Effectiveness of the Suicidal Crisis Intervention (SCI)
NCT ID: NCT05638204
Last Updated: 2025-11-18
Study Results
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Basic Information
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RECRUITING
NA
390 participants
INTERVENTIONAL
2023-07-11
2026-09-01
Brief Summary
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Detailed Description
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Although this risk factor (previous attempts) is known, the number of interventions developed for this risk group is limited.
Based on these findings, a short-term treatment trajectory was developed for people after a suicide attempt or a suicidal crisis in Flanders, called the Suicidal Crisis Intervention (SCI). This was inspired by the ASSIP treatment trajectory and the safety plan was also given a significant place within the treatment. In addition, the importance of relatives and social support is emphasized by involving relatives in this treatment. Throughout this treatment, further (treatment) goals are drawn up, in order to generate hope for improvement and to facilitate continuity of care. More information about the concrete content of SCI will follow later in this protocol. A pilot study is currently being conducted to assess the feasibility of this treatment, as well as the experience of patients, relatives and care providers. Based on this, the SCI will be further updated for this effectiveness study.
There are currently no specific evidence-based short-term treatment methods in Flanders for people after a suicidal crisis or suicide attempt. The primary research question is therefore: 'Is the Suicidal Crisis Intervention (SCI) in Flanders an effective short-term treatment method for people after a suicidal crisis or suicide attempt?'.
The main objective of this project is to be able to offer a new, specific short-term treatment method that has been scientifically proven to reduce suicidality. In addition, we want to investigate the influence of SCI on other important aspects of suicidality (secondary goal) such as hopelessness, defeat, entrapment, and interpersonal needs.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Intervention Group
Participants in the intervention group received the Suicidal Crisis Intervention( SCI) in addition to their treatment as usual.
Suicidal Crisis Intervention (SCI)
This study's experimental condition consisted of the Suicidal Crisis Intervention (SCI), developed by the Flemish Centre of Expertise of Suicide prevention. The SCI aims to provide tools for dealing with future suicidal crises for people after a suicidal crisis or suicide attempt. The intervention attempts to provide insight into the suicidal crisis by giving suicidality meaning within the life history. It aims to increase motivation for specialized care and therefore facilitate continuity of care. In addition, the method also wants to involve the close relative(s) of the suicidal person in the treatment. The SCI offers care providers a clear structure and handles to do this within a short period of time (4 sessions). Within the SCI are a number of crucial elements: the therapeutic relationship, involving loved ones, person-centred care, the Integrated Explanatory Model for Suicidal Behavior (Van Heeringen, 2007), the safety plan (Stanley \& Brown, 2012) and continuity of care.
Control Group
Participants in the control group received their treatment as usual.
No interventions assigned to this group
Interventions
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Suicidal Crisis Intervention (SCI)
This study's experimental condition consisted of the Suicidal Crisis Intervention (SCI), developed by the Flemish Centre of Expertise of Suicide prevention. The SCI aims to provide tools for dealing with future suicidal crises for people after a suicidal crisis or suicide attempt. The intervention attempts to provide insight into the suicidal crisis by giving suicidality meaning within the life history. It aims to increase motivation for specialized care and therefore facilitate continuity of care. In addition, the method also wants to involve the close relative(s) of the suicidal person in the treatment. The SCI offers care providers a clear structure and handles to do this within a short period of time (4 sessions). Within the SCI are a number of crucial elements: the therapeutic relationship, involving loved ones, person-centred care, the Integrated Explanatory Model for Suicidal Behavior (Van Heeringen, 2007), the safety plan (Stanley \& Brown, 2012) and continuity of care.
Eligibility Criteria
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Inclusion Criteria
* ≥ 18 years
* Availability of a smartphone, tablet and/or computer with internet access,
* Dutch-speaking.
* close one of the patient
* ≥ 18 years
* Dutch- speaking
Exclusion Criteria
* Psychotic disorder
* Unsuitable for individual therapy
* Receiving other forms of care is not an exclusion criterion.
18 Years
ALL
Yes
Sponsors
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University Hospital, Ghent
OTHER
Responsible Party
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Principal Investigators
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Gwendolyn Portzky, Phd
Role: PRINCIPAL_INVESTIGATOR
University Ghent
Locations
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Psychiatrisch Centrum Sint Amandus (incl. Mobiel Crisis Team)
Beernem, , Belgium
Medisch Centrum St. Jozef
Bilzen, , Belgium
Mobiel Crisis Team zorggroep Multiversum
Boechout, , Belgium
Openbaar Psychiatrisch Zorgcentrum Geel
Geel, , Belgium
UZ Gent
Ghent, , Belgium
AZ Groeninge (incl. Mobiel Crisis Team Kortrijk)
Kortrijk, , Belgium
Psychiatrisch Ziekenhuis Heilige Familie Kortrijk
Kortrijk, , Belgium
Psychiatrisch Centrum Ariadne
Lede, , Belgium
Openbaar Psychiatrisch Zorgcentrum Rekem
Rekem, , Belgium
Algemeen Ziekenhuis Glorieux
Ronse, , Belgium
Psychiatrisch Ziekenhuis Sint Lucia (incl. Mobiel Team Acute Zorgen)
Sint-Niklaas, , Belgium
Bethanië GGZ (incl. mobiel crisis team SARA Het Veer)
Zoersel, , Belgium
Countries
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Central Contacts
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Facility Contacts
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Charlotte De Ly
Role: primary
Sabine Brocatus
Role: primary
Lynn Van Camp
Role: primary
Riet Willems
Role: primary
Jannes Van Damme
Role: primary
Julie Quequin
Role: primary
Fien Haijen
Role: primary
Katrien Kuypers
Role: primary
Lieselot Desplentere
Role: primary
Astrid Van Raemdonck
Role: primary
Filip De Donder
Role: primary
References
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Harris EC, Barraclough B. Suicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatry. 1997 Mar;170:205-28. doi: 10.1192/bjp.170.3.205.
Hawton K, Zahl D, Weatherall R. Suicide following deliberate self-harm: long-term follow-up of patients who presented to a general hospital. Br J Psychiatry. 2003 Jun;182:537-42. doi: 10.1192/bjp.182.6.537.
Nordentoft M. Crucial elements in suicide prevention strategies. Prog Neuropsychopharmacol Biol Psychiatry. 2011 Jun 1;35(4):848-53. doi: 10.1016/j.pnpbp.2010.11.038. Epub 2010 Dec 2.
Michel, K., & Gysin-Maillart, A. (2015). ASSIP - Attempted Suicide Short Intervention Program: A manual for clinicians. Hogrefe Publishing.
Provided Documents
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Document Type: Statistical Analysis Plan
Other Identifiers
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ONZ-2022-0376
Identifier Type: -
Identifier Source: org_study_id
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