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

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

Detailed Description
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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.

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

Conditions
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Suicide, Attempted

Intervention / Treatment
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* Other: proactive psychosocial intervention by care managers
* Behavioral: case management


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants recruit adults who: Discharge from an emergency department of a teaching hospital after attempt suicide Aged above 18 years old Agree to provide written inform consent. Exclusion Criteria: Patients were too ill to be interviewed Patients have immediate and severe suicide risk.

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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No

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: case management<br> | Other: proactive psychosocial intervention by care managers<br>* 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.<br>Behavioral: case management<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| treatment adherence, defined as outpatient mental health clinic attendance |  | 6-month, and 12-month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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attempt, case manager, suicide, effectiveness