Protective Factors Against Elderly Suicide

NCT ID: NCT03162744

Last Updated: 2019-07-05

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

TERMINATED

Total Enrollment

15 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-02-16

Study Completion Date

2019-05-27

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Suicide, Attempted Suicide Gesture

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Suicide attempt or ideas

Elderly patients who attempted suicide or who emitted suicidal ideas

Post-suicidal crisis interview

Intervention Type BEHAVIORAL

Protective factor exploration during post-suicidal crisis interview

Interventions

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Post-suicidal crisis interview

Protective factor exploration during post-suicidal crisis interview

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

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

Exclusion Criteria

* Cognitive disorders
* Refusal to participate
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Groupe Hospitalier de la Rochelle Ré Aunis

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Karine REISS, MD

Role: STUDY_DIRECTOR

Groupe Hospitalier de la Rochelle Ré Aunis

Locations

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Groupe Hospitalier de la Rochelle Ré Aunis

La Rochelle, , France

Site Status

Countries

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France

References

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Richard-Devantoy S, Jollant F. [Suicide in the elderly: age-related specificities?]. Sante Ment Que. 2012 Autumn;37(2):151-73. doi: 10.7202/1014949ar. French.

Reference Type BACKGROUND
PMID: 23666286 (View on PubMed)

Conwell Y, Thompson C. Suicidal behavior in elders. Psychiatr Clin North Am. 2008 Jun;31(2):333-56. doi: 10.1016/j.psc.2008.01.004.

Reference Type BACKGROUND
PMID: 18439452 (View on PubMed)

Casadebaig F, Ruffin D, Philippe A. [Suicide in the elderly at home and in retirement homes in France]. Rev Epidemiol Sante Publique. 2003 Feb;51(1 Pt 1):55-64. French.

Reference Type BACKGROUND
PMID: 12684581 (View on PubMed)

Related Links

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https://www.insee.fr/fr/statistiques

Epidemiology of suicide in France

Other Identifiers

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2015/P08/079

Identifier Type: -

Identifier Source: org_study_id

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