Cognitive Behavioural Group Therapy Versus Individual Supportive Therapy for the Prevention of Repeat Suicide Attempts

NCT ID: NCT02664701

Last Updated: 2025-08-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-17

Study Completion Date

2025-11-30

Brief Summary

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The primary objective of this study is to evaluate the efficacy of a program of 6 sessions of Cognitive Behavioural Group Therapy (CBGT) (as compared to 6 sessions of Individual Supportive Therapy (IST)) designed for preventing repeat suicide attempts at 12 months post-psychotherapy in adults admitted to inpatient care for suicide attempts.

Detailed Description

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The secondary objectives of this study are to assess the efficacy of CBGT on:

A. parameters describing the incidence of suicide and repeat suicide attempts, as well as suicide re-attempt free follow-up time,

B. long-term changes in suicidal ideation,

C. long-term changes in psychiatric symptoms (depression, hope for the future, hospitalization).

Conditions

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Suicidal Ideation Suicide, Attempt

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Individual supportive therapy

Patients randomized to this arm will have individual supportive therapy.

Intervention: Baseline evaluation with a psychiatrist

Intervention: Individual supportive therapy

Intervention: Evaluations with a psychiatrist

Group Type ACTIVE_COMPARATOR

Baseline evaluation with a psychiatrist

Intervention Type OTHER

Baseline data and questionnaires are established.

Individual supportive therapy

Intervention Type OTHER

6 sessions of individual supportive therapy with a psychologist, 1 session per week for 6 weeks

Evaluations with a psychiatrist

Intervention Type OTHER

Evaluation withs a psychiatrist in the 10 days following the end of psychotherapy, then at 3, 6, 9, and 12 months.

Cognitive behavioural group therapy

Patients randomized to this arm will have cognitive behavioural therapy.

Intervention: Baseline evaluation with a psychiatrist

Intervention: Cognitive behavioural group therapy

Intervention: Evaluations with a psychiatrist

Group Type EXPERIMENTAL

Baseline evaluation with a psychiatrist

Intervention Type OTHER

Baseline data and questionnaires are established.

Cognitive behavioural group therapy

Intervention Type OTHER

6 sessions of cognitive behavioural group therapy with a psychologist, 1 session per week for 6 weeks

Evaluations with a psychiatrist

Intervention Type OTHER

Evaluation withs a psychiatrist in the 10 days following the end of psychotherapy, then at 3, 6, 9, and 12 months.

Interventions

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Baseline evaluation with a psychiatrist

Baseline data and questionnaires are established.

Intervention Type OTHER

Individual supportive therapy

6 sessions of individual supportive therapy with a psychologist, 1 session per week for 6 weeks

Intervention Type OTHER

Cognitive behavioural group therapy

6 sessions of cognitive behavioural group therapy with a psychologist, 1 session per week for 6 weeks

Intervention Type OTHER

Evaluations with a psychiatrist

Evaluation withs a psychiatrist in the 10 days following the end of psychotherapy, then at 3, 6, 9, and 12 months.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* The patient has been correctly informed
* The patient must have given his/her informed and signed consent
* The patient must be insured or beneficiary of a health insurance plan
* French speaking adults (18 years or older) freely hospitalized (in centres or via emergency services) for prevention of suicide and who have a medium or high suicide risk score according to a Mini International Neuropsychiatric Interview structured interview
* Presence of suicidal ideation according to the Beck Suicide Ideation Scale (score \> 3)
* Prior (or recent) suicide attempt within the last three month
* The patient is able to understand the study and capable of giving his/her informed consent
* The patient is available during the weekly time slots proposed by the investigator

Exclusion Criteria

* The patient is participating in another study that may interfere with the results or conclusions of this study
* Within the past three months, the patient has participated in another study that may interfere with the results or conclusions of this study
* The patient is in an exclusion period determined by a previous study
* The patient is under judicial protection, or is an adult under guardianship
* The patient refuses to sign the consent, or it is impossible to correctly inform the patient
* Emergency situations preventing proper study conduct
* History of schizophrenia or other psychotic troubles
* Presence of psychotic symptoms at initial interview
* Serious cognitive impairment
* Medical incapacity to participate
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Nīmes

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mocrane Abbar, MD

Role: STUDY_DIRECTOR

Centre Hospitalier Universitaire de Nîmes

Locations

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CHU de Clermont Ferrand - Hôpital Gabriel-Montpied

Clermont-Ferrand, , France

Site Status

CHU de Lyon - Groupement Hospitalier Edouard Herriot

Lyon, , France

Site Status

CHRU de Montpellier - Hôpital Lapeyronie

Montpellier, , France

Site Status

Clinique Les Sophoras

Nîmes, , France

Site Status

CHRU de Nîmes - Hôpital Universitaire Carémeau

Nîmes, , France

Site Status

CMME

Paris, , France

Site Status

CH Henri Laborit

Poitiers, , France

Site Status

CHRU de Tours - Clinique Psychiatrique Universitaire

Saint-Cyr-sur-Loire, , France

Site Status

CHRU de Strasbourg - Hôpital Civil

Strasbourg, , France

Site Status

Countries

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France

References

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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.

Reference Type DERIVED
PMID: 33884617 (View on PubMed)

Chaib LS, Lopez-Castroman J, Abbar M. Group Post-Admission Cognitive Therapy for Suicidality vs Individual Supportive Therapy for the prevention of repeat suicide attempts: a randomized controlled trial. Trials. 2020 Oct 27;21(1):889. doi: 10.1186/s13063-020-04816-y.

Reference Type DERIVED
PMID: 33109271 (View on PubMed)

Other Identifiers

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2015-A01585-44

Identifier Type: OTHER

Identifier Source: secondary_id

PHRC-N/2014/MA-01

Identifier Type: -

Identifier Source: org_study_id

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