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The Effectiveness of Interactive Discussion Group Intervention About Suicide Risk Identification and Assessment for Clinical Nurses

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT02033915
Recruitment Status : Completed
First Posted : January 13, 2014
Last Update Posted : January 13, 2014
Information provided by (Responsible Party):
National Taiwan University Hospital

Brief Summary:
Suicide attempters or people with self-harm have a high percentage in seeking medical services before and after their suicidal or self-harm behaviour compared to general population. Studies revealed that apart from psychiatric services, they were more likely to seek help from doctors of various units (e.g. emergency departments, general medicine, medical-surgical units) across different healthcare systems (i.e. hospitals or district clinics). Besides, suicide event was possibly heard on in-patients of psychiatric or non-psychiatric units. People with self-harm experienced poor communication with healthcare personnel, and they perceived staff's lacking knowledge about suicide as serious problems. In Taiwan it was also found that emergency nurses and general practitioners were in need of improving negative attitudes and enhancing knowledge towards suicidal behaviour. From the point that nurses are the healthcare personnel that spend the most time with in-patients compared to others in the hospital, suicide risk assessment training may enhance nurses' attitudes and ability of risk awareness and assessment towards people with self-harm, which may in turn significantly increase the identification rate of the high risk group for suicide. Currently there is a lack of suicide training program as a reference for nursing education in Taiwan. The study therefore aims to strengthen suicide risk assessment ability among clinical nurses through interactive discussion groups. Using quasi-experimental design with randomized cluster sampling strategy, a case vignettes will be used for suicide risk assessment together with other measurements regarding suicide knowledge and attitudes for both experiment and control groups before and after the training course.

Condition or disease Intervention/treatment Phase
Suicide Risk Assessment Other: Interactive discussion group Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 111 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Official Title: The Effectiveness of Interactive Discussion Group Intervention to Improve Nurses' Abilities of Risk Identification and Assessment on People With Suicide Attempt or Self-harm Behavior
Study Start Date : October 2011
Actual Primary Completion Date : July 2012
Actual Study Completion Date : July 2012

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
Experimental: Interactive Discussion Group
The interactive discussion groups were held for six times (8-10 persons for each group). During the 50-60 minutes' discussion, the facilitators guided the participants to discuss a case vignette, focusing on the key issues of hospital suicide prevention, and to enhance their abilities of suicide risk identification and evaluation. Two research team members who served as facilitators led the group in a standardized manner.
Other: Interactive discussion group
The investigators adopt the group intervention that provide interactive discussions regarding the assessment of suicide risk among inpatients in a general hospital.

Primary Outcome Measures :
  1. Correctness rate and the scores of the nurses to identify the risk factors of a case vignette using an assessment tool, the SAD PERSONS Scale. [ Time Frame: 12 months ]
    The study aims to strengthen suicide risk assessment ability among clinical nurses through training group discussions. In the group sessions the nurses will be facilitated to discuss the suicide risk factors of a case vignette and use an assessment tool, the SAD PERSONS Scale, to learn those factors. The primary outcome measures will be the correctness rate and scores the nurses ascertained in suicide risk assessment of both groups. We hypothesise that the experimental group will have higher correctness rate after the study intervention.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • nurses who work in a variety of wards such as Hematology, Oncology, Stroke and Rehabilitation where potential cases with high suicide risk may be identified.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT02033915

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Chia-Yi Wu
Taipei, Taiwan, 100
Sponsors and Collaborators
National Taiwan University Hospital
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Study Director: Chia-Yi Wu, PhD National Taiwan University Hospital

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Responsible Party: National Taiwan University Hospital Identifier: NCT02033915     History of Changes
Other Study ID Numbers: 201107036RB
First Posted: January 13, 2014    Key Record Dates
Last Update Posted: January 13, 2014
Last Verified: January 2014
Keywords provided by National Taiwan University Hospital:
Suicide risk assessment
interactive discussion group
suicide attempt
randomized control study
identifying high risk group for suicide
Additional relevant MeSH terms:
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Self-Injurious Behavior
Behavioral Symptoms