Effect of pyschosocial treatment by a case manager in patients after a suicide attempt

ISRCTN ISRCTN87018843
DOI https://doi.org/10.1186/ISRCTN87018843
Protocol serial number NSC96-2314-B195-011
Sponsor National Science Council (Taiwan)
Funder National Science Council (Taiwan)
Submission date
05/04/2008
Registration date
01/05/2008
Last edited
01/05/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Shen-Ing Liu
Scientific

Department of Psychiatry
Mackay Memorial Hospital
No 45
Ming-Shan Road
Tam-Shu
Chu-Wui
Taipei County
25115
Taiwan

Study information

Primary study designInterventional
Study designRandomised controlled trial.
Secondary study designRandomised controlled trial
Study type Participant information sheet
Scientific titleEffect of proactive psychosocial treatment by the case manager in patients after a suicide attempt: a randomised controlled trial
Study objectivesCompared with usual care, intervention group will:
1. Improve treatment attendance
2. Have less repeated suicide attempts in adults after an initial suicide attempt
3. Have better satisfaction with care
Ethics approval(s)Approved by the Mackay Memorial Hospital Institutional Review Board in November 2006.
Health condition(s) or problem(s) studiedSuicide attempts
InterventionA 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.

The control group will receive "treatment as usual", which in most cases consists of consultation with an on-site social worker or a psychiatrist at the Emergency Room, provision of a self-help leaflet and referral to a psychiatrist.
Intervention typeOther
Primary outcome measure(s)

Treatment adherence, defined as outpatient mental health clinic attendance at 6 and 12 month.

Key secondary outcome measure(s)

The following will be assessed during follow-up periods (6 and 12 month):
1. Number of suicide attempts (behaviour)
2. Suicidal ideation
3. Depression score
4. Patients' satisfaction with care

Completion date30/06/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexAll
Target sample size at registration200
Key inclusion criteria1. Patients who will be discharged from an emergency department of a teaching hospital after a suicide attempt
2. Aged above 18 years old, both men and women
3. Agree to provide written inform consent
Key exclusion criteria1. Patients who are too ill to be interviewed
2. Patients who have immediate and severe suicide risk
Date of first enrolment01/04/2008
Date of final enrolment30/06/2009

Locations

Countries of recruitment

  • Taiwan

Study participating centre

Department of Psychiatry
Taipei County
25115
Taiwan

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes