Effect of Telephone Follow-up on Repeated Suicide Attempt in Patients

Suicide, Attempted Clinical Trial

— EXBRAYAT  

Official title:

Effect of Telephone Follow-up on Repeated Suicide Attempt in Patients Discharged From an Emergency Psychiatry Department: a Controlled Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02932709
• Other study ID #: 1008071
• Secondary ID: 2010-A00804-35
• Status: Completed
• Phase: N/A
• First received: October 12, 2016
• Last updated: October 13, 2016
• Start date: January 2010
• Est. completion date: December 2010

Study information

• Verified date: October 2016
• Source: Centre Hospitalier Universitaire de Saint Etienne
• Contact: n/a
• Is FDA regulated: No
• Health authority: France: Ethics CommitteeFrance: French Data Protection Authority
• Study type: Observational

Clinical Trial Summary

Attempted suicide is a major public health problem, and the efficacies of current postvention protocols vary. The investigators evaluated the effectiveness of telephone follow-up of patients referred to an emergency psychiatric unit for attempted suicide on any further attempt/s over the following year.

In a single-center, controlled study with intent to treat, they evaluated the efficacy of a protocol of telephone follow-up of patients at 8, 30, and 60 days after they had been treated for attempted suicide. For comparison, they evaluated as controls patients with similar social and demographic characteristics referred to their emergency psychiatric unit in the year prior to the study who did not receive telephone follow-up after their initial hospitalization. Data were analyzed using logistic regression.

Description:

The importance of suicide and suicidal attempts recurrence is a major public health problem. Indeed, the suicide attempt is one of the most important predictors of suicide, as well as suicidal relapse is considered a suicide risk factor. It is therefore essential to establish the suicidal relapse prevention devices.

Moreover, the consensus conference on suicidal crisis (6) in particular stresses the importance of organizing continuity of care and foster a therapeutic alliance to avoid a break in continuity of care.

This study aims to evaluate the effectiveness of telephone Callback patients on suicide rate of recurrence at 6 months of suicidal gesture. A secondary objective is to assess and promote compliance.

Patients were included after a psychiatric interview following a suicide attempt in the North hospital's emergency unit no emergency hospitalization or indication in the interview before the release of the psychiatric emergency service. The interview provides an assessment of suicide risk and oral information about the protocol. A map showing the coordinates of the psychiatric emergency service and a reminder of the protocol is given. A consent form is signed. This protocol does not replace the usual care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 876
• Est. completion date: December 2010
• Est. primary completion date: December 2010
• Accepts healthy volunteers: No
• Gender: Both
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• Patient affiliated or entitled to a social security scheme

• Patient who have attempted suicide regardless of the medium

• Patient falling 4 psychiatric sectors covered by the CHU of Saint-Etienne

• Major and minor Patient (with parental permission)

• Patient for which there is no evidence of psychiatric hospitalization sector or clinic immediately after switching to the suicidal act

Exclusion Criteria:

• Homeless Patient

• Patients for whom Callback is not possible (no phone, incarceration ...)

• Patient who do not speak French

• Patient admitted sector or clinic following the psychiatric interview inclusion

• Patient Refusal

• Medical Reason

• Deleterious character of recontact by a doctor of the psychiatric emergency after passing the act

Study Design

Observational Model: Cohort, Time Perspective: Prospective

Related Conditions & MeSH terms

• Suicide
• Suicide, Attempted

Intervention

Behavioral:
• suicide attempt
suicide attempt : We evaluated the effectiveness of telephone follow-up of patients who had referred to an emergency psychiatric unit for attempted suicide on any further attempt/s over the following year.

Locations

Country	Name	City	State
France	Chu Saint-Etienne	SAINt-ETIENNE

Sponsors (2)

Lead Sponsor	Collaborator
Centre Hospitalier Universitaire de Saint Etienne	Groupement Régional de Santé Publique

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Assess the impact on adherence to treatments	The rate of adherence to treatments	6 months	Yes
Other	Measuring the time between the TS and the first recurrence	Time of recurrence compared to the suicide attempt	6 months	Yes
Primary	Comparison of suicidal recurrence rate	Number of relapses of suicide attempts per patient over a period of 6 months.	6 months	Yes
Secondary	Assess the impact of the device on the number of deaths by suicide	Number of deaths by suicide	6 months	Yes