Guidelines for Parental Involvement in the Care of Suicidal Youth

Emergencies Clinical Trial

— S-Urg-Quali  

Official title:

Developing Guidelines for Parental Involvement in the Emergency Care of Suicidal Adolescents and Young Adults: a Qualitative Study

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05296343
• Other study ID #: AOI 2021 LACHAL
• Secondary ID: 2021-A03244-37
• Status: Not yet recruiting
• Start date: May 2022
• Est. completion date: May 2023

Study information

• Verified date: March 2022
• Source: University Hospital, Clermont-Ferrand
• Contact: Lise LACLAUTRE
• Phone: +33473754963
• Email: promo_interne_drci[@]chu-clermontferrand.fr
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Parents occupy a central place in the emergency care of suicidal adolescents and young adults. However, from 15 to 25yo, three different administrative situations exist in France:

• <16yo: admission to a child ED by a team trained to receive the youngest patients.

• 16-18yo: admission to an adult ED by team devoted to adult care, no exit without parents' authorization.

• >18yo: admission to an adult ED by team.

Laying on qualitative observational protocol and a Delphi approach, this study will explore the perspective of adolescents and young adults following a suicidal attempt, the perspective of their parents, and the perspective of their healthcare professionals to build guidelines for parental involvement in care of suicidal youths.

Description:

Suicide is the second leading cause of death among 15-25 year olds, with the highest rate of hospitalization for SC of any age group. The psychopathology of suicidal behavior in adolescents and young adults (AYA) is homogeneous: risk factors, precipitating factors, representations. Parents occupy a central place in care. They are i) involved in the care decision; ii) actively involved in care; and ii) a source of motivation for trust and adherence to care.

However, if the psychopathology of suicidal crisis is homogeneous, the transition between pediatric and adult care implies very different management in the emergency department (ED). In France, three situations can be described:

• <16yo: admission to a child ED by a team trained to receive the youngest patients.

• 16-18yo: admission to an adult ED by team devoted to adult care, no exit without parents' authorization.

• >18yo: admission to an adult ED by team devoted to adult care, no right to contact the parents in case of patient opposition.

• Before 16 years of age: admission to the children's UAS, care by a team trained to receive the youngest patients.

• 16-18 years: admission to the adult UAS, care by adult professionals, clinical and legal particularities of care for minors.

• After 18 years old: admission to adult UAS, legal constraints of the adult care setting.

The objectives of this qualitative observational study is to build guidelines for the involvement of the parents in the care in these three situations.

The study will include adolescents and young adults from the three situations, their parents and the professionals who take care of them. Individual semi-structured interviews will be organized to collect their experiences. Qualitative analyses will be conduct, following Interpretative Phenomenological Analysis. A pre-approved guideline will be construct and a Delphi approach will be conducted to approved the final version of the guideline.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 60
• Est. completion date: May 2023
• Est. primary completion date: May 2023
• Gender: All
• Age group: 15 Years to 25 Years

Eligibility

Inclusion Criteria:

Adolescents and Young adults

• Admitted to an Emergency Department (ED) following a suicidal act or considered as such by the medical team

Parents

• Parents of the included youths >18y

Healthcare professionals

• >18y

• Working in ED

• Usually taking care of suicidal youths

All the participants

• French speaking

• Affiliation to a social security regime

• Participation agreement

Exclusion Criteria:

All the participants

• Present an acute somatic or psychiatric disease which may hinder the well organization of the interview

Related Conditions & MeSH terms

• Emergencies
• Suicide
• Suicide, Attempted

Locations

Country	Name	City	State
France	CHU de Clermont-Ferrand	Clermont-Ferrand

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Clermont-Ferrand

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Developing guidelines defining the role of parents in the medical decision and the care of the youths	Thematic framework summarizing the perspectives of three groups of participants.	Day 1
Secondary	Describing each context of care	Qualitative description of each of the three context of care (<16y, 16-18y, >18y)	Day 1
Secondary	Describing expectations from each group	Qualitative description of each of the three participant groups (adolescents and young adults, parents, professionals)	Day 1