AN EXTENDED COHORT STUDY TO INVESTIGATE SUICIDAL BEHAVIOR IN SPAIN (THE SURVIVE 2 STUDY)
SURVIVE 2
THE SURVIVE 2 PROJECT: AN EXTENDED COHORT STUDY TO INVESTIGATE SUICIDAL BEHAVIOR IN SPAIN AND THE EFFICACY OF SECONDARY PREVENTION STRATEGIES
2 other identifiers
observational
3,600
1 country
2
Brief Summary
The goal of this observational study is to learn more about people who come to emergency departments in Spain after a suicide attempt and to find ways to prevent another attempt. The main questions are whether some personal, social, biological, and clinical factors are linked to a higher risk of trying again, and whether different follow-up strategies can help lower this risk over time. Researchers will follow a total of about 3,600 people who attempted suicide: around 1,800 who were already recruited in a previous study and about 1,800 new participants who will be added in this project, in several hospitals across Spain. Some participants may also be invited to give blood samples, answer online questionnaires, or use smartphone-based tools to understand better changes in mood and suicidal thoughts in daily life. A subset of participants may be invited to join separate clinical trials that test different follow-up programs to prevent another suicide attempt; these trials will be registered and described in their own study records.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Sep 2024
Typical duration for all trials
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2024
CompletedFirst Submitted
Initial submission to the registry
April 17, 2026
CompletedFirst Posted
Study publicly available on registry
April 28, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 1, 2026
April 28, 2026
January 1, 2026
2.2 years
April 17, 2026
April 23, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Columbia Suicide Severity Rating Scale (C-SSRS)
The Columbia-Suicide Severity Rating Scale (C-SSRS) is a brief, structured interview that uses simple questions about suicidal thoughts and behaviors to identify whether someone is at risk for suicide and how severe and urgent that risk is.
1 year
Secondary Outcomes (18)
Patient Health Questionnaire (PHQ-9)
1 year
Generalized Anxiety Disorder (GAD-7)
1 year
McLean Screening Instrument for BPD (MSI-BPD)
1 year
Bruha Life Events
1 year
Childhood Trauma Questionnaire (CTQ-SF)
baseline
- +13 more secondary outcomes
Study Arms (1)
Suicide attempt cohort
Adults and adolescents who present to participating Spanish hospitals after a suicide attempt and are enrolled in the SURVIVE cohort. This group includes about 1,800 participants from a previous study and about 1,800 newly recruited participants, all followed for up to 3 years.
Eligibility Criteria
Individuals (adolescents and adults) who present to the emergency departments of participating hospitals in Spain after a suicide attempt. The study will follow approximately 3,600 participants (about 1,800 already enrolled in a previous cohort and about 1,800 newly recruited) for up to 3 years to examine suicidal behavior and related risk and protective factors
You may qualify if:
- Individuals (above 12 years old) who present to participating Spanish hospital emergency departments after a suicide attempt, as defined by self-injurious behavior with at least some intent to die.
- Able to understand the study procedures and provide informed consent (or assent with parental/guardian consent for minors, according to local regulations)
- Sufficient proficiency in Spanish to complete study assessments
You may not qualify if:
- Suicide attempts clearly judged as accidental or without suicidal intent
- Severe cognitive impairment, intellectual disability, or neurological condition that, in the opinion of the clinical team, prevents valid assessment or informed consent
- Acute medical instability that makes participation in research procedures unsafe.
- Any condition or circumstance that, in the opinion of investigators, would seriously interfere with participation or follow-up in the cohort.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Hospital del Mar
Barcelona, Catalonia, 08041, Spain
Hospital Clinic
Barcelona, Spain
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Doctor
Study Record Dates
First Submitted
April 17, 2026
First Posted
April 28, 2026
Study Start
September 1, 2024
Primary Completion (Estimated)
December 1, 2026
Study Completion (Estimated)
December 1, 2026
Last Updated
April 28, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share
Individual participant data (IPD) will not be shared because the dataset includes highly sensitive information on suicidal behavior collected in a limited number of centers, which increases the risk of re-identification even after de-identification. Data sharing is therefore restricted to protect participant privacy and comply with ethical and regulatory requirements.