IMTAP : Impact of the Suicide Attempt on the Nearly Entourage in Term of Traumatic Stress and Medico-economic Impact

Study Overview
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Brief Summary
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With 11.000 deaths and 150.000 attempts each year in France, the suicide represents an important public health problem. For each death by suicide, one can count 6 direct bereaved people and 20 people in more indirect connection with this mourning (Terra 2001). In term of impact, there is thus 300.000 people (annually) touched by the deaths by suicide and 3.750.000 people (annually) touched by the suicide attempt of a close relative. It seems indeed important to have Public Health data on this cascade repercussion of the suicide attempt. A suicide attempt propagates a suffering cascade on the various circles of the family and close entourage, which can be measured in term of traumatic stress and medico-economic impact. Objective = To measure the medico-economic impact on the entourage, in the 3 months following the suicide attempt and at 1 year.

Detailed Description
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Secondary objectives = To measure the impact of the suicide attempt in traumatic term of stress on the close relatives of committing suicide confronted with the suicidal scene To compare the evolution of consumption of care of the close relatives and of committing suicide To measure the evolution of the general health condition of the close relatives and of committing suicide The study participants (committing suicide it and the relatives) will be recontacted by telephone, after 3 months and to 1 year. Consumption of care (number of consultations, drugs consumption) of the population of the close relatives of committing suicide will be compared with the data of the Research Institute and Documentation in Economy of Health (IRDES) on the French population (sample of 20.000 people, representative of 95% of the French households).

Official Title
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Impact of the Suicide Attempt on the Close Entourage: Traumatic Stress and Medico-economic Concerns, in Medium and Long Term

Conditions
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Suicide, Attempted, Relatives

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria for Suicide attempter : Men or women Older than 18 years Survivor with an suicide attempt going back to less than 15 days Inclusion Criteria for close relations of committing suicide : Men or women age more than 18 years Members of the entourage of committing suicide Living under the same roof as committing suicide it

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Suicide attempter and its entourage<br>Suicide attempter and its close relatives (who are living under the same roof) Comparison of the population of the close relations of committing suicide with the data of the Research Institute and Documentation in Economy of Health (IRDES) on the French population (sample of 20.000 people, representative of 95% of the French households). | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Consumption of care in the close relatives of a suicide attempter | Consumption of care in the close relatives of a suicide attempter, at the various stages of evaluation, compared with a matched sample in general population (data IRDES). One will be able to thus evaluate not only if the consumption of the close relatives is higher than the average, but still if this difference increases or on the contrary decreases during time. | one year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Psychological level of distress | Psychological level of distress in the close relatives | one year | 
| Links between consumption of care and psychological level of distress | Links between consumption of care and psychological level of distress | one year | 
| Prevalence of the post-traumatic stress disorder | Post-traumatic stress disorder at 3 months and one year, as evaluated by the PTSD Check List Symptoms among members of the entourage having been exposed to the scene of the suicide attempt. Comparison of prevalence of the post-traumatic disorder of stress compared to the index of lethality of the suicide attempt index. | one year | 
| Evolution of consumption of care | Evolution of consumption of care at committing suicide compared to the remainder of the household and the general population | one year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Suicide