Outpatient Nurse Monitoring Under the Prevention of Recurrent Suicidal (SIPRéS)

University Hospital Center (CHU)

Status: Completed

Conditions: Reactive Depression; Mood Disorder

Treatments: Other: Supported with intensive nursing follow post hospitalization

Study type: Interventional

Funder types: Other

Identifiers

NCT02721316

UF9533

Details and patient eligibility

About

To evaluate the impact of a specific nursing management (personalized and close, through consultation at the hospital, at home or by phone) monitoring in post-hospitalization, the suicide attempt of recurrence and suicidal crisis, in the year following a suicide attempt in patients suffering from a mood disorder (unipolar or bipolar) or reactive depression.

Full description

Main objective: To evaluate the impact of a specific nursing management (personalized and close, through consultation at the hospital, at home or by phone) monitoring in post-hospitalization, the suicide attempt of recurrence and suicidal crisis, in the year following a suicide attempt in patients suffering from a mood disorder (unipolar or bipolar) or reactive depression.

Secondary objectives:

Studying during the year following the suicide attempt index, the impact of this device on:

• The frequency and intensity of suicidal ideation
• the spontaneous use of emergency care
• the death rate from suicide and other causes
• the cumulative duration of hospitalization for suicidal behavior
• The patient's quality of life
• the number of patients lost to at the end of search

Studying patient compliance with intensive nursing monitoring program.

To study the role of the nurse to determine the factors that promote the construction of a therapeutic alliance.

Establish a mapping of needs and resources suicidal patient for nursing care in post-emergency.

Enrollment: 380 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient suffering from a mood disorder (unipolar or bipolar) or reactive depression whose reason for hospitalization in the Psychiatric Emergency Unit Post has attempted suicide

Exclusion criteria

• Patients with bipolar disorder, current episode manic in
• Patient Hospitalized full-time (for high suicide risk incompatible with an output of emergencies or clinical transfer) within 3-5 days of the TS
• Patient suffering from a somatic pathology associated with the prognosis is committed in the short term.
• Patients suffering from a neurodegenerative pathology of dementia or pre-dementia types.
• Homeless Patient

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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380 participants in 2 patient groups

Supported with intensive nursing follow

Experimental group

Description:

Supported with intensive nursing follow post hospitalization the team of hospital output of the unit to 12 weeks after discharge. These interviews will be conducted at the hospital, at home or by phone and their pace will be adjusted according to the patient's condition. The expected duration of close outpatient follow-up is of maximum 3 months.

Treatment:

Other: Supported with intensive nursing follow post hospitalization

usual care

No Intervention group

Description:

For control patients, monitoring will be identical to their usual care as part of their pathology.