Short Message System (SMS) Monitoring Intended for the Suicidal Patients

Short Message System (SMS) Monitoring Intended for the Suicidal Patients: Study of Efficiency

The study wants to prove that SMS monitoring reduced the number of suicide attempts in six months according to the beginning of its implementation in the group of the patients benefiting SMS compared with the group of patients benefiting from the usual care.

Study Overview

• Status: Completed
• Conditions: Patients Having Realized a Suicide Attempt
• Intervention / Treatment: Device: SMS contact with patient after discharge in intervention group

• Study Type: Interventional
• Enrollment (Actual): 530
• Phase: Phase 3

Contacts and Locations

Study Locations

• France
  • Angers, France
    • CHU Angers
  • Brest, France, 29609
    • CHRU de Brest
  • Caen, France
    • CHU Caen
  • Lille, France
    • CHRU Lille
  • Lyon, France
    • CHU de Lyon
  • Nantes, France
    • CHU Nantes
  • Quimperlé, France
    • CH Quimperlé
  • Rennes, France
    • Chu Rennes
  • Saint Etienne, France, 42055
    • CHU de Saint-Etienne, Hôpital Nord
  • St Malo, France, 35403
    • CH St Malo
  • St Nazaire, France
    • CHU St Nazaire
  • Tours, France
    • CHU Tours
  • Vannes, France
    • CH Vannes

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Written informed consent
• Surviving a suicide attempt
• Leaving directly the emergency department or hospitalized less than 7 days
• Being able to be joined by telephone mobile

Exclusion Criteria:

• under guardianship
• Patient who are not able to provide a consent

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: SMS; The patients of the test group receive a first SMS 48 hours after their discharge from the hospital then a total of 10 messages distributed over six months: 48 hours, S1, S2, M1, M2, M3, M4, M5, M6 and M13.	Device: SMS contact with patient after discharge in intervention group
No Intervention: Without SMS; The patients of the group benefit from the usual care.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Number of suicide reattempts in every group	6 months

Secondary Outcome Measures

Outcome Measure	Time Frame
Number of suicide reattempts in every group	13 months
Total number of suicidal second recurrences in every group	6 months
Total number of suicidal second recurrences in every group	13 months
Number of deaths by suicide	6 months and 13 months
Score in the scale C-SSRS	inclusion, 6 months and 13 months
Presence of a disorder in the MINI: characterization of the comorbidity	6 months and 13 months

Collaborators and Investigators

• Sponsor: University Hospital, Brest
• Collaborators: Technopôle Brest-Iroise: LANESTEL SARL, 38 rue Jim Sevellec, 29200 Brest

Publications and helpful links

General Publications

• Berrouiguet S, Alavi Z, Vaiva G, Courtet P, Baca-Garcia E, Vidailhet P, Gravey M, Guillodo E, Brandt S, Walter M. SIAM (Suicide intervention assisted by messages): the development of a post-acute crisis text messaging outreach for suicide prevention. BMC Psychiatry. 2014 Nov 18;14:294. doi: 10.1186/s12888-014-0294-8.
• 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.
• Berrouiguet S, Larsen ME, Mesmeur C, Gravey M, Billot R, Walter M; HUGOPSY Network; Lemey C, Lenca P. Toward mHealth Brief Contact Interventions in Suicide Prevention: Case Series From the Suicide Intervention Assisted by Messages (SIAM) Randomized Controlled Trial. JMIR Mhealth Uhealth. 2018 Jan 10;6(1):e8. doi: 10.2196/mhealth.7780.

Study record dates

Study Major Dates

• Study Start (Actual): August 20, 2014
• Primary Completion (Actual): March 22, 2019
• Study Completion (Actual): March 22, 2019

Study Registration Dates

• First Submitted: April 4, 2014
• First Submitted That Met QC Criteria: April 4, 2014
• First Posted (Estimated): April 8, 2014

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 22, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Keywords: suicide attempt, SMS monitoring, recurrence, phone, prevention control, tertiary healthcare
• Additional Relevant MeSH Terms: Behavioral Symptoms; Self-Injurious Behavior; Suicide; Suicide, Attempted
• Other Study ID Numbers: SIAM; RB 13-068 [CHRU Brest]