Suicide Prevention Algorithm in the French Overseas Territories

Summary

In France, suicide behaviours are a major public health concern that triggered the creation in 2013 of a National Observatory of Suicide. In continental France, the "Algos" protocol was found to be effective for the prevention of suicide attempts reiterations. This protocol is based on a procedure that keeps telephone and postal contacts with the suicide attempter and allows, via an algorithm, to assess the risk of suicide attempt recurrence, in order to intervene if necessary. Nevertheless, Algos does not involve primary care health practitioners, who could add a substantial additional efficacy, especially if they intervene downstream and in supplement to Algos. In addition, this kind of protocol has never been evaluated in the French overseas territories.

Conditions

• Suicide Attempt

Interventions

OTHER

APSOM vs Control

In complement to actions described in the control arm, the patient's general practitioner (GP) and the patient him/herself will be contacted within 21 days of hospital discharge in order to organize an appointment between them two; this consultation is expected to take place between day 22 and day 45 after hospital discharge. If the patient does not have a GP, a health-care professional (HCP) will be provided. .GP (or HCP) will also be contacted at 6 and 13 months.

Sponsors & Collaborators

• Centre Hospitalier de Monteran, Guadeloupe

  collaborator UNKNOWN

• Centre Hospitalier Universitaire de la Guadeloupe

  collaborator OTHER

• Centre Hospitalier de Cayenne

  collaborator OTHER

• Centre Hospitalier de Ouest Guyanais Franck Joly

  collaborator UNKNOWN

• Centre d Accueil Psychiatrique Ouest-Centre, La Réunion

  collaborator UNKNOWN

• Centre d Accueil d Urgences Médico Psychologique, La Réunion

  collaborator UNKNOWN

• Centre d Accueil Psychiatrique Nord, La Réunion

  collaborator UNKNOWN

• Etablissement Publique de Santé Mentale de la Réunion

  collaborator UNKNOWN

• University Hospital Center of Martinique

  lead OTHER

Principal Investigators

• JEHEL Louis, MD-PhD · CHU de Martinique

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

16 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2017-10-09

Primary Completion

2019-08-08

Completion

2020-10-16

Countries

• French Guiana
• Guadeloupe
• Martinique
• Reunion

Study Locations