Clinical trial NCT03427190: Suicide Prevention Algorithm in the French Overseas Territories
Official title: Assessment of Preventive Efficacy of an Algorithm Taking Place After Suicide Attempts Among Attempters Admitted to Hospital in the French Overseas Territories
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Suicide Attempt
Keywords: Suicide
Suicide attempted
Secondary Prevention
Relapse prevention
Case Management
Intervention Study
Lead sponsor: University Hospital Center of Martinique
Sponsor class: OTHER
Collaborators: name: Centre Hospitalier de Monteran, Guadeloupe
name: Centre Hospitalier Universitaire de la Guadeloupe
name: Centre Hospitalier de Cayenne
name: Centre Hospitalier de Ouest Guyanais Franck Joly
name: Centre d Accueil Psychiatrique Ouest-Centre, La Réunion
name: Centre d Accueil d Urgences Médico Psychologique, La Réunion
name: Centre d Accueil Psychiatrique Nord, La Réunion
name: Etablissement Publique de Santé Mentale de la Réunion
First posted: 2018-02-09
Enrollment: 259
Sex: ALL
Minimum age (years): 16
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: In France, suicide behaviours are a major public health concern that triggered the creation in 2013 of a National Observatory of Suicide. In continental France, the "Algos" protocol was found to be effective for the prevention of suicide attempts reiterations. This protocol is based on a procedure that keeps telephone and postal contacts with the suicide attempter and allows, via an algorithm, to assess the risk of suicide attempt recurrence, in order to intervene if necessary. Nevertheless, Algos does not involve primary care health practitioners, who could add a substantial additional efficacy, especially if they intervene downstream and in supplement to Algos. In addition, this kind of protocol has never been evaluated in the French overseas territories.

Detailed description: Since (1) Algos was never implemented in the French overseas departments (FOD) and does not involve primary care practitioners (PCP), (2) the additional effect of PCP involvement over and beyond Algos alone in unknown, and (3) little research on suicide behaviours has been conducted in the FOD, this proposal has the following main aim: to assess the effectiveness and the efficacy of the intervention, in supplement and downstream to Algos, of a healthcare professional, on the recurrence of suicide attempts in the FOD; the healthcare professional will be the patient's general practitioner, whenever possible.

Eligibility criteria: Inclusion Criteria:

* Man or woman over 16 years of age
* Leaving the hospital within 15 days of the suicide attempt
* Giving (him/herself or his/her legal representative)an oral consent to participate in the study
* Having healthcare insurance
* Reachable by phone, with possibility of confidential conversation, and by mail
* Resident of Guadeloupe, French Guyana, Martinique, or Reunion Island
* Able to understand and speak French

Exclusion Criteria:

* Homeless person
* Disabled adult, person under judicial/court protection, legally incompetent adult
* Participant unable to understand the study protocol, its risks and side effects, or declining to participate

Primary outcomes:
measure: Existence of a suicide
timeFrame: 6 months
measure: Existence of a suicide
timeFrame: 13 months
Secondary outcomes:
measure: Number of suicide attempts
timeFrame: 6 and 13 months after hospital discharge
measure: Number of deaths by suicide
timeFrame: 6 and 13 months after hospital discharge
measure: Scores at the Hospital Anxiety and Depression Scale (HADS)
timeFrame: 6 and 13 months after hospital discharge
measure: Assessment of suicidal risk by the Sad Persons Scale and the Columbia Suicide Severity Rating Scale (C-SSRS).
timeFrame: 6 and 13 months after hospital discharge
Other outcomes:
Locations:
city: Cayenne
country: French Guiana
facility: CH de Cayenne
city: Saint-Laurent du Maroni
country: French Guiana
facility: CH Ouest Guyanais
city: Les Abymes
country: Guadeloupe
facility: CHU de Pointe à Pitre
city: Saint-claude
country: Guadeloupe
facility: CH de Monteran
city: Fort-de-France
country: Martinique
facility: CHU Martinique
city: Saint-Benoit
country: Réunion
facility: Etablissement Psychiatrique de Santé Mentale
city: Saint-denis
country: Réunion
facility: Centre d'Accueil Psychiatrique Nord
city: Saint-Paul
country: Réunion
facility: Centre d'Accueil Psychiatrique Ouest-Centre
city: Saint-Pierre
country: Réunion
facility: Centre d'Accueil d'Urgences Médico-Psychologique
Study officials:
affiliation: CHU de Martinique
name: JEHEL Louis, MD-PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2.