Effect of Telephone Follow-up on Repeated Suicide Attempt in Patients (EXBRAYAT)

Effect of Telephone Follow-up on Repeated Suicide Attempt in Patients Discharged From an Emergency Psychiatry Department: a Controlled Study

Attempted suicide is a major public health problem, and the efficacies of current postvention protocols vary. The investigators evaluated the effectiveness of telephone follow-up of patients referred to an emergency psychiatric unit for attempted suicide on any further attempt/s over the following year.

In a single-center, controlled study with intent to treat, they evaluated the efficacy of a protocol of telephone follow-up of patients at 8, 30, and 60 days after they had been treated for attempted suicide. For comparison, they evaluated as controls patients with similar social and demographic characteristics referred to their emergency psychiatric unit in the year prior to the study who did not receive telephone follow-up after their initial hospitalization. Data were analyzed using logistic regression.

Study Overview

• Status: Completed
• Conditions: Suicide, Attempted
• Intervention / Treatment: Behavioral: suicide attempt

Detailed Description

The importance of suicide and suicidal attempts recurrence is a major public health problem. Indeed, the suicide attempt is one of the most important predictors of suicide, as well as suicidal relapse is considered a suicide risk factor. It is therefore essential to establish the suicidal relapse prevention devices.

Moreover, the consensus conference on suicidal crisis (6) in particular stresses the importance of organizing continuity of care and foster a therapeutic alliance to avoid a break in continuity of care.

This study aims to evaluate the effectiveness of telephone Callback patients on suicide rate of recurrence at 6 months of suicidal gesture. A secondary objective is to assess and promote compliance.

Patients were included after a psychiatric interview following a suicide attempt in the North hospital's emergency unit no emergency hospitalization or indication in the interview before the release of the psychiatric emergency service. The interview provides an assessment of suicide risk and oral information about the protocol. A map showing the coordinates of the psychiatric emergency service and a reminder of the protocol is given. A consent form is signed. This protocol does not replace the usual care.

• Study Type: Observational
• Enrollment (Actual): 876

Contacts and Locations

Study Locations

• France
  • SAINt-ETIENNE, France, 42055
    • CHU Saint-Etienne

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Patients admitted to the Department of Emergency Psychiatry of CHU Saint-Etienne for suicide attempt

Description

Inclusion Criteria:

• Patient affiliated or entitled to a social security scheme
• Patient who have attempted suicide regardless of the medium
• Patient falling 4 psychiatric sectors covered by the CHU of Saint-Etienne
• Major and minor Patient (with parental permission)
• Patient for which there is no evidence of psychiatric hospitalization sector or clinic immediately after switching to the suicidal act

Exclusion Criteria:

• Homeless Patient
• Patients for whom Callback is not possible (no phone, incarceration ...)
• Patient who do not speak French
• Patient admitted sector or clinic following the psychiatric interview inclusion
• Patient Refusal
• Medical Reason
• Deleterious character of recontact by a doctor of the psychiatric emergency after passing the act

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Patients admitted of Psychiatry; Only patients who had a suicide attempt admitted to the Department of Emergency Psychiatry.	Behavioral: suicide attempt; suicide attempt : We evaluated the effectiveness of telephone follow-up of patients who had referred to an emergency psychiatric unit for attempted suicide on any further attempt/s over the following year.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Comparison of suicidal recurrence rate	Number of relapses of suicide attempts per patient over a period of 6 months.	6 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Assess the impact of the device on the number of deaths by suicide	Number of deaths by suicide	6 months

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Assess the impact on adherence to treatments	The rate of adherence to treatments	6 months
Measuring the time between the TS and the first recurrence	Time of recurrence compared to the suicide attempt	6 months

Collaborators and Investigators

• Sponsor: Centre Hospitalier Universitaire de Saint Etienne
• Collaborators: Groupement Régional de Santé Publique
• Investigators: Principal Investigator: Catherine Massoubre, PhD, CHU Saint-Etienne

Study record dates

Study Major Dates

• Study Start: January 1, 2010
• Primary Completion (Actual): December 1, 2010
• Study Completion (Actual): December 1, 2010

Study Registration Dates

• First Submitted: October 12, 2016
• First Submitted That Met QC Criteria: October 12, 2016
• First Posted (Estimate): October 13, 2016

Study Record Updates

• Last Update Posted (Estimate): October 14, 2016
• Last Update Submitted That Met QC Criteria: October 13, 2016
• Last Verified: October 1, 2016

More Information

Terms related to this study

• Keywords: follow-up; Emergency; nurse; phone; suicide attempts
• Additional Relevant MeSH Terms: Behavioral Symptoms; Self-Injurious Behavior; Suicide; Suicide, Attempted
• Other Study ID Numbers: 1008071; 2010-A00804-35 (Other Identifier: ANSM)