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

This study has been completed.
National Science Council, Taiwan
Information provided by (Responsible Party):
Shen-Ing,Liu, Mackay Memorial Hospital
ClinicalTrials.gov Identifier:
First received: April 18, 2008
Last updated: January 8, 2014
Last verified: January 2014
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
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (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 Mackay Memorial Hospital:

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

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 ] [ Designated as safety issue: Yes ]

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.

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

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.
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Please refer to this study by its ClinicalTrials.gov identifier: NCT00664872

Mackay Memorial Hospital
Taipei, Taiwan, 251
Sponsors and Collaborators
National Science Council, Taiwan
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 
Study First Received: April 18, 2008
Last Updated: January 8, 2014
Health Authority: Taiwan: Department of Health

Keywords provided by Mackay Memorial Hospital:
case manager

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

ClinicalTrials.gov processed this record on May 04, 2016