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| ID | Type | Description | Link |
|---|---|---|---|
| 2015-A00358-41 | Other Identifier | FRANCE: Agence Nationale de Sécurité des Médicaments |
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Suicide is a major health concern. Weeks following psychiatric admission are a highly suicide risk period for those having current suicidal ideation or attempt. Recently, a pilot study suggested the feasibility of positive psychology in patients in suicidal crisis. Notably, gratitude exercises suggested improvement in optimism and hopelessness, two dimensions associated to suicide. Moreover, gratitude has been associated to suicidal ideation and attempt, independently from depression. Thus, investigators want to conduct the first randomized controlled study in order to assess effectiveness of gratitude exercises (vs control task) in suicidal inpatients, on 1) psychological pain reduction 2) suicidal ideation, hopelessness, optimism, depressive symptomatology, and anxiety improvement.
Study design: monocentric randomized controlled study
Methods:
206 inpatients (Department of Emergency Psychiatry and Post Acute Care), between 18 and 65 years-old, having attempted suicide before hospitalisation or having current active suicidal ideation at the time of the psychiatric hospitalisation. Patients suffering from schizophrenia are excluded.
Randomization into two groups: Positive Psychology (i.e., gratitude journal) (n = 103) or Control Task (i.e., food journal) (n = 103), daily exercises during 7 days (in add-on from usual treatment).
Clinical assessment: 1) at baseline (the day before the intervention beginning) (V0); 2) short daily self-assessments (immediately before and after the exercise); 3) the day following the last day of the intervention (V1).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention group | Experimental | Positive Psychology (gratitude journal) |
|
| Control group | Placebo Comparator | Alimentary list |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Positive Psychology | Behavioral | Gratitude Journal (Emmons and Stern, 2013) Every evening, patients have to write down the things they feel grateful about. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Psychological pain reduction using a likert scale | Psychological pain reduction, in gratitude vs control group, between the beginning and the end of the intervention, using a likert scale. | At the inclusion and day 8 (the day after the end of the intervention) |
| Measure | Description | Time Frame |
|---|---|---|
| Psychological pain reduction using a likert scale | Psychological pain reduction, in gratitude vs control group, the beginning and the end of each exercise, using a likert scale. | At day 1, 2, 3, 4, 5, 6, 7 |
| intensity of suicidal ideation |
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Inclusion criteria:
Exclusion criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Déborah DUCASSE, MD PhD | Contact | +33 4 67 33 85 81 | d-ducasse@chu-montpellier.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Recruiting | Montpellier | Hérault | France |
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| ID | Term |
|---|---|
| D059020 | Suicidal Ideation |
| ID | Term |
|---|---|
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D000080032 | Psychology, Positive |
| ID | Term |
|---|---|
| D011584 | Psychology |
| D001525 | Behavioral Sciences |
| D004191 | Behavioral Disciplines and Activities |
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| Placebo (food journal) | Behavioral | Food journal (i.e. alimentary list): Patients have to write down the list of foods eaten during the day. |
|
Reduction of suicidal ideation intensity, in gratitude vs control group between the beginning and the end of the intervention using a Likert Scale and the Scale for Suicidal Ideation (SSI).
| At the inclusion and day 8 (the day after the end of the intervention) |
| Intensity of hopelessness | Reduction of hopelessness, in gratitude vs control group between the beginning and the end of the intervention, using a Likert Scale and the Beck Hopelessness Scale (BHS). | At the inclusion and day 8 (the day after the end of the intervention) |
| Intensity of optimism | Reduction of hopelessness, in gratitude vs control group between the beginning and the end of the intervention, using a Likert Scale and the Life Orientation Test-Revised (LOT-R). | At the inclusion and day 8 (the day after the end of the intervention) |
| Intensity of depressive symptoms using the Beck Depression Inventory (BDI) | Reduction of depressive symptoms between the beginning and the end of the intervention, using the Beck Depression Inventory (BDI) | Day 8 (the day after the end of the intervention) |
| Intensity of anxious symptoms using the State Anxiety Inventory- State (SAI-State) | Reduction of anxious symptoms between the beginning and the end of the intervention, using the State Anxiety Inventory- State (SAI-State) | Day 8 (the day after the end of the intervention) |
| Perceived usefulness of the intervention using a likert scale | Evaluation of the perceived usefulness of each intervention, using a likert scale. | Day 8 (the day after the end of the intervention) |
| Intensity of suicidal ideation | Reduction of suicidal ideation intensity, in gratitude vs control group between the beginning and the end of each exercise, using a Likert Scale. | At day 1, 2, 3,4 5, 6, 7 |
| Intensity of hopelessness | Reduction of hopelessness, in gratitude vs control group between the beginning and the end of each exercise, using a Likert Scale. | At day 1, 2, 3, 4, 5, 6, 7 |
| Intensity of optimism | Reduction of hopelessness, in gratitude vs control group between the beginning and the end of each exercise, using a Likert Scale. | At day 1, 2, 3, 4, 5, 6, 7 |