide. The patient will be followed up one year after inclusion by telephone to detect the number of suicide attempts and/or death.

You may qualify if:

• Patient treated for the first time by a CUMP directly confronted with a potentially traumatic event (PTE) (with ou without a previous psychiatric history)
• Patient affiliated with social welfare

You may not qualify if:

• Age under 18
• Not understanding French language.
• Not having provided the contact details of a trusted third party and of the attending physician
• Being homeless
• Information on the exhibition unavailable (subjects recently arrived in France, foreign language, etc.)
• A pathology requiring urgent medical treatment
• Covered by articles L1121-5 to L1121-8 of the CSP (pregnant women, parturients, breastfeeding women, persons deprived of their liberty by a judicial or administrative decision, persons undergoing psychiatric care and adults subject to a measure of legal protection or unable to express their consent).

Sponsors & Collaborators

• University Hospital, Grenoble: lead

Study Sites (4)

DELACHENAL Catherine

Chambéry, France

Location

Geneste-Saelens

Clermont-Ferrand, France

Location

VIGNAUD Philippe

Lyon, France

Location

COURVOISIER Pierre

Montéléger, France

Location

Study Officials

• Helene Poncet, MD

  CHU Grenoble Alpes, SAMU38 - CUMP

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Caroline Sanchez, PhD

CONTACT

+33476634256; csanchez5@chu-grenoble.fr

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 18, 2021
• First Posted: May 24, 2021
• Study Start: September 1, 2022
• Primary Completion: August 30, 2023
• Study Completion: April 30, 2024
• Last Updated: May 27, 2022

Record last verified: 2022-05

Locations

FR (4)