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Randomized Controlled and Prospective Trial of a Cohort of People Who Made a Suicide Attempt (OSTA)

2013年4月10日 更新者：Assistance Publique - Hôpitaux de Paris

Effectiveness of Telephone Contact and Professional Coordination for Preventing Recurrent Suicidal Acts

The prevention of recurrent suicidal about people who have made a suicide attempt is a major strand in the prevention of suicide. It is estimated that 10-15 % of people who made a suicide attempt die by suicide. Recidivism rate of suicide increases even faster than the subject is close to the index suicide attempt. A one month recurrence rate is 5 %, 12-25 % at one year. Most people who made a suicide attempt receive ambulatory monitoring. On this population, there is a low adherence to care.

The main objective of the study is to test the effectiveness of a prevention program of recurrent suicidal acts for people who made a suicide attempt.

The secondary objectives of this study are the assessment of adherence to care; the identification of sub - populations benefiting most from this program; the evaluation of the possible generalization level of the program (eligibles persons rate) and its feasibility level.

研究概览

地位

完全的

条件

干预/治疗

详细说明

This is a randomized, controlled and prospective trial comparing an experimental group (usual treatment + interventions) to a control group (usual treatment only). All participants are evaluated after one year of monitoring. The search duration is 2 years (one inclusion year and one year of follow-up). It is planned to include 330 patients, 165 patients in each group.

The program (experimental group) includes three interventions:

  • A series of three telephone calls ( the second week , one month and three months after discharge from hospital )
  • A systematic telephone contact with the referring physician
  • A telephone helpline for people who made a suicide attempt and referring physicians.

研究类型

介入性

注册 (实际的)

320

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 法国
      • Le Kremlin Bicetre、法国、94275
        • Assistance Publique - Hôpitaux de Paris : BICETRE Hospital

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

  • Adults ≥ 18 years.
  • Patients admitted to the emergency department for a suicide attempt.
  • Patients referred to outpatient care.
  • Patients who have given their written consent.

Exclusion Criteria:

  • Patients not affiliated to social security.
  • Patients do not have the faculties needed to be evaluated (cognitive or delusional disorder).
  • Patients hospitalized for longer than 72 hours.
  • Patients can not be recalled by phone (no phone, homeless, incarcerated)
  • Patients who do not speak French.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：预防
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：无（打开标签）

武器和干预

参与者组/臂
干预/治疗
实验性的：Interventional group
Usual treatment + prevention program of recurrent suicidal acts
其他：Usual treatment and Prevention program

Prevention program of recurrent suicidal acts includes three interventions:

  • A series of three telephone calls ( the second week , one month and three months after discharge from hospital )
  • A systematic telephone contact with the referring physician
  • A telephone helpline for people who made a suicide attempt and referring physicians.
其他名称：
  • Prevention program
有源比较器：Control group
Usual treatment
其他：Usual Treatment
Usual Treatment

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
suicidal act frequency
大体时间：12 months
The primary endpoint is the occurrence of a suicidal act (occurrence or not). The suicidal act includes suicide and suicide attempt.
12 months

次要结果测量

结果测量
措施说明
大体时间
suicide attempts frequency
大体时间：12 months
Number of occurrence of suicide attempts.
12 months
Adherence to health care
大体时间：12 months

Adherence to health care:

Defined by:

  • The Initialization of outpatient care proposed by the suicidology's team at the initial interview or during telephone contacts.
  • The number of consultations within 3 months after the first appointment with the referring doctor.
12 months
Number of eligibles persons
大体时间：12 months

Number of eligibles persons:

Number of people (among all people admitted to the emergency department fo a suicide attempt) meeting the criteria of selection.
12 months
Number of participants responding to telephone calls
大体时间：12 months

Number of participants responding to telephone calls:

We consider the failure to call after three unsuccessful telephone calls to three different days.
12 months
Number of people lost sight of
大体时间：12 months

Number of people lost sight of:

A person is considered lost sight if no information can be obtained after contact with the person himself, a third (nearest designated), a doctor (general practitioner and / or psychiatrist) and the nearest emergency department.
12 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Assistance Publique - Hôpitaux de Paris

调查人员

  • 首席研究员：Arnaud MARCHAND, MD、Assistance Publique - Hôpitaux de Paris

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始

2009年10月1日

初级完成 (实际的)

2012年11月1日

研究完成 (实际的)

2012年11月1日

研究注册日期

首次提交

2010年8月5日

首先提交符合 QC 标准的

2010年8月5日

首次发布 (估计)

2010年8月6日

研究记录更新

最后更新发布 (估计)

2013年4月11日

上次提交的符合 QC 标准的更新

2013年4月10日

最后验证

2013年4月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • OST08017

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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