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| Name | Class |
|---|---|
| Centre Hospitalier de Monteran, Guadeloupe | UNKNOWN |
| Centre Hospitalier Universitaire de la Guadeloupe | OTHER |
| Centre Hospitalier de Cayenne | OTHER |
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In France, suicide behaviours are a major public health concern that triggered the creation in 2013 of a National Observatory of Suicide. In continental France, the "Algos" protocol was found to be effective for the prevention of suicide attempts reiterations. This protocol is based on a procedure that keeps telephone and postal contacts with the suicide attempter and allows, via an algorithm, to assess the risk of suicide attempt recurrence, in order to intervene if necessary. Nevertheless, Algos does not involve primary care health practitioners, who could add a substantial additional efficacy, especially if they intervene downstream and in supplement to Algos. In addition, this kind of protocol has never been evaluated in the French overseas territories.
Since (1) Algos was never implemented in the French overseas departments (FOD) and does not involve primary care practitioners (PCP), (2) the additional effect of PCP involvement over and beyond Algos alone in unknown, and (3) little research on suicide behaviours has been conducted in the FOD, this proposal has the following main aim: to assess the effectiveness and the efficacy of the intervention, in supplement and downstream to Algos, of a healthcare professional, on the recurrence of suicide attempts in the FOD; the healthcare professional will be the patient's general practitioner, whenever possible.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control | Active Comparator | Phone contact with patient will be made by a professional psychologist within 21 days of hospital discharge. If contact cannot be made after 9 attempts, post-cards will be sent monthly at M2, M3, M4 and M5, asking the participant to establish contact with the designated psychologist. The phone call will determine whether or not the participant is in a state of suicidal crisis. If yes, steps will be taken to attend the crisis within 24 hours. |
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| APSOM | Other | In complement to actions described in the control arm, the patient's general practitioner (GP) and the patient him/herself will be contacted within 21 days of hospital discharge in order to organize an appointment between them two; this consultation is expected to take place between day 22 and day 45 after hospital discharge. If the patient does not have a GP, a health-care professional (HCP) will be provided. .GP (or HCP) will also be contacted at 6 and 13 months. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| APSOM vs Control | Other | In complement to actions described in the control arm, the patient's general practitioner (GP) and the patient him/herself will be contacted within 21 days of hospital discharge in order to organize an appointment between them two; this consultation is expected to take place between day 22 and day 45 after hospital discharge. If the patient does not have a GP, a health-care professional (HCP) will be provided. .GP (or HCP) will also be contacted at 6 and 13 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Existence of a suicide | Reiteration of suicidal attempt after hospital discharge | 6 months |
| Existence of a suicide | Reiteration of suicidal attempt after hospital discharge | 13 months |
| Measure | Description | Time Frame |
|---|---|---|
| Number of suicide attempts | To know total number of suicide | 6 and 13 months after hospital discharge |
| Number of deaths by suicide | To know number of deaths by suicide |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| JEHEL Louis, MD-PhD | CHU de Martinique | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CH de Cayenne | Cayenne | 97306 | French Guiana | |||
| CH Ouest Guyanais |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33884617 | Derived | Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2. |
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| ID | Term |
|---|---|
| D013406 | Suicide, Attempted |
| D013405 | Suicide |
| ID | Term |
|---|---|
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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| Centre Hospitalier de Ouest Guyanais Franck Joly |
| UNKNOWN |
| Centre d Accueil Psychiatrique Ouest-Centre, La Réunion | UNKNOWN |
| Centre d Accueil d Urgences Médico Psychologique, La Réunion | UNKNOWN |
| Centre d Accueil Psychiatrique Nord, La Réunion | UNKNOWN |
| Etablissement Publique de Santé Mentale de la Réunion | UNKNOWN |
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| 6 and 13 months after hospital discharge |
| Scores at the Hospital Anxiety and Depression Scale (HADS) | Pass the scale HADS | 6 and 13 months after hospital discharge |
| Assessment of suicidal risk by the Sad Persons Scale and the Columbia Suicide Severity Rating Scale (C-SSRS). | Pass the scale Columbia | 6 and 13 months after hospital discharge |
| Saint-Laurent-du-Maroni |
| 97393 |
| French Guiana |
| CHU de Pointe à Pitre | Les Abymes | 97189 | Guadeloupe |
| CH de Monteran | Saint-Claude | 97120 | Guadeloupe |
| CHU Martinique | Fort-de-France | 97261 | Martinique |
| Etablissement Psychiatrique de Santé Mentale | Saint-Benoît | 97470 | Reunion |
| Centre d'Accueil Psychiatrique Nord | Saint-Denis | 97405 | Reunion |
| Centre d'Accueil Psychiatrique Ouest-Centre | Saint-Paul | 97863 | Reunion |
| Centre d'Accueil d'Urgences Médico-Psychologique | Saint-Pierre | 97448 | Reunion |