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

January 8, 2014 updated by: Shen-Ing,Liu

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

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

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

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.

Study Type

Interventional

Enrollment (Actual)

147

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Taiwan
      • Taipei, Taiwan, 251
        • Mackay Memorial Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

Participants recruit adults who:

  1. Discharge from an emergency department of a teaching hospital after attempt suicide
  2. Aged above 18 years old
  3. Agree to provide written inform consent.

Exclusion Criteria:

  1. Patients were too ill to be interviewed
  2. Patients have immediate and severe suicide risk.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: case management
Other: proactive psychosocial intervention by care managers
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.
Behavioral: case management

What is the study measuring?

Primary Outcome Measures

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

Secondary Outcome Measures

Outcome Measure
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
Time Frame: 6-month, and 12-month
6-month, and 12-month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Shen-Ing,Liu

Collaborators

National Science Council, Taiwan

Investigators

  • Principal Investigator: Shen-Ing Liu, MD.PHD, Department of Psychiatry, Mackay Memorial Hospital

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

August 1, 2007

Primary Completion (Actual)

January 1, 2008

Study Completion (Actual)

July 1, 2008

Study Registration Dates

First Submitted

April 18, 2008

First Submitted That Met QC Criteria

April 22, 2008

First Posted (Estimate)

April 23, 2008

Study Record Updates

Last Update Posted (Estimate)

January 9, 2014

Last Update Submitted That Met QC Criteria

January 8, 2014

Last Verified

January 1, 2014

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • NSC96-2314-B195-011

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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