Suicide Prevention Algorithm in the French Overseas Territories

Suicide Attempt Clinical Trial

— APSOM  

Official title:

Assessment of Preventive Efficacy of an Algorithm Taking Place After Suicide Attempts Among Attempters Admitted to Hospital in the French Overseas Territories

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03427190
• Other study ID #: 15/B/04
• Status: Completed
• Phase: N/A
• Start date: October 9, 2017
• Est. completion date: October 16, 2020

Study information

• Verified date: October 2020
• Source: University Hospital Center of Martinique
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 259
• Est. completion date: October 16, 2020
• Est. primary completion date: August 8, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 16 Years and older

Eligibility

Inclusion Criteria:

• Man or woman over 16 years of age
• Leaving the hospital within 15 days of the suicide attempt
• Giving (him/herself or his/her legal representative)an oral consent to participate in the study
• Having healthcare insurance
• Reachable by phone, with possibility of confidential conversation, and by mail
• Resident of Guadeloupe, French Guyana, Martinique, or Reunion Island
• Able to understand and speak French

Exclusion Criteria:

• Homeless person
• Disabled adult, person under judicial/court protection, legally incompetent adult
• Participant unable to understand the study protocol, its risks and side effects, or declining to participate

Related Conditions & MeSH terms

• Suicide
• Suicide Attempt
• Suicide, Attempted

Intervention

Other:
• APSOM vs Control
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.

Locations

Country	Name	City	State
French Guiana	CH de Cayenne	Cayenne
French Guiana	CH Ouest Guyanais	Saint-Laurent du Maroni
Guadeloupe	CHU de Pointe à Pitre	Les Abymes
Guadeloupe	CH de Monteran	Saint-claude
Martinique	CHU Martinique	Fort-de-France
Réunion	Etablissement Psychiatrique de Santé Mentale	Saint-Benoit
Réunion	Centre d'Accueil Psychiatrique Nord	Saint-denis
Réunion	Centre d'Accueil Psychiatrique Ouest-Centre	Saint-Paul
Réunion	Centre d'Accueil d'Urgences Médico-Psychologique	Saint-Pierre

Sponsors (9)

Lead Sponsor	Collaborator
University Hospital Center of Martinique	Centre d Accueil d Urgences Médico Psychologique, La Réunion, Centre d Accueil Psychiatrique Nord, La Réunion, Centre d Accueil Psychiatrique Ouest-Centre, La Réunion, Centre Hospitalier de Cayenne, Centre Hospitalier de Monteran, Guadeloupe, Centre Hospitalier de Ouest Guyanais Franck Joly, Centre Hospitalier Universitaire de Pointe-a-Pitre, Etablissement Publique de Santé Mentale de la Réunion

Countries where clinical trial is conducted

French Guiana,  Guadeloupe,  Martinique,  Réunion, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Existence of a suicide	Reiteration of suicidal attempt after hospital discharge	6 months
Primary	Existence of a suicide	Reiteration of suicidal attempt after hospital discharge	13 months
Secondary	Number of suicide attempts	To know total number of suicide	6 and 13 months after hospital discharge
Secondary	Number of deaths by suicide	To know number of deaths by suicide	6 and 13 months after hospital discharge
Secondary	Scores at the Hospital Anxiety and Depression Scale (HADS)	Pass the scale HADS	6 and 13 months after hospital discharge
Secondary	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