Parent-Child Relations Clinical Trial
— discord-AdosOfficial title:
Study of the Association Between the Discordance in the Evaluation of Suicidal Intentionality Between Parents and Adolescents After a Suicide Attempt in Adolescence and the Evolution of the Suicidal Crisis at 3 Months: a Mixed Study
NCT number | NCT06036290 |
Other study ID # | RNI 2023 SIBUT |
Secondary ID | |
Status | Recruiting |
Phase | |
First received | |
Last updated | |
Start date | July 27, 2023 |
Est. completion date | May 27, 2025 |
The goal of this mixed-methods study is to describe the association between the level of parent/adolescent discordance in the assessment of the adolescent's level of suicidal intentionality after a suicid attempt and the evolution of the suicidal crisis by assessing the evolution of the adolescent's suicidal intentionality between T0 and 3 months. The main questions it aims to answer are: - To show the association between the level of parent/adolescent discordance in the assessment of the adolescent's level of suicidal intent after a suicid attempt and various markers of the evolution of the suicidal crisis at 3 months. - Explore the experience of adolescents and their parents regarding the elements they consider relevant in assessing the adolescent's suicidal intent. Participants will be asked to complete various self- and hetero-questionnaires at T0 and T3
Status | Recruiting |
Enrollment | 160 |
Est. completion date | May 27, 2025 |
Est. primary completion date | May 27, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 11 Years to 17 Years |
Eligibility | Inclusion Criteria: - Adolescents: - aged 11 to 17 - admitted to a pediatric or adult emergency department following a suicide attempt - proficient in spoken French - not opposed to participation in the research - accompanied by at least one parent who is not opposed to the adolescent's participation in the research. - Parents: - 18 years of age or older - parent or guardian of an adolescent admitted to a pediatric or adult emergency department following a suicide attempt - fluent in spoken French - not opposed to participation in the research Exclusion Criteria: - present a decompensated somatic or psychiatric pathology or a vigilance disorder - refusal to participate in the research |
Country | Name | City | State |
---|---|---|---|
France | CHU Clermont-Ferrand | Clermont-Ferrand |
Lead Sponsor | Collaborator |
---|---|
University Hospital, Clermont-Ferrand |
France,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Difference in adolescents' level of suicidal intent | Difference in adolescents' level of suicidal intent between T0 and 3 months. All measurements are based on a Visual Analogue Scale (VAS) graduated from 0 to 10. | 3 months | |
Secondary | Association between the level of parent/adolescent discordance in the assessment of the adolescent's level of suicidal intent after a suicidal attempt and various indicators of the evolution of the suicidal crisis at 3 months. | Total number of new emergency room and/or child psychiatry team consultations related to suicidal crisis at 3 months.
Total number of suicidal recurrences reported at 3 months. Total number of full-time inpatient hospital stays or psychiatry related to the suicidal crisis at 3 months. Total length of stay in full-time in-patient care in the hospital, and/or psychiatry, related to the suicidal crisis at 3 months. Proportion of the number of days of absence out of the total number of school days at 3 months. Proportion of number of child psychiatric consultations honored out of total number of scheduled consultations at 3 months. Proportion of the number of psychological consultations honored out of the total number of consultations scheduled at 3 months |
3 months | |
Secondary | association between the level of parent/adolescent discordance in assessing the adolescent's level of suicidal intent after a suicid attempt and the degree of family cohesion | Total score on FACES IV self-assessment scale of family functioning. | 1 week | |
Secondary | socio-familial factors associated with a high level of parent/adolescent discordance in assessing the adolescent's level of suicidal intentionality after a suicidal act. | Gender, age, urban or rural environment, family organization (union, single parent, other other situations) and parents' socio-professional category. | 1 week | |
Secondary | clinical factors associated with a high level of parent/adolescent discordance in assessing the adolescent's level of suicidal intent after a suicide attempt. | i) presence of a family psychiatric history; ii) presence of a family suicide history; iii) presence of a family history of suicide attempt; iv) presence of a personal history of suicide attempt; v) presence of a personal history of psychological or psychiatric follow-up; vi) presence of a personal history of self-harm; vii) type of suicide attempt and viii) type of ICD-10 diagnosis made during the child psychiatric evaluation. | 1 week | |
Secondary | evolution of the level of parent/adolescent discordance on the evaluation of the adolescent's level of suicidal intent after a suicide attempt at 0 and 3 months | Difference in the level suicidal intent of adolescents measured with a Visual Analog Scale at scale at: i) T0 (measurement of level 1 week prior to suicidal event, level at time of suicidal event level at the time of TS, level at the time of assessment) and ii) T3 months | 3 months | |
Secondary | Explore the experience of adolescents and their parents regarding the elements they consider relevant in assessing the adolescent's suicidal intent. | Obtained a thematic grid describing the experience of adolescents and their parents with regard to the elements they consider relevant in assessing the adolescent's suicidal intent. | 1 month | |
Secondary | Explore the experience of adolescents and their parents in terms of their mutual understanding of the suicidal crisis experienced by the adolescent. | Obtaining a thematic grid describing the experience of adolescents and their parents in terms of their mutual understanding of the suicidal crisis experienced by the adolescent. | 1 month |
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