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Protective Factors Against Elderly Suicide (ProFAES)

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ClinicalTrials.gov Identifier: NCT03162744
Recruitment Status : Not yet recruiting
First Posted : May 22, 2017
Last Update Posted : October 26, 2017
Sponsor:
Information provided by (Responsible Party):

Study Description
Brief Summary:

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

Detailed Description:
France has a suicide rate (16.2 per 100 000 inhabitants) well above the European average rate (10.2 per 100 000 inhabitants). The Poitou-Charentes region is in a situation of excess mortality by suicide compared to France (+ 25%). While the ratio of suicide attempts per suicide is about 200/1 before 25 years, it is estimated to be 4/1 after 65 years, or even 1/1 in elderly men. In France, suicide attempts are not systematically recorded and the frequency of suicidal ideation is poorly understood. The consensus conference on suicidal crisis highlights a number of clinical points specific to the elderly population (suicidal ideas are not always clearly expressed or unidentified, there are various manifestations of the psychic crisis, greater vulnerability of this population), but the complexity of interactions between suicidal risk factors limits our predictive capabilities of suicidal intention in an elderly person. Analysis of the literature reveals two types of major interventions in order to reduce the suicide rate: those aimed at reducing risk factors and those aimed at increasing protective factors. The objective of our research is to determine the effect of protective factor methodical search on post-crisis patient care.

Study Design

Study Type : Observational
Estimated Enrollment : 82 participants
Observational Model: Case-Only
Time Perspective: Cross-Sectional
Official Title: Methodical Search of Protective Factors During Interview of Suicidal Elderly Patients: Effect on the Proposed Care
Anticipated Study Start Date : January 2018
Estimated Primary Completion Date : January 2019
Estimated Study Completion Date : June 2019

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Suicide
U.S. FDA Resources

Groups and Cohorts

Group/Cohort Intervention/treatment
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


Outcome Measures

Primary Outcome Measures :
  1. 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.


Secondary Outcome Measures :
  1. Number of patients considering themselves to be in good health [ Time Frame: 7 days ]
    Score > 0 at Health Status questionnaire (SF36) item 1

  2. 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

  3. Number of patients maintaining autonomy [ Time Frame: 7 days ]
    Score = 0 at Instrumental Activities of Daily Living scale

  4. Number of patients with religious practice [ Time Frame: 7 days ]
    Binary answer from patients (yes/no I have a religious practice)

  5. 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)

  6. 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)

  7. 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 ...

  8. Number of patients with social protection factors [ Time Frame: 7 days ]
    Easy access to Health facilities, sufficient financial income

  9. Number of patients able to adapt to difficult situations [ Time Frame: 7 days ]
    score ≤ 12 at Neo Personality Inventory vulnerability item

  10. Number of patients with extraversion capabilities [ Time Frame: 7 days ]
    score ≥ 20 at Neo Personality Inventory extraversion item

  11. Number of patients with openness to others [ Time Frame: 7 days ]
    score ≥ 20 at Neo Personality Inventory Openness to feelings item

  12. 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


Eligibility Criteria

Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients will be screened in the psychiatric, geriatric and emergency departments of la Rochelle and Rochefort secondary hospitals
Criteria

Inclusion Criteria:

  • Attempted suicide and / or suicidal ideas
  • Informed and agreed to participate

Exclusion Criteria:

  • Cognitive disorders
  • Refusal to participate
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): NCT03162744


Contacts
Contact: Marine VAUX +33 (0) 516 494 954 Marine.VAUX@ch-larochelle.fr

Sponsors and Collaborators
Groupe Hospitalier de la Rochelle Ré Aunis
Investigators
Study Director: Karine REISS, MD Groupe Hospitalier de la Rochelle Ré Aunis
More Information

Publications:
Study Data/Documents: Consensus conference report  This link exits the ClinicalTrials.gov site

Responsible Party: Groupe Hospitalier de la Rochelle Ré Aunis
ClinicalTrials.gov Identifier: NCT03162744     History of Changes
Other Study ID Numbers: 2015/P08/079
First Posted: May 22, 2017    Key Record Dates
Last Update Posted: October 26, 2017
Last Verified: October 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

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