Skip to main content
OpenTrials
Completed

NCT Number: NCT03427190

Suicide Prevention Algorithm in the French Overseas Territories

In France, suicide behaviours are a major public health concern that triggered the creation in 2013 of a National Observatory of Suicide. In continental France, the "Algos" protocol was found to be effective for the prevention of suicide attempts reiterations. This protocol is based on a procedure that keeps telephone and postal contacts with the suicide attempter and allows, via an algorithm, to assess the risk of suicide attempt recurrence, in order to intervene if necessary. Nevertheless, Algos does not involve primary care health practitioners, who could add a substantial additional efficacy, especially if they intervene downstream and in supplement to Algos. In addition, this kind of protocol has never been evaluated in the French overseas territories.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Suicide Attempt Behavior Behavioral Symptoms Self-Injurious Behavior Suicide Suicide, Attempted

Age range

16 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

CH de Cayenne, Cayenne, French Guiana

Loading trial locations.

About this study

Since (1) Algos was never implemented in the French overseas departments (FOD) and does not involve primary care practitioners (PCP), (2) the additional effect of PCP involvement over and beyond Algos alone in unknown, and (3) little research on suicide behaviours has been conducted in the FOD, this proposal has the following main aim: to assess the effectiveness and the efficacy of the intervention, in supplement and downstream to Algos, of a healthcare professional, on the recurrence of suicide attempts in the FOD; the healthcare professional will be the patient's general practitioner, whenever possible.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Man or woman over 16 years of age
  • Leaving the hospital within 15 days of the suicide attempt
  • Giving (him/herself or his/her legal representative)an oral consent to participate in the study
  • Having healthcare insurance
  • Reachable by phone, with possibility of confidential conversation, and by mail
  • Resident of Guadeloupe, French Guyana, Martinique, or Reunion Island
  • Able to understand and speak French

Exclusion criteria

  • Homeless person
  • Disabled adult, person under judicial/court protection, legally incompetent adult
  • Participant unable to understand the study protocol, its risks and side effects, or declining to participate

Treatment and study plan

APSOM vs Control

Other

In complement to actions described in the control arm, the patient's general practitioner (GP) and the patient him/herself will be contacted within 21 days of hospital discharge in order to organize an appointment between them two; this consultation is expected to take place between day 22 and day 45 after hospital discharge. If the patient does not have a GP, a health-care professional (HCP) will be provided. .GP (or HCP) will also be contacted at 6 and 13 months.

Primary outcomes

  1. Existence of a suicide

    Time frame: 6 months

    Reiteration of suicidal attempt after hospital discharge

  2. Existence of a suicide

    Time frame: 13 months

    Reiteration of suicidal attempt after hospital discharge

Secondary outcomes

  1. Number of suicide attempts

    Time frame: 6 and 13 months after hospital discharge

    To know total number of suicide

  2. Number of deaths by suicide

    Time frame: 6 and 13 months after hospital discharge

    To know number of deaths by suicide

  3. Scores at the Hospital Anxiety and Depression Scale (HADS)

    Time frame: 6 and 13 months after hospital discharge

    Pass the scale HADS

  4. Assessment of suicidal risk by the Sad Persons Scale and the Columbia Suicide Severity Rating Scale (C-SSRS).

    Time frame: 6 and 13 months after hospital discharge

    Pass the scale Columbia

Sponsors and collaborators

Lead sponsor

University Hospital Center of Martinique

Other

Collaborators

  • Centre Hospitalier Universitaire de la Guadeloupe
  • Centre Hospitalier de Cayenne
  • Centre Hospitalier de Monteran, Guadeloupe
  • Centre Hospitalier de Ouest Guyanais Franck Joly
  • Centre d Accueil Psychiatrique Nord, La Réunion
  • Centre d Accueil Psychiatrique Ouest-Centre, La Réunion
  • Centre d Accueil d Urgences Médico Psychologique, La Réunion
  • Etablissement Publique de Santé Mentale de la Réunion

Registry information

Official study title

Assessment of Preventive Efficacy of an Algorithm Taking Place After Suicide Attempts Among Attempters Admitted to Hospital in the French Overseas Territories

Acronym: APSOM

Important dates

Study start
2017
Primary completion
2019
Study completion
2020
First posted
Feb 9, 2018
Registry last updated
Jan 28, 2021

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.

Related clinical trials

Published trials that share one or more normalized conditions with this study.