Clinical trial NCT02855736: Positive Psychology in Suicidal Patients
Official title: Effectiveness of Positive Psychology in Suicidal Patients: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Suicidal Thoughts
Suicidal Crisis
Keywords: Suicidal inpatients
Positive Psychology
Gratitude
Psychological pain
Lead sponsor: University Hospital, Montpellier
Sponsor class: OTHER
First posted: 2016-08-04
Enrollment: 206
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: Suicide is a major health concern. Weeks following psychiatric admission are a highly suicide risk period for those having current suicidal ideation or attempt. Recently, a pilot study suggested the feasibility of positive psychology in patients in suicidal crisis. Notably, gratitude exercises suggested improvement in optimism and hopelessness, two dimensions associated to suicide. Moreover, gratitude has been associated to suicidal ideation and attempt, independently from depression. Thus, investigators want to conduct the first randomized controlled study in order to assess effectiveness of gratitude exercises (vs control task) in suicidal inpatients, on 1) psychological pain reduction 2) suicidal ideation, hopelessness, optimism, depressive symptomatology, and anxiety improvement.

Detailed description: Study design: monocentric randomized controlled study

Methods:

206 inpatients (Department of Emergency Psychiatry and Post Acute Care), between 18 and 65 years-old, having attempted suicide before hospitalisation or having current active suicidal ideation at the time of the psychiatric hospitalisation. Patients suffering from schizophrenia are excluded.

Randomization into two groups: Positive Psychology (i.e., gratitude journal) (n = 103) or Control Task (i.e., food journal) (n = 103), daily exercises during 7 days (in add-on from usual treatment).

Clinical assessment: 1) at baseline (the day before the intervention beginning) (V0); 2) short daily self-assessments (immediately before and after the exercise); 3) the day following the last day of the intervention (V1).

* V0 : socio-demographic data, treatments, psychopathology, suicidal ideation,depressive and anxious symptomatology, psychological pain, optimism, hopelessness.
* Daily self-assessments: psychological pain, optimism, hopelessness
* V1 : treatments suicidal ideation,depressive and anxious symptomatology, psychological pain, optimism, hopelessness, intervention satisfaction.

Eligibility criteria: Inclusion criteria:

* Being hospitalized for suicidal thoughts or suicide attempt (from less than a week)
* Having signed informed consent
* Be fluent in French
* Able to understand nature, aims and methodology of the study

Exclusion criteria:

* Lifetime history of schizophrenia according to the Diagnostic and Statistical Manual of Mental Disorders - V (DSM-V) criteria
* Current eating disorder according to DSM-V criteria
* Patient on protective measures (guardianship or trusteeship)
* Deprived of liberty subject (judicial or administrative decision)

Primary outcomes:
measure: Psychological pain reduction using a likert scale
timeFrame: At the inclusion and day 8 (the day after the end of the intervention)
Secondary outcomes:
measure: Psychological pain reduction using a likert scale
timeFrame: At day 1, 2, 3, 4, 5, 6, 7
measure: intensity of suicidal ideation
timeFrame: At the inclusion and day 8 (the day after the end of the intervention)
measure: Intensity of hopelessness
timeFrame: At the inclusion and day 8 (the day after the end of the intervention)
measure: Intensity of optimism
timeFrame: At the inclusion and day 8 (the day after the end of the intervention)
measure: Intensity of depressive symptoms using the Beck Depression Inventory (BDI)
timeFrame: Day 8 (the day after the end of the intervention)
measure: Intensity of anxious symptoms using the State Anxiety Inventory- State (SAI-State)
timeFrame: Day 8 (the day after the end of the intervention)
measure: Perceived usefulness of the intervention using a likert scale
timeFrame: Day 8 (the day after the end of the intervention)
measure: Intensity of suicidal ideation
timeFrame: At day 1, 2, 3,4 5, 6, 7
measure: Intensity of hopelessness
timeFrame: At day 1, 2, 3, 4, 5, 6, 7
measure: Intensity of optimism
timeFrame: At day 1, 2, 3, 4, 5, 6, 7
Other outcomes:
Locations:
city: Montpellier
country: France
state: Hérault
Study officials:
References: