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Suicide, Attempted clinical trials

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NCT ID: NCT03373916 Completed - Suicidal Ideation Clinical Trials

Peer Mentorship to Reduce Suicide Attempts Among High-Risk Adults

PREVAIL
Start date: June 22, 2018
Phase: N/A
Study type: Interventional

Amid consistently worsening suicide rates, in 2012 the U.S.Surgeon General's National Strategy for Suicide Prevention proposed to "change the narrative" about suicide prevention to include a focus on promoting hope and belongingness. Despite hopelessness and thwarted belongingness being among the most replicated risk factors for suicide, many widely implemented suicide prevention efforts instead emphasize the identification of acute suicide risk and referral to mental health treatment services. However, there are very few health service interventions known to reduce suicides among those identified as high risk. Those interventions shown to be effective have not achieved the wide scale implementation necessary to alter the trend of increasing suicide deaths. New interventions are needed, and one promising, scalable intervention with a novel approach to addressing the risk factors advocated by the Surgeon General is peer mentorship. A peer mentorship intervention, PREVAIL, has been piloted in a two-site randomized controlled trial (N=70) and is acceptable and feasible with enrollment of nearly half of eligible high-risk patients, mean completion of over 6 mentorship sessions, and 85% of sessions meeting fidelity standards for addressing the intended targets of hope and belongingness. The aims of this hybrid effectiveness-implementation study are: Specific Aim 1: Determine the effectiveness of the PREVAIL peer mentorship intervention for reducing suicide attempts and suicidal ideation among recently hospitalized adult psychiatric patients at high risk for suicide. Specific Aim 2: Examine the mechanisms of peer mentorship by measuring the effects of PREVAIL on potential mediators,including hope and belongingness. Specific Aim 3: Identify barriers and facilitators to implementation of PREVAIL.

NCT ID: NCT03300596 Completed - Suicide, Attempted Clinical Trials

Brief New Treatment for Suicide Attempts

Start date: March 12, 2018
Phase: N/A
Study type: Interventional

Individuals with alcohol or drug use problems who are hospitalized for suicide attempt are at high risk for reattempt. This treatment development study adapts a promising outpatient intervention to prevent suicide reattempt in order to administer it during hospitalization to individuals with alcohol and drug use problems, and to test the adapted intervention in a pilot randomized controlled trial.

NCT ID: NCT03287986 Completed - Depressive Disorder Clinical Trials

Brain Markers of Suicide Risk and Psychological Pain in Elderly Depressed Patients

SPAD-IRM
Start date: August 18, 2017
Phase:
Study type: Observational

The main objective of this study is to show MRI functional and structural differences between depressed elderly patients with a history of attempted suicide compared to depressed elderly patients with no history of attempted suicide and to elderly subjects with no personal history of depression or attempted suicide (healthy controls).

NCT ID: NCT03230448 Completed - Suicide, Attempted Clinical Trials

Study of the Links Between Suicidal Intentionality and Acute Alcoholism

ISA
Start date: May 29, 2017
Phase: N/A
Study type: Observational [Patient Registry]

There is a strong link between the alcohol consumption and the suicidal risk. Indeed there is an increase of the risk of suicide in case of chronic or acute alcohol consumption. However why the alcohol consumption increase the suicidal risk is unknown. The hypothesis of this study is that the alcohol consumption induced disinhibition and facilitates the suicide attempt without premeditation

NCT ID: NCT03227991 Completed - Suicide, Attempted Clinical Trials

Safety Planning Intervention to Reduce Short Term Risk

Start date: September 10, 2017
Phase: N/A
Study type: Interventional

This study will determine the efficacy of Safety Planning Intervention (SPI) compared to receiving risk factors and warning sign information (RWI) in recent suicide attempters during the 6 months following an acute care visit on: (1) suicidal behaviors; (2) mental health/substance use treatment engagement; (3) suicide-related coping strategies; (4) suicidal ideation; and (5) use of means restriction.

NCT ID: NCT03134885 Completed - Suicide, Attempted Clinical Trials

Evaluation of a Regional Post-discharge Monitoring System for Suicide Attempters

EVAL-VIGILANS
Start date: September 2016
Phase:
Study type: Observational

VigilanS is an innovative healthcare program. Participants of this program are all patients leaving in the Nord-Pas de Calais region who survived a suicide attempt. General goals of the post hospitalization monitoring system for suicidal attempters are: - Standardize general healthcare's practices by offering alert networks and innovative response procedures in case of suicidal crisis. - Coordinate the various health partners' actions around the patient (GP, psychiatrist, psychologist). - Contribute to reducing mortality and morbidity by suicide (subsequent suicide) in determined territories. The evaluation of VigilanS will be quantitative and qualitative.

NCT ID: NCT03116503 Completed - Suicide, Attempted Clinical Trials

Bipolarity - Depression in Children and Adolescent Suicide Attempters: Better Diagnosis to Prevent Recurrence

Start date: June 2016
Phase: N/A
Study type: Interventional

The purpose of the study is to describe the number of diagnosis of bipolar depression and comorbid suicidal behavior according to the diagnostic criteria of the DSM-5.

NCT ID: NCT03069560 Completed - Clinical trials for Prevention of the Suicide

Short Message System (SMS) for Caregivers of Suicidal Patients to Prevent Recidivism of Suicide Attempts

C-SIAM
Start date: July 19, 2017
Phase: N/A
Study type: Interventional

Assessment of the feasibility of a monitoring device by SMS in which messages are sent by the caregiver after a suicidal act.

NCT ID: NCT03043040 Completed - Suicide, Attempted Clinical Trials

Prevention of Suicidal Behaviour With Telemedicine Techniques

Start date: July 1, 2014
Phase: N/A
Study type: Interventional

This is a multicenter controlled intervention study that aims to assess the efficacy of a telephone follow-up program for the prevention of suicidal behavior in adults discharged from general hospitals after a suicide attempt. The hypothesis is that the implementation of this program is associated with reduced rates of suicide reattempts in these patients and also with delayed reattempts in them.

NCT ID: NCT03014518 Completed - Suicide Clinical Trials

Biomarkers as Predictors of Suicidal Risk in Adolescents

Start date: December 2016
Phase:
Study type: Observational

Suicide is one of the most devastating events in society at all levels. The primary goal of this study is to predict suicide in adolescents at risk. We will utilize blood biomarker measurement and clinical risk factor scales to develop a tool to identify adolescents at risk for suicide earlier, which will allow clinicians to prescribe timely treatment and prevent suicide.