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

Primary Purpose

Suicide, Attempted

Status

Completed

Phase

Not Applicable

Locations

Taiwan

Study Type

Interventional

Intervention

proactive psychosocial intervention by care managers

case management

About this trial

This is an interventional treatment trial for Suicide, Attempted focused on measuring case manager, suicide, attempt, effectiveness

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Participants recruit adults who:

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

Exclusion Criteria:

Patients were too ill to be interviewed
Patients have immediate and severe suicide risk.

Sites / Locations

Mackay Memorial Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

case management

Arm Description

Outcomes

Primary Outcome Measures

treatment adherence, defined as outpatient mental health clinic attendance

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

Full Information

NCT ID

NCT00664872

First Posted

April 18, 2008

Last Updated

January 8, 2014

Sponsor

Shen-Ing,Liu

Collaborators

National Science Council, Taiwan

1. Study Identification

Unique Protocol Identification Number

NCT00664872

Brief Title

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

Official Title

Effect of Proactive Psychosocial Treatment by the Case Manager in Patients After a Suicide Attempt: a Randomised Controlled Trial

Study Type

Interventional

2. Study Status

Record Verification Date

January 2014

Overall Recruitment Status

Completed

Study Start Date

August 2007 (undefined)

Primary Completion Date

January 2008 (Actual)

Study Completion Date

July 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Sponsor-Investigator

Name of the Sponsor

Shen-Ing,Liu

Collaborators

National Science Council, Taiwan

4. Oversight

Data Monitoring Committee

Yes

5. Study Description

Brief Summary

The purpose of this study is to determine the case manager are effective in the treatment of suicide attempters.

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Suicide, Attempted

Keywords

case manager, suicide, attempt, effectiveness

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

Outcomes Assessor

Allocation

Randomized

Enrollment

147 (Actual)

8. Arms, Groups, and Interventions

Arm Title

case management

Arm Type

Experimental

Intervention Type

Other

Intervention Name(s)

proactive psychosocial intervention by care managers

Intervention Description

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.

Intervention Type

Behavioral

Intervention Name(s)

case management

Primary Outcome Measure Information:

Title

treatment adherence, defined as outpatient mental health clinic attendance

Time Frame

6-month, and 12-month

Secondary Outcome Measure Information:

Title

Time Frame

6-month, and 12-month

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Participants recruit adults who: Discharge from an emergency department of a teaching hospital after attempt suicide Aged above 18 years old Agree to provide written inform consent. Exclusion Criteria: Patients were too ill to be interviewed Patients have immediate and severe suicide risk.

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Shen-Ing Liu, MD.PHD

Organizational Affiliation

Department of Psychiatry, Mackay Memorial Hospital

Official's Role

Principal Investigator

Facility Information:

Facility Name

Mackay Memorial Hospital

City

Taipei

ZIP/Postal Code

251

Country

Taiwan

12. IPD Sharing Statement

Citations:

PubMed Identifier

33884617

Citation

Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2.

Results Reference

derived

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

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