Protective Factors Against Elderly Suicide (ProFAES)
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|ClinicalTrials.gov Identifier: NCT03162744|
Recruitment Status : Recruiting
First Posted : May 22, 2017
Last Update Posted : March 1, 2018
Suicidal intentionality is generally stronger among the elderly, suicidal acts are more violent and are combined with a greater physical fragility. The suicide of an older adult is a situation that often leads to helplessness feelings.
Analysis of the literature reveals two types of major interventions in order to reduce suicide rate: reducing risk factors and increasing protective factors. Risk factors are well documented, particularly from studies using psychological autopsies. However, protective factors are much less studied for the elderly. Yet the identification of relevant and available protective mechanisms in a suicidal crisis is essential to effectively guide nurses and health professionals in therapeutic commitment and intervention.
|Condition or disease||Intervention/treatment|
|Suicide, Attempted Suicide Gesture||Behavioral: Post-suicidal crisis interview|
|Study Type :||Observational|
|Estimated Enrollment :||82 participants|
|Official Title:||Methodical Search of Protective Factors During Interview of Suicidal Elderly Patients: Effect on the Proposed Care|
|Actual Study Start Date :||February 16, 2018|
|Estimated Primary Completion Date :||February 2019|
|Estimated Study Completion Date :||July 2019|
Suicide attempt or ideas
Elderly patients who attempted suicide or who emitted suicidal ideas
Behavioral: Post-suicidal crisis interview
Protective factor exploration during post-suicidal crisis interview
- Number of outpatients (with a low to moderate risk of suicidal recurrence) [ Time Frame: 7 days ]Based on risk, emergency and hazard, patients are classified as being at low, moderate and high risk of suicidal recurrence. Patients with low to moderate risk of suicidal recurrence are either inpatient or outpatient.
- Number of patients considering themselves to be in good health [ Time Frame: 7 days ]Score > 0 at Health Status questionnaire (SF36) item 1
- Number of patients considering that their physical or mental state did not alter their social life [ Time Frame: 7 days ]Score > 50 at Health Status questionnaire (SF36) items 6 or 10
- Number of patients maintaining autonomy [ Time Frame: 7 days ]Score = 0 at Instrumental Activities of Daily Living scale
- Number of patients with religious practice [ Time Frame: 7 days ]Binary answer from patients (yes/no I have a religious practice)
- Number of patients with a sense of success and self-esteem [ Time Frame: 7 days ]Binary answer from patients (yes/no I have a a sense of success and self-esteem)
- Number of patients considering their family environment to be satisfactory [ Time Frame: 7 days ]Binary answer from patients (yes/no I am satisfied with my family environment)
- Number of patients with at least one environmental protection factor [ Time Frame: 7 days ]Friendly network, associative investment, volunteering, specialized care, recreation, positive image from the entourage, presence of a third party, housekeeper, postman, pet, shopping facilities, doctor, pharmacy ...
- Number of patients with social protection factors [ Time Frame: 7 days ]Easy access to Health facilities, sufficient financial income
- Number of patients able to adapt to difficult situations [ Time Frame: 7 days ]score ≤ 12 at Neo Personality Inventory vulnerability item
- Number of patients with extraversion capabilities [ Time Frame: 7 days ]score ≥ 20 at Neo Personality Inventory extraversion item
- Number of patients with openness to others [ Time Frame: 7 days ]score ≥ 20 at Neo Personality Inventory Openness to feelings item
- Number of patients considering that their health has improved [ Time Frame: 3 months ]Patients will be asked if they feel that their health has improved, has not changed or has worsened
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): NCT03162744
|Contact: Marine VAUX||+33 (0) 516 494 954||Marine.VAUX@ch-larochelle.fr|
|Groupe Hospitalier de la Rochelle Ré Aunis||Recruiting|
|La Rochelle, France|
|Contact: Karine Reiss, MD|
|Study Director:||Karine REISS, MD||Groupe Hospitalier de la Rochelle Ré Aunis|