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Completed

NCT Number: NCT03043040

Prevention of Suicidal Behaviour With Telemedicine Techniques

This is a multicenter controlled intervention study that aims to assess the efficacy of a telephone follow-up program for the prevention of suicidal behavior in adults discharged from general hospitals after a suicide attempt.

The hypothesis is that the implementation of this program is associated with reduced rates of suicide reattempts in these patients and also with delayed reattempts in them.

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Key information

Conditions

Suicide, Attempted Behavior Behavioral Symptoms Self-Injurious Behavior Suicide

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Justification: Suicide is a global public health concern and is the leading cause of avoidable death in the Basque Country (Spain). The use of telemedicine techniques applied to high risk patients has shown to be useful in the prevention of suicide and suicidal behavior.

Objectives: To assess the efficacy of a telephone follow-up program for the prevention of suicidal behavior in patients who recently attempted suicide.

Design: This is a multicenter, prospective intervention study, non-randomized and with control group.

Method: A sample of adults discharged from 2 general hospitals after a suicide attempt are enrolled in a telephone follow-up program which is added to their usual treatment (TAU). The program consists of 5 short calls made by nurses during 6 months. The calls are intended to: 1) Assess the risk of suicide in that moment, 2) Improve patient's adherence to treatments, and 3) Provide general psychoeducation guidelines. The control group is composed of patients discharged from a third general hospital after a suicide attempt. These receive TAU but are not enrolled in the telephone follow-up.

Evaluation: All patients are followed during 12 months. Main outcome measures include the percentage of patients that make a second attempt and the average time to reattempt.

Patients sign and informed consent.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adult patients discharged from a General Hospital after a suicide attempt and who live in the same health sector as the hospital.
  • The suicide attempt must have been made within 24 hours prior to the appointment in the Emergency Service.

Exclusion criteria

  • Patient with severe cognitive difficulties and in general any self-injury in which the patient does not understand the meaning or potential consequences of such behavior.
  • Patients in which a regular telephone contact is not possible.
  • Patients in which the psychiatrist who evaluates the case deems inappropriate their inclusion.
  • Patients who remain hospitalized 6 months after the attempt.

Treatment and study plan

Telephone follow up

Behavioral

Already described in previous page

Treatment as Usual

Behavioral

Already described in previous page

Primary outcomes

  1. Percentage of participants in each group that make a second attempt

    Time frame: 0-12 months

    (Included in the title)

Secondary outcomes

  1. Average number of days from the first attempt to the second, in each group

    Time frame: 0-12 months

    (Included in the title)

  2. Mean number of reattempts in each group

    Time frame: 0-12 months

    (Included in the title)

  3. Percentage of participants in each group requiring hospitalization after the suicide attempt

    Time frame: 0-12 months

    (Included in the title)

Sponsors and collaborators

Lead sponsor

Osakidetza

Other

Collaborators

  • Eusko Jaurlaritza

Registry information

Official study title

Prevention of Suicidal Behaviour in High Risk Patients With Telemedicine Techniques

Important dates

Study start
2014
Primary completion
2017
Study completion
2017
First posted
Feb 3, 2017
Registry last updated
Apr 9, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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