Effect of Psychosocial Treatment by the Case Manager in Patients After a Suicide Attempt

Suicide, Attempted Clinical Trial

Official title:

Effect of Proactive Psychosocial Treatment by the Case Manager in Patients After a Suicide Attempt: a Randomised Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00664872
• Other study ID #: NSC96-2314-B195-011
• Status: Completed
• Phase: N/A
• First received: April 18, 2008
• Last updated: January 8, 2014
• Start date: August 2007
• Est. completion date: July 2008

Study information

• Verified date: January 2014
• Source: Mackay Memorial Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: Taiwan: Department of Health
• Study type: Interventional

Clinical Trial Summary

The purpose of this study is to determine the case manager are effective in the treatment of suicide attempters.

Description:

Compared with usual care, interventional group will (1) improve treatment attendance, (2) have less repeated suicide attempts in adults after a suicide attempts, and (3)have better patients' satisfaction with care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 147
• Est. completion date: July 2008
• Est. primary completion date: January 2008
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

Participants recruit adults who:

1. Discharge from an emergency department of a teaching hospital after attempt suicide

2. Aged above 18 years old

3. Agree to provide written inform consent.

Exclusion Criteria:

1. Patients were too ill to be interviewed

2. Patients have immediate and severe suicide risk.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Suicide
• Suicide, Attempted

Intervention

Other:
• proactive psychosocial intervention by care managers
A case manager will be assigned to each of the participants in the intervention group. All case managers are psychologists. After discharge from the emergency department, the participants receive six sessions of proactive psychosocial intervention by their case manager over four months. Duration of each session is approximately 30 minutes. The intervention consists of telephone or face-to-face contacts with the case manager at scheduled intervals or when clinically necessary. If a patient declines medication therapy from the psychiatrist, case manager will provide psychotherapy using the model of cognitive-behavioural approach and problem-solving therapy. Case managers will receive backup and supervision by psychiatrist investigators and monthly supervision of therapy. Case managers will regularly monitor suicide risk, clinical status and provide follow-up.

Behavioral:
• case management

Locations

Country	Name	City	State
Taiwan	Mackay Memorial Hospital	Taipei

Sponsors (2)

Lead Sponsor	Collaborator
Shen-Ing,Liu	National Science Council, Taiwan

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	treatment adherence, defined as outpatient mental health clinic attendance		6-month, and 12-month	Yes
Secondary	During follow-up periods (6-month, and 12-month), interventional group will have (1) less repeated suicide attempts (behavior) (2) less suicidal ideation, (3) lower depression score, (4) better patients' satisfaction with care		6-month, and 12-month	Yes