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In France, the number of emergency visits for suicide attempts is estimated at 220,000 per year. Suicide management aims to reduce suicide risk factors in order to improve the mental health of patients and prevent recurrences.
To day, no study has compared the approaches to health surveillance and case management in a clinical trial, nor established the benefit of each on commitment to care and beyond the prevention of suicidal recurrence.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| suicide attempt patient who will receive sanitory supervision | Other | The control group will establish the health monitoring |
|
| Suicide attempt patient who will participate to PEPS Program | Experimental | The intervention group will test the program of Promotion of Commitment to Care for the Prevention of Suicidal Recidivism. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| suicide attempt patient using PEPS Program | Other | The research protocol consists of two phases separated by randomization. A Hospital Phase common to both groups: Day zero is the day of the suicide attempt for which the patient came to the hospital. A post-hospital phase including the P.E.P.S. program for the intervention group and telephone reminders for the usual treatment group. |
| Measure | Description | Time Frame |
|---|---|---|
| Clinical Global Impression (CGI) | rating scales are measures of symptom severity, treatment response and the efficacy of treatments in treatment studies of patients with mental disorders. | Day 0 |
| Suicide Intent Scale | The Suicide Intent Scale (SIS) developed by A.T. BECK in 1974, is the only scale that focuses solely on the assessment of the suicide attempt that has just taken place. | Day 0 |
| Montgomery-Asberg depression rating scale | This scale is widely used to measure the changes brought about by the treatment of depression. It assesses the severity of symptoms in a wide variety of areas such as mood, sleep and appetite, physical and mental fatigue, and thoughts of suicide. | Day 0 |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluating the effectiveness of the P.E.P.S. program in preventing suicidal recidivism | percentage of all suicidants who relapse during the 12-month study period. | 1 year |
| Evaluate the level of possible generalization of the program |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Youcef BENCHERIF | Contact | 01.43.09.32.32 | y.bencherif@epsve.fr | |
| Rusheenthira THAVASEELAN | Contact | 0143.0932.32 | r.thavaseelan@epsve.fr |
| Name | Affiliation | Role |
|---|---|---|
| Fayçal MOUAFFAK | Investigateur Principal | Principal Investigator |
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| 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 |
|---|---|
| D013405 | Suicide |
| D010342 | Patient Acceptance of Health Care |
| ID | Term |
|---|---|
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D000074822 | Treatment Adherence and Compliance |
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Controlled, randomized and prospective study of a cohort of suicide victims comparing an experimental (interventional) group to a control group (usual treatment)
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|
|
percentage of all suicides of subjects likely to benefit from the program (subjects fulfilling the inclusion and non-inclusion criteria).
| 1 year |
| Evaluate the feasibility of the program | percentage of subjects included in the intervention group who received all interventions); weighted by the percentage of acceptance to participate in the study | 1 year |
| D015438 | Health Behavior |