IMTAP : Impact of the Suicide Attempt on the Nearly Entourage in Term of Traumatic Stress and Medico-economic Impact (IMTAP)

Impact of the Suicide Attempt on the Close Entourage: Traumatic Stress and Medico-economic Concerns, in Medium and Long Term

With 11.000 deaths and 150.000 attempts each year in France, the suicide represents an important public health problem. For each death by suicide, one can count 6 "direct" bereaved people and 20 people in more indirect connection with this mourning (Terra 2001). In term of impact, there is thus 300.000 people (annually) touched by the deaths by suicide and 3.750.000 people (annually) touched by the "suicide attempt" of a close relative. It seems indeed important to have Public Health data on this cascade repercussion of the suicide attempt.

A suicide attempt propagates a suffering cascade on the various circles of the family and close entourage, which can be measured in term of traumatic stress and medico-economic impact.

Objective = To measure the medico-economic impact on the entourage, in the 3 months following the suicide attempt and at 1 year.

Study Overview

• Status: Completed
• Conditions: Suicide, Attempted; Relatives

Detailed Description

Secondary objectives = To measure the impact of the suicide attempt in traumatic term of stress on the close relatives of committing suicide confronted with the suicidal scene To compare the evolution of consumption of care of the close relatives and of committing suicide To measure the evolution of the general health condition of the close relatives and of committing suicide

The study participants (committing suicide it and the relatives) will be recontacted by telephone, after 3 months and to 1 year.

Consumption of care (number of consultations, drugs consumption) of the population of the close relatives of committing suicide will be compared with the data of the Research Institute and Documentation in Economy of Health (IRDES) on the French population (sample of 20.000 people, representative of 95% of the French households).

• Study Type: Observational
• Enrollment (Actual): 372

Contacts and Locations

Study Locations

• France
  • Angers, France
    • University Hospital, Angers
  • Brest, France
    • University Hospital, Brest
  • Caen, France
    • University Hospital, Caen
  • Clermont-Ferrand, France
    • University Hospital, Clermont-Ferrand
  • Lille, France
    • University Hospital, Lille
  • Limoges, France
    • University Hospital, Limoges
  • Lyon, France
    • Le Vinatier Hospital
  • Nancy, France
    • University Hospital, Nancy
  • Nice, France
    • University Hospital, Nice
  • Paris, France
    • Tenon Hospital, Paris
  • Quimper, France
    • General Hospital, Quimper
  • Tourcoing, France
    • EPSM Lille Metropole

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

500 families; 500 committing suicide and approximately 900 close relatives.

Description

Inclusion Criteria for Suicide attempter :

• Men or women
• Older than 18 years
• Survivor with an suicide attempt going back to less than 15 days

Inclusion Criteria for close relations of committing suicide :

• Men or women
• age more than 18 years
• Members of the entourage of committing suicide
• Living under the same roof as committing suicide it

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort
Suicide attempter and its entourage; Suicide attempter and its close relatives (who are living under the same roof) Comparison of the population of the close relations of committing suicide with the data of the Research Institute and Documentation in Economy of Health (IRDES) on the French population (sample of 20.000 people, representative of 95% of the French households).

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Consumption of care in the close relatives of a suicide attempter	Consumption of care in the close relatives of a suicide attempter, at the various stages of evaluation, compared with a matched sample in general population (data IRDES). One will be able to thus evaluate not only if the consumption of the close relatives is higher than the average, but still if this difference increases or on the contrary decreases during time.	one year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Psychological level of distress	Psychological level of distress in the close relatives	one year
Links between consumption of care and psychological level of distress	Links between consumption of care and psychological level of distress	one year
Prevalence of the post-traumatic stress disorder	Post-traumatic stress disorder at 3 months and one year, as evaluated by the PTSD Check List Symptoms among members of the entourage having been exposed to the scene of the suicide attempt. Comparison of prevalence of the post-traumatic disorder of stress compared to the index of lethality of the suicide attempt index.	one year
Evolution of consumption of care	Evolution of consumption of care at committing suicide compared to the remainder of the household and the general population	one year

Collaborators and Investigators

• Sponsor: University Hospital, Lille
• Investigators: Principal Investigator: Guillaume VAIVA, University Hospital, Lille

Study record dates

Study Major Dates

• Study Start: March 1, 2006
• Primary Completion (Actual): September 1, 2010
• Study Completion (Actual): September 1, 2010

Study Registration Dates

• First Submitted: October 1, 2010
• First Submitted That Met QC Criteria: October 1, 2010
• First Posted (Estimate): October 4, 2010

Study Record Updates

• Last Update Posted (Estimate): October 25, 2011
• Last Update Submitted That Met QC Criteria: October 24, 2011
• Last Verified: July 1, 2011

More Information

Terms related to this study

• Keywords: Suicide
• Additional Relevant MeSH Terms: Behavioral Symptoms; Self-Injurious Behavior; Suicide; Suicide, Attempted
• Other Study ID Numbers: DGS 2006/0116; PHRC 2005/1917 (Other Identifier: DHOS); 2006/0603 (Other Identifier: Sponsor)