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The number of emergency consultations for children and adolescents for suicidal ideation and suicide attempts has been rising steadily since 2010, and even more so since 2020. In addition, 30% of children and adolescents who have committed a suicidal act reoffend within the year.
Psycho-education programmes for patients have been shown to be effective in a large number of psychiatric pathologies. The programs of psychoeducation for the caregivers of these patients have them also shown their effectiveness, however to date there is no parental psychoeducation program group, for the prevention of the suicidal risk of children and adolescents, which is validated. The service of child psychiatry at the Robert Debré hospital built a program for this purpose, according to current data from the science and has been offering it for 6 months to parents of patients who consulted for suicidal ideation. Rate this program through the description of its implementation would allow it to be validated, this in a dissemination objective. This validation through a mixed method would also allow us to describe the experience participants in this program and to understand improvements Track.
Implementation study: non-randomized, single-center, quasi-experimental study before - after for the evaluation criteria of intermediate effectiveness (effectiveness). Study mixed qualitative-quantitative method for the evaluation of several judgment criteria.
The main objectives is to Evaluate the implementation of a parental psychoeducation program in a group of suicide prevention through parental support for the entire program.
The secondary objectives are to evaluate:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| All of the participants | Parents participate in the PEPPS program (Parental psychoeducation program for suicide risk prevention) This is a group family psychoeducation program for parents child under 15 years 6 months having been urgently assessed at Robert University Hospital discharged for suicidal ideation or attempted suicide. This program is built according to a global model based on:
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| Participants - qualitative interview | Semi-structured interviews (qualitative) will be carried out with parents who have followed either all or part of the sessions of the band. The parents interviewed will be chosen based on the wealth of information they will be likely to contribute to the study.The sampling method will follow the "snowball" model, described by Kathy Charmaz. According to this, the characteristics of new participants will be determined according to the results of the analysis of the first interviews until data saturation. We will conclude with the latter when no new information emerges from the data collection. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Self-questionnaire WHOQOL-bref | Behavioral | Parents must complete the self-questionnaire WHOQOL-bref after the first and the last session of the Pepps program. |
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| Measure | Description | Time Frame |
|---|---|---|
| implementation of a program parental psychoeducation in prevention groups suicide (program PEPPS). | program membership = Number of parents who have been present at the 4 sessions / Number of parents included (having agreed to participate in the program) | Week 5 |
| Measure | Description | Time Frame |
|---|---|---|
| reaching the target population | number of parents to whom the program has been proposed / number of parents having had a child having consulted for suicidal ideation | Week 5 |
| Intermediate program effectiveness by comparison of levels of parents' responses between the start of program and the end of the last session of the program |
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Inclusion Criteria:
Exclusion Criteria:
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Parents of a child under 15 years 6 months old urgently consulted at the Robert Debré hospital for ideas suicidal or attempted suicide
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Vincent TREBOSSEN, Dr | Contact | 0140034146 | +33 | vincent.trebossen@aphp.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Robert Debré Hospital, Child and adolescent psychiatry department | Recruiting | Paris | Île-de-France Region | 75019 | France |
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| Self-questionnaire Evaluation Inventory - Parent | Behavioral | Parents must complete the self-questionnaire Evaluation Inventory - Parent after the last session of the Pepps program. |
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| quiz of knowledge | Behavioral | Parents must complete the quiz of knowledge after the first and the last session of the Pepps program. |
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| semi-structured interviews (qualitative) | Behavioral | In the month following the last session of the program, the semi-structured interviews (qualitative) will be carried out with parents who have followed either all or part of the sessions of the band. |
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level of knowledge about suicidal behavior: degree of certainty a knowledge quiz built for the program |
| Week 5 |
| Intermediate program effectiveness by comparison of levels of parents' responses between the start of program and the end of the last session of the program | parents' quality of life: score WHOQOL-BREF scale | Week 5 |
| adoption of the program by health professionals | number of emergency professionals offering program for parents / number of emergency professionals treating children having consulted for suicidal ideation | Week 5 |
| Implementation on other dimensions | Number of parents participating in at least a session | Week 5 |
| Implementation on other dimensions | Satisfaction of participating parents: Parent Evaluation self-questionnaire Inventory-Parent Treatment | Week 5 |
| Implementation on other dimensions | Describe the parents' experience participant in the PEPPS program: analysis qualitative (interview) | Week 5 |
| sustainability of the program (Maintenance): Interview | Identify the brakes and levers implementation of the program, in order to identify avenues for improvement and dissemination of psychoeducation program: analysis qualitative | Week 9 |
| ID | Term |
|---|---|
| D000092864 | Suicide Prevention |
| ID | Term |
|---|---|
| D013405 | Suicide |
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
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