Clinical trial NCT02963870: The Cognitive-behavioral Approach, Standard Plan Security on Relapse Suicidal Adolescents
Official title: Randomized Controlled Trial of the Effectiveness of the Cognitive-behavioral Approach, Standard Plan Security on Relapse Suicidal Adolescents
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Treatment of Suicidal Recidivism in Adolescents Population
Keywords: Cognitive behavioral
security plan
suicidal Recidivism in adolescents
Lead sponsor: Centre Hospitalier Universitaire, Amiens
Sponsor class: OTHER
First posted: 2016-11-15
Enrollment: 338
Sex: ALL
Minimum age (years): 12
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Occurrence of suicide attempt
timeFrame: 12 months
Secondary outcomes:
measure: Occurrence of relapse Suicide attempt
timeFrame: 6 months
measure: Observance
timeFrame: 6 months and 12 months
measure: coping strategies of the adolescent
timeFrame: 12 months
measure: Evolution of social support perceived by the teen evaluat
timeFrame: 12 months
Other outcomes:
Locations:
city: Amiens
country: France
facility: Chu Amiens Picardie
city: Caen
country: France
facility: CHU CAEN
city: Rouen
country: France
facility: Chu Charles Nicolle
Study officials:
affiliation: CHU amiens-Picardie
name: Jean-Marc GUILE, professor
role: STUDY_DIRECTOR
affiliation: CHP Philippe Pinel Amiens
name: LEGRAND, Doctor
role: PRINCIPAL_INVESTIGATOR
affiliation: University Hospital, Rouen
name: GERARDIN, Doctor
role: PRINCIPAL_INVESTIGATOR
affiliation: University Hospital, Caen
name: BALEYTE, Doctor
role: PRINCIPAL_INVESTIGATOR
affiliation: CH St-Quentin
name: Bernadette BAKHACHE, Doctor
role: PRINCIPAL_INVESTIGATOR
affiliation: EPSMD Aisne
name: Maud PERCQ, Doctor
role: PRINCIPAL_INVESTIGATOR
affiliation: CH Compiègne
name: VERVEL, Doctor
role: PRINCIPAL_INVESTIGATOR
References: