Randomized Controlled and Prospective Trial of a Cohort of People Who Made a Suicide Attempt (OSTA)

Assistance Publique - Hôpitaux de Paris

Status

Completed

Conditions

Suicide, Attempted

Treatments

Other: Usual Treatment

Other: Usual treatment and Prevention program

Study type

Interventional

Funder types

Other

Identifiers

NCT01176929

OST08017

Details and patient eligibility

About

The prevention of recurrent suicidal about people who have made a suicide attempt is a major strand in the prevention of suicide. It is estimated that 10-15 % of people who made a suicide attempt die by suicide. Recidivism rate of suicide increases even faster than the subject is close to the index suicide attempt. A one month recurrence rate is 5 %, 12-25 % at one year. Most people who made a suicide attempt receive ambulatory monitoring. On this population, there is a low adherence to care.

The main objective of the study is to test the effectiveness of a prevention program of recurrent suicidal acts for people who made a suicide attempt.

The secondary objectives of this study are the assessment of adherence to care; the identification of sub - populations benefiting most from this program; the evaluation of the possible generalization level of the program (eligibles persons rate) and its feasibility level.

Full description

This is a randomized, controlled and prospective trial comparing an experimental group (usual treatment + interventions) to a control group (usual treatment only). All participants are evaluated after one year of monitoring. The search duration is 2 years (one inclusion year and one year of follow-up). It is planned to include 330 patients, 165 patients in each group.

The program (experimental group) includes three interventions:

A series of three telephone calls ( the second week , one month and three months after discharge from hospital )
A systematic telephone contact with the referring physician
A telephone helpline for people who made a suicide attempt and referring physicians.

Enrollment

320 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Adults ≥ 18 years.
Patients admitted to the emergency department for a suicide attempt.
Patients referred to outpatient care.
Patients who have given their written consent.

Exclusion criteria

Patients not affiliated to social security.
Patients do not have the faculties needed to be evaluated (cognitive or delusional disorder).
Patients hospitalized for longer than 72 hours.
Patients can not be recalled by phone (no phone, homeless, incarcerated)
Patients who do not speak French.