The Cognitive-behavioral Approach, Standard Plan Security on Relapse Suicidal Adolescents

Study Overview
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Brief Summary
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The recommendation for the treatment of suicidal adolescents, Cognitive Behavioral Therapy (CBT) targeted new generation offer effective approaches to suicidal crisis and relapse prevention

Detailed Description
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The recommendation for the treatment of suicidal adolescents, Cognitive Behavioral Therapy (CBT) targeted new generation offer effective approaches to suicidal crisis and relapse prevention. Since 2009, our team is engaged in a partnership between France and Quebec Interuniversity agreement concluded by a University Picardie Jules Verne-University of Montreal. In this context, two teams G4 (Amiens and Rouen) have received training in suicidal crisis, including the security plan by a university instructor and TCC Québec, Dr. Labelle. Furthermore, we complete a descriptive and prospective study of risk and protective factors for adolescent suicide in which the Quebec team of Professor Labelle contributes as an expert (sponsor: Rouen). 200 subjects were recruited on 2 years by 3 (CHU Amiens, CH Compiègne, CHU Rouen) with an assessment of recurrence at 1 year (lost rates of view = 15%). The first results highlight the central role of personal coping strategies (coping) in suicidal recurrence. We want extend this study to validate the implementation of the security plan (safety level) with suicidal adolescents. The security plan is the initial step of the TCC approach short of suicidal crisis. It is established after working with adolescents and their families (chain analysis of the suicidal crisis, coping self-evaluation and identification of support resources). Developed by Stanley B from Columbia University and adapted for francophone adolescents R Labelle and JJ Breton wrote this list those resources and coping strategies to apply in case ideation and suicidal crisis. Signed by the young person and his family, he then uses to frame the monitoring and management plan of the youth and his family environment, friendly and professional in case of suicidal crisis.

Official Title
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Randomized Controlled Trial of the Effectiveness of the Cognitive-behavioral Approach, Standard Plan Security on Relapse Suicidal Adolescents

Conditions
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Treatment of Suicidal Recidivism in Adolescents Population

Intervention / Treatment
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* Other: Security Plan


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adolescents between 12 and 17, boys and girls, hospitalized for attempted suicide Adolescents whose parents gave informed consent and who themselves expressed their willingness to participate in research. Patients covered by the social insurance system Exclusion Criteria: Clinical situations with self-injury without suicidal intent or suicide attempt mental disorders significantly impair the self-assessment questionnaire capacities: Intellectual disability, autism spectrum disorder, acute psychotic state and, psychopathy (including assessment questionnaire Frick) and the active use of alcohol and toxic (DEP teen> 20) have benefited a security plan before the study adolescents deprived of liberty.

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 17 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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: security plan<br>groups of adolescents aged 12-17 hospitalized for TS and randomized to a group treated with security plan and the usual treatment | Other: Security Plan<br>* This study compared two groups of adolescents aged 12-17 hospitalized for TS and randomized to a group treated with the Security Plan plus the usual treatment and a group receiving standard treatment only.<br>|
| Active Comparator: standard treatment only.<br>group receiving standard treatment only. | Other: Security Plan<br>* This study compared two groups of adolescents aged 12-17 hospitalized for TS and randomized to a group treated with the Security Plan plus the usual treatment and a group receiving standard treatment only.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Occurrence of suicide attempt | Occurrence of suicide attempt recurrence (documented by CNRS) during the year following randomization. | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Occurrence of relapse Suicide attempt | Occurrence of relapse Suicide attempt within 6 months of randomization. | 6 months | 
| Observance | Observance at 6 months and 1 year using the categories used in the Giraud study | 6 months and 12 months | 
| coping strategies of the adolescent | Compare at 1 year the evolution of coping strategies of the adolescent assessed by changes in coping scores assessed by self-questionnaire Friedenberg (ACS) from randomization to 1 year later. | 12 months | 
| Evolution of social support perceived by the teen evaluat | Compare at 1 year evolution of social support perceived by the teen evaluated by varying the scores of self-questionnaire Sarason (SSQ6) from randomization to 1 year later. | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cognitive behavioral, security plan, suicidal Recidivism in adolescents