Mixed-method Evaluation of a Parental Psychoeducation Programme in a Suicide Risk Prevention Group (Pepps_Mix)

The number of emergency consultations for children and adolescents for suicidal ideation and suicide attempts has been rising steadily since 2010, and even more so since 2020. In addition, 30% of children and adolescents who have committed a suicidal act reoffend within the year.

Psycho-education programmes for patients have been shown to be effective in a large number of psychiatric pathologies. The programs of psychoeducation for the caregivers of these patients have them also shown their effectiveness, however to date there is no parental psychoeducation program group, for the prevention of the suicidal risk of children and adolescents, which is validated. The service of child psychiatry at the Robert Debré hospital built a program for this purpose, according to current data from the science and has been offering it for 6 months to parents of patients who consulted for suicidal ideation. Rate this program through the description of its implementation would allow it to be validated, this in a dissemination objective. This validation through a mixed method would also allow us to describe the experience participants in this program and to understand improvements Track.

Study Overview

• Status: Recruiting
• Conditions: Suicide Prevention
• Intervention / Treatment: Behavioral: Self-questionnaire WHOQOL-bref; Behavioral: Self-questionnaire Evaluation Inventory - Parent; Behavioral: quiz of knowledge; Behavioral: semi-structured interviews (qualitative)

Detailed Description

Implementation study: non-randomized, single-center, quasi-experimental study before - after for the evaluation criteria of intermediate effectiveness (effectiveness). Study mixed qualitative-quantitative method for the evaluation of several judgment criteria.

The main objectives is to Evaluate the implementation of a parental psychoeducation program in a group of suicide prevention through parental support for the entire program.

The secondary objectives are to evaluate:

• reaching the target population (Reach)
• the intermediate effectiveness of the program
• the adoption of the program by health professionals
• the implementation on other dimensions
• the sustainability of the program

• Study Type: Observational
• Enrollment (Estimated): 40

Contacts and Locations

• Study Contact: Name: Vincent Trebossen, Dr; Phone Number: +33 0140034146; Email: vincent.trebossen@aphp.fr

Study Locations

• France
  • Ile De France
    • Paris, Ile De France, France, 75019
      • Recruiting
      • Robert Debré Hospital, Child and adolescent psychiatry department
      • Contact: Vincent Trebossen, Dr; Phone Number: +33 0140034146; Email: vincent.trebossen@aphp.fr

Participation Criteria

Eligibility Criteria

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

• Sampling Method: Non-Probability Sample

Study Population

Parents of a child under 15 years 6 months old urgently consulted at the Robert Debré hospital for ideas suicidal or attempted suicide

Description

Inclusion Criteria:

• Parent committing to participate in the 4 sessions of the parental psychoeducation prevention program suicide risk (PEPPS program)
• Parents of children under 15 years and 6 months
• Parents fluent in French

Exclusion Criteria:

• Lack of affiliation with a social security scheme or CMU (universal health coverage)
• Parents under guardianship or curatorship

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
All of the participants; Parents participate in the PEPPS program (Parental psychoeducation program for suicide risk prevention) This is a group family psychoeducation program for parents child under 15 years 6 months having been urgently assessed at Robert University Hospital discharged for suicidal ideation or attempted suicide. This program is built according to a global model based on: A support program for parents of Resourceful adolescents: parent of adolescents support program not specific to the theme of suicidal risk taking place in 3 to 4 sessions of 2 hours.; The global program of the Suicide Prevention Intervention Center at the Children Hospital of Philadelphia which offers a multi-family group intervention (parents and children).; The recommendations of the High Authority of Health which recommend an intervention psychoeducation type.	Behavioral: Self-questionnaire WHOQOL-bref; Parents must complete the self-questionnaire WHOQOL-bref after the first and the last session of the Pepps program.; Behavioral: Self-questionnaire Evaluation Inventory - Parent; Parents must complete the self-questionnaire Evaluation Inventory - Parent after the last session of the Pepps program.; Behavioral: quiz of knowledge; Parents must complete the quiz of knowledge after the first and the last session of the Pepps program.
Participants - qualitative interview; Semi-structured interviews (qualitative) will be carried out with parents who have followed either all or part of the sessions of the band. The parents interviewed will be chosen based on the wealth of information they will be likely to contribute to the study.The sampling method will follow the "snowball" model, described by Kathy Charmaz. According to this, the characteristics of new participants will be determined according to the results of the analysis of the first interviews until data saturation. We will conclude with the latter when no new information emerges from the data collection.	Behavioral: Self-questionnaire WHOQOL-bref; Parents must complete the self-questionnaire WHOQOL-bref after the first and the last session of the Pepps program.; Behavioral: Self-questionnaire Evaluation Inventory - Parent; Parents must complete the self-questionnaire Evaluation Inventory - Parent after the last session of the Pepps program.; Behavioral: quiz of knowledge; Parents must complete the quiz of knowledge after the first and the last session of the Pepps program.; Behavioral: semi-structured interviews (qualitative); In the month following the last session of the program, the semi-structured interviews (qualitative) will be carried out with parents who have followed either all or part of the sessions of the band.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
implementation of a program parental psychoeducation in prevention groups suicide (program PEPPS).	program membership = Number of parents who have been present at the 4 sessions / Number of parents included (having agreed to participate in the program)	Week 5

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
reaching the target population	number of parents to whom the program has been proposed / number of parents having had a child having consulted for suicidal ideation	Week 5
Intermediate program effectiveness by comparison of levels of parents' responses between the start of program and the end of the last session of the program	level of knowledge about suicidal behavior: degree of certainty a knowledge quiz built for the program	Week 5
Intermediate program effectiveness by comparison of levels of parents' responses between the start of program and the end of the last session of the program	parents' quality of life: score WHOQOL-BREF scale	Week 5
adoption of the program by health professionals	number of emergency professionals offering program for parents / number of emergency professionals treating children having consulted for suicidal ideation	Week 5
Implementation on other dimensions	Number of parents participating in at least a session	Week 5
Implementation on other dimensions	Satisfaction of participating parents: Parent Evaluation self-questionnaire Inventory-Parent Treatment	Week 5
Implementation on other dimensions	Describe the parents' experience participant in the PEPPS program: analysis qualitative (interview)	Week 5
sustainability of the program (Maintenance): Interview	Identify the brakes and levers implementation of the program, in order to identify avenues for improvement and dissemination of psychoeducation program: analysis qualitative	Week 9

Collaborators and Investigators

• Sponsor: Assistance Publique - Hôpitaux de Paris

Study record dates

Study Major Dates

• Study Start (Actual): May 23, 2024
• Primary Completion (Estimated): June 30, 2025
• Study Completion (Estimated): July 31, 2025

Study Registration Dates

• First Submitted: July 4, 2024
• First Submitted That Met QC Criteria: August 26, 2024
• First Posted (Actual): August 28, 2024

Study Record Updates

• Last Update Posted (Actual): August 28, 2024
• Last Update Submitted That Met QC Criteria: August 26, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Behavioral Symptoms; Self-Injurious Behavior; Suicide; Suicide Prevention
• Other Study ID Numbers: APHP231318

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No