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Effect of Psychosocial Treatment by the Case Manager in Patients After a Suicide Attempt

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00664872
First Posted: April 23, 2008
Last Update Posted: January 9, 2014
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborator:
National Science Council, Taiwan
Information provided by (Responsible Party):
Shen-Ing,Liu, Mackay Memorial Hospital
  Purpose
The purpose of this study is to determine the case manager are effective in the treatment of suicide attempters.

Condition Intervention
Suicide, Attempted Other: proactive psychosocial intervention by care managers Behavioral: case management

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Effect of Proactive Psychosocial Treatment by the Case Manager in Patients After a Suicide Attempt: a Randomised Controlled Trial

Resource links provided by NLM:


Further study details as provided by Shen-Ing,Liu, Mackay Memorial Hospital:

Primary Outcome Measures:
  • treatment adherence, defined as outpatient mental health clinic attendance [ Time Frame: 6-month, and 12-month ]

Secondary Outcome Measures:
  • During follow-up periods (6-month, and 12-month), interventional group will have (1) less repeated suicide attempts (behavior) (2) less suicidal ideation, (3) lower depression score, (4) better patients' satisfaction with care [ Time Frame: 6-month, and 12-month ]

Enrollment: 147
Study Start Date: August 2007
Study Completion Date: July 2008
Primary Completion Date: January 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: case management Other: proactive psychosocial intervention by care managers
A case manager will be assigned to each of the participants in the intervention group. All case managers are psychologists. After discharge from the emergency department, the participants receive six sessions of proactive psychosocial intervention by their case manager over four months. Duration of each session is approximately 30 minutes. The intervention consists of telephone or face-to-face contacts with the case manager at scheduled intervals or when clinically necessary. If a patient declines medication therapy from the psychiatrist, case manager will provide psychotherapy using the model of cognitive-behavioural approach and problem-solving therapy. Case managers will receive backup and supervision by psychiatrist investigators and monthly supervision of therapy. Case managers will regularly monitor suicide risk, clinical status and provide follow-up.
Behavioral: case management

Detailed Description:
Compared with usual care, interventional group will (1) improve treatment attendance, (2) have less repeated suicide attempts in adults after a suicide attempts, and (3)have better patients' satisfaction with care.
  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Participants recruit adults who:

  1. Discharge from an emergency department of a teaching hospital after attempt suicide
  2. Aged above 18 years old
  3. Agree to provide written inform consent.

Exclusion Criteria:

  1. Patients were too ill to be interviewed
  2. Patients have immediate and severe suicide risk.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00664872


Locations
Taiwan
Mackay Memorial Hospital
Taipei, Taiwan, 251
Sponsors and Collaborators
Shen-Ing,Liu
National Science Council, Taiwan
Investigators
Principal Investigator: Shen-Ing Liu, MD.PHD Department of Psychiatry, Mackay Memorial Hospital
  More Information

Responsible Party: Shen-Ing,Liu, Attending Physician, Mackay Memorial Hospital
ClinicalTrials.gov Identifier: NCT00664872     History of Changes
Other Study ID Numbers: NSC96-2314-B195-011
First Submitted: April 18, 2008
First Posted: April 23, 2008
Last Update Posted: January 9, 2014
Last Verified: January 2014

Keywords provided by Shen-Ing,Liu, Mackay Memorial Hospital:
case manager
suicide
attempt
effectiveness

Additional relevant MeSH terms:
Suicide
Suicide, Attempted
Self-Injurious Behavior
Behavioral Symptoms