Effectiveness of Standard Emergency Department Psychiatric Treatment Associated With Treatment Delivery by a Suicide Prevention Center

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
University Hospital, Toulouse
ClinicalTrials.gov Identifier:
NCT00641498
First received: March 17, 2008
Last updated: October 10, 2011
Last verified: October 2011
  Purpose

Very few studies have proved the effectiveness of treatment for suicide attempt patients. Our objective is to evaluate the addition of the resources of an suicide prevention centre to standard psychiatric treatment in the Emergency Department. Consecutive suicide attempt patients in 2 Emergency departments (multicenter study) were included after standard psychiatric treatment and referral. After Written informed consent, psychological assessment (depression, suicide intention) was carried out After randomisation, control patients were given an information card describing the Suicide Prevention Center (SPC); experimental patients had a first meeting with a psychologist of the SPC.

To verify the hypothesis of a decrease in suicidal behaviors in the experimental group, an evaluation of these behaviors was carried out every month during a two year follow-up.


Condition Intervention
Suicidal Behavior
Behavioral: Psychotherapy
Behavioral: No intervention

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Effectiveness of Standard Emergency Department Psychiatric Treatment Compared With Effectiveness of Standard Emergency Department Psychiatric Treatment Associated With Treatment Delivery by a Suicide Prevention Center.

Resource links provided by NLM:


Further study details as provided by University Hospital, Toulouse:

Primary Outcome Measures:
  • Suicide behavior defined by self poisoning or other suicidal attempts in the emergency departments of the region. Death by suicide will be identified by the examination of information obtained from the national death statistics office (INSERM). [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Level of depression, suicide ideation, level of despair, level of alexithymia [ Time Frame: 2 years ] [ Designated as safety issue: Yes ]

Estimated Enrollment: 810
Study Start Date: March 2007
Study Completion Date: October 2011
Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: 2
No intervention
Behavioral: No intervention
No intervention
Experimental: 1
Individual supportive psychotherapy initiated in the Emergency department
Behavioral: Psychotherapy
Individual supportive

Detailed Description:

Very few studies have proved the effectiveness of treatment for suicide attempt patients. Our objective is to evaluate the addition of the resources of an existent suicide prevention centre to standard psychiatric treatment in the Emergency Department. Consecutive suicide attempt (self poisoning) patients in 2 Emergency departments (multicenter study) were included after standard psychiatric treatment and referral. After Written informed consent, psychological assessment (depression, suicide intent scale/SIS Beck Depression Inventory, Toronto Ale, Beck Hopelessness Sc, Audit, mini, PDQ 4) was carried out After randomisation, control patients were given an information card describing the Suicide Prevention Center (SPC); experimental patients had a first meeting with a psychologist of the SPC. The number of subjects included should be 405 per group. To verify the hypothesis of a decrease in suicidal behaviors in the experimental group, an evaluation of these behaviors was carried out every month during a two year follow-up The frequency of subsequent suicidal behavior will be monitored by the scrutiny of the Emergency Dept records. Death by suicide will be identified by the examination of information obtained from the national death statistics office (INSERM).

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • parasuicide by self-poisoning
  • Glasgow score=15
  • Standard psychiatric treatment

Exclusion Criteria:

  • No speaking french
  • committed inpatient
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00641498

Locations
France
Service d'Accueil des Urgences
Brive-la Gaillarde, France, 19100
Laboratoire de Stress Post-Traumatique
Toulouse, France, 31059
Sponsors and Collaborators
University Hospital, Toulouse
Investigators
Principal Investigator: Philippe BIRMES, PhD University Hospital, Toulouse
  More Information

No publications provided

Responsible Party: University Hospital, Toulouse
ClinicalTrials.gov Identifier: NCT00641498     History of Changes
Other Study ID Numbers: 0601401, PHRC suicide
Study First Received: March 17, 2008
Last Updated: October 10, 2011
Health Authority: France: Direction Générale de la Santé

Keywords provided by University Hospital, Toulouse:
suicide
parasuicide
prevention
individual supportive psychotherapy

Additional relevant MeSH terms:
Emergencies
Suicide
Disease Attributes
Pathologic Processes
Self-Injurious Behavior
Behavioral Symptoms

ClinicalTrials.gov processed this record on April 15, 2014