Outpatient Nurse Monitoring Under the Prevention of Recurrent Suicidal

Study Overview
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Brief Summary
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To evaluate the impact of a specific nursing management (personalized and close, through consultation at the hospital, at home or by phone) monitoring in post-hospitalization, the suicide attempt of recurrence and suicidal crisis, in the year following a suicide attempt in patients suffering from a mood disorder (unipolar or bipolar) or reactive depression.

Detailed Description
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Main objective: To evaluate the impact of a specific nursing management (personalized and close, through consultation at the hospital, at home or by phone) monitoring in post-hospitalization, the suicide attempt of recurrence and suicidal crisis, in the year following a suicide attempt in patients suffering from a mood disorder (unipolar or bipolar) or reactive depression. Secondary objectives: Studying during the year following the suicide attempt index, the impact of this device on: The frequency and intensity of suicidal ideation the spontaneous use of emergency care the death rate from suicide and other causes the cumulative duration of hospitalization for suicidal behavior The patient's quality of life the number of patients lost to at the end of search Studying patient compliance with intensive nursing monitoring program. To study the role of the nurse to determine the factors that promote the construction of a therapeutic alliance. Establish a mapping of needs and resources suicidal patient for nursing care in post-emergency.

Official Title
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Randomized Study of Ambulatory Monitoring Nurse Under the Prevention of Recurrent Suicidal

Conditions
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Mood Disorder, Reactive Depression

Intervention / Treatment
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* Other: Supported with intensive nursing follow post hospitalization


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient suffering from a mood disorder (unipolar or bipolar) or reactive depression whose reason for hospitalization in the Psychiatric Emergency Unit Post has attempted suicide Exclusion Criteria: Patients with bipolar disorder, current episode manic in Patient Hospitalized full-time (for high suicide risk incompatible with an output of emergencies or clinical transfer) within 3-5 days of the TS Patient suffering from a somatic pathology associated with the prognosis is committed in the short term. Patients suffering from a neurodegenerative pathology of dementia or pre-dementia types. Homeless Patient

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Supported with intensive nursing follow<br>Supported with intensive nursing follow post hospitalization the team of hospital output of the unit to 12 weeks after discharge. These interviews will be conducted at the hospital, at home or by phone and their pace will be adjusted according to the patient's condition. The expected duration of close outpatient follow-up is of maximum 3 months. | Other: Supported with intensive nursing follow post hospitalization<br>* Intensive nursing follow post - hospitalization<br>|
| No Intervention: usual care<br>For control patients, monitoring will be identical to their usual care as part of their pathology. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change the suicidal rate of recurrence between patients with intensive nursing follow post - hospitalization and patients with usual care |  | Day 3rd, 6rd day, 3 weeks, 6 weeks and 12 week after emergency exit | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in the number of emergency hospitalization for suicidal crisis without acting out between patients with intensive nursing follow post - hospitalization and patients with usual care |  | Day 3rd, 6rd day, 3 weeks, 6 weeks and 12 week after emergency exit |