The Epidemiology of Suicide Attempts and Suicidal Thoughts in Flanders

NCT ID: NCT07021404

Last Updated: 2025-06-15

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

RECRUITING

Total Enrollment

50000 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-12-31

Study Completion Date

2033-03-31

Brief Summary

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The objective of this study is to collect data in Flanders on the incidence of suicide attempts and suicidal ideation across various healthcare settings. The study also aims to assess the proportion of individuals who receive adequate aftercare following a suicide attempt and to systematically document the methods and means used in suicidal behavior.

Detailed Description

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This study involves the registration of the frequency and characteristics of suicidal thoughts and suicide attempts among individuals presenting to healthcare services (including general hospitals, psychiatric hospitals, mobile crisis teams, and general practitioners). Participants will be evaluated using a semi-structured interview: the Guideline for Suicide Care and Evaluation (LOES).

The primary objective is to collect detailed data on individuals with suicidal behavior-including suicidal ideation and suicide attempts-using the LOES instrument. This approach allows for the collection of comprehensive information about suicidal individuals in Flanders and the suicidal processes affecting them.

The LOES comprises two components:

1. Basic Assessment The initial assessment occurs shortly after the individual presents at a healthcare institution. During this interview, an emergency nurse, physician, psychologist, or psychiatrist evaluates the individual's cognitive functioning, judgment, emotional state, observable behavior, potential mental health disorders, history of self-harm or suicidal behavior, social support, level of hopelessness, and willingness to engage in follow-up care. Sociodemographic data and details about the current and any previous suicide attempts are also recorded.

The goals of this assessment are:
* To ensure the individual feels heard and taken seriously.
* To determine the appropriate timing for a more comprehensive risk assessment based on the initial findings.
2. Further Exploration of Suicidality This second phase is conducted by a nurse, psychologist, or psychiatrist. It includes a more in-depth evaluation of the individual's risk factors and treatment needs. Standardized questions cover topics such as suicidal intent, suicidal ideation and concrete planning, motivations for self-harm or suicidal thoughts, ambivalence, experienced life problems, psychiatric history, potential substance use, coping strategies, and care needs of both the individual and their immediate environment.

Based on the data collected through the LOES, a structured and well-supported risk formulation can be established.

Conditions

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Suicidal Ideation Suicide Attempt Multicenter Study Epidemiological Study Suicidal Behavior

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Individuals who presented with suïcidale behavior to Hospitals and other healthcare institutions

Semi-structured interview (Guideline for Suicide care and Evaluation =LOES)

Intervention Type OTHER

A semi-structured interview is utilized in general hospitals and other healthcare institutions by clinicians and nurses as part of the psychosocial assessment, with the aim of collecting standardized data on episodes of self-harm and individuals experiencing suicidal ideation.

The interview consists of two parts:

Part 1 is administered shortly after admission to the healthcare facility due to an episode of self-harm or reported suicidal thoughts. It is conducted by a trained nurse or psychologist. This section collects demographic information, characteristics of the self-harm episode, history of self-harm behavior, perceived social support, level of hopelessness, and current suicidal ideation.

Part 2 focuses on a more in-depth exploration of the individual's psychological state. It assesses underlying motives for the self-harm or suicidal thoughts, perceived personal and interpersonal problems, and current and current thoughts of self-harm.

Interventions

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Semi-structured interview (Guideline for Suicide care and Evaluation =LOES)

A semi-structured interview is utilized in general hospitals and other healthcare institutions by clinicians and nurses as part of the psychosocial assessment, with the aim of collecting standardized data on episodes of self-harm and individuals experiencing suicidal ideation.

The interview consists of two parts:

Part 1 is administered shortly after admission to the healthcare facility due to an episode of self-harm or reported suicidal thoughts. It is conducted by a trained nurse or psychologist. This section collects demographic information, characteristics of the self-harm episode, history of self-harm behavior, perceived social support, level of hopelessness, and current suicidal ideation.

Part 2 focuses on a more in-depth exploration of the individual's psychological state. It assesses underlying motives for the self-harm or suicidal thoughts, perceived personal and interpersonal problems, and current and current thoughts of self-harm.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Everyone who is admitted alive to the emergency department after a suicide attempt is included. All methods used during the suicide attempt are included. Regarding the method of suicide attempts, a distinction is made between self-injury (hanging, strangulation, drowning, stab and cut wounds, jumping from a height, etc.) and self-poisoning (ingestion of (psycho)pharmaceuticals, drugs, alcohol, chemicals, or other harmful substances).
* Everyone who is admitted with suicidal thoughts

Exclusion Criteria

* Accidental overdose, e.g., someone taking medication for a medical condition without any intent to harm themselves
* Alcohol intoxication without any intent to harm oneself
* Accidental overdose involving party drugs
* Individuals who were deceased upon arrival at the hospital due to suicide
Minimum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Ghent

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gwendolyn Portzky, Prof

Role: PRINCIPAL_INVESTIGATOR

University Ghent

Locations

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Azorg

Aalst, , Belgium

Site Status RECRUITING

Ziekenhuis aan de Stroom (UKJA)

Antwerp, , Belgium

Site Status RECRUITING

Universitair ziekenhuis Antwerpen

Antwerp, , Belgium

Site Status RECRUITING

Psychiatrisch ziekenhuis Bilzen-Hoeselt

Bilzen, , Belgium

Site Status RECRUITING

Imeldaziekenhuis

Bonheiden, , Belgium

Site Status RECRUITING

AZ Klina

Brasschaat, , Belgium

Site Status RECRUITING

AZ sint Jan

Bruges, , Belgium

Site Status RECRUITING

AZ sint Lucas

Bruges, , Belgium

Site Status RECRUITING

AZ Sint Vincentius

Deinze, , Belgium

Site Status RECRUITING

AZ Sint Blasius

Dendermonde, , Belgium

Site Status RECRUITING

AZ Monica

Deurne, , Belgium

Site Status RECRUITING

AZ Diest

Diest, , Belgium

Site Status RECRUITING

AZ Alma

Eeklo, , Belgium

Site Status RECRUITING

Ziekenhuis Geel

Geel, , Belgium

Site Status RECRUITING

Ziekenhuis Oost Limburg

Genk, , Belgium

Site Status RECRUITING

AZ Jan Palfijn

Ghent, , Belgium

Site Status RECRUITING

AZ Sint-Lucas

Ghent, , Belgium

Site Status RECRUITING

AZ Sint Maria

Halle, , Belgium

Site Status RECRUITING

AZ Herentals

Herentals, , Belgium

Site Status RECRUITING

Jan Yperman ziekenhuis

Ieper, , Belgium

Site Status RECRUITING

Sint-Jozefskliniek

Izegem, , Belgium

Site Status RECRUITING

AZ Groeninge

Kortrijk, , Belgium

Site Status RECRUITING

Heilig Hart Lier

Lier, , Belgium

Site Status RECRUITING

AZ Voorkempen

Malle, , Belgium

Site Status RECRUITING

AZ Sint Maarten

Mechelen, , Belgium

Site Status RECRUITING

AZ oostende

Ostend, , Belgium

Site Status RECRUITING

AZ Oudenaarde

Oudenaarde, , Belgium

Site Status RECRUITING

AZ Delta

Roeselare, , Belgium

Site Status RECRUITING

VITAZ

Sint-Niklaas, , Belgium

Site Status ACTIVE_NOT_RECRUITING

Sint-Trudo ziekenhuis

Sint-Truiden, , Belgium

Site Status RECRUITING

Sint Andriesziekenhuis

Tielt, , Belgium

Site Status RECRUITING

AZ West

Veurne, , Belgium

Site Status RECRUITING

O.L.V. van Lourdes ziekenhuis Waregem

Waregem, , Belgium

Site Status RECRUITING

Countries

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Belgium

Central Contacts

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Nikita Vancayseele, Msc

Role: CONTACT

+32 (0)9 332 07 75

Eva De Jaegere, Msc

Role: CONTACT

+32 (0)9 332 07 75

Facility Contacts

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Dries Van der schueren

Role: primary

+32 (0)53 72 41 11

Catherine Klockaerts, MD

Role: primary

+32 (0)3 280 49 00

Filip Van Den Eede

Role: primary

032 (0)3 821 49 11

Sabine Brocatus

Role: primary

+32 (0)89 50 91 11

Micha Teuchie

Role: primary

+32 (0)15 50 60 05

Heidi Wouters

Role: primary

+32 (0)3 298 10 99

Jan Debaene

Role: primary

+32 (0)50 47 05 30

Marleen Vincke

Role: primary

+32 (0)50 36 52 15

Orphélie Lievens

Role: primary

+32 (0) 9 387 73 96

Katrien Goossens

Role: primary

+32 (0)52 25 28 66

Frederik Somers

Role: primary

+32 (0)3 240 22 59

Anne-Sophie Weckx

Role: primary

+32 (0)13 35 41 18

Marc Van der Weyde

Role: primary

+32 (0)9 310 06 47

Ann Van Lommel

Role: primary

+32 (0)14 57 71 23

Sabine Keymis

Role: primary

+32 (0)89 50 60 10

Sarah Fraeyman

Role: primary

+32 (0)9 224 71 11

Tania Coppens

Role: primary

+32 (0/9 224 56 47

Valérie Demol

Role: primary

+32 (0)2 363 65 41

Leny Scherlippens

Role: primary

+32 (0)14 24 64 66

Sien Verdru

Role: primary

+32 (0)57 35 67 22

An Vanderjeught

Role: primary

+32 (0)51 33 41 11

Heidi Lepouttre

Role: primary

+32 (0)56 63 69 11

Elisabeth Segers

Role: primary

+32 (0)3 491 31 88

Giselle Reyes

Role: primary

+32 (0)3 380 24 84

Sigrid Aerts

Role: primary

+32 (0)15 89 15 03

An Decorte

Role: primary

+32 (0)59 41 61 90

Marissa De Meester

Role: primary

+32 (0)55 33 61 11

Ingrid Vermeulen

Role: primary

+32 (0)51 23 81 30

Sofie Melotte

Role: primary

+32 (0)11 69 91 52

Katty De Rammelaere

Role: primary

+32 (0)51 42 50 70

Emiel Van Den Eynden

Role: primary

+32 (0)58 33 32 36

Freya Bernaert

Role: primary

+(32) 56 62 30 70

References

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Vancayseele N, Portzky G, van Heeringen K. Increase in Self-Injury as a Method of Self-Harm in Ghent, Belgium: 1987-2013. PLoS One. 2016 Jun 1;11(6):e0156711. doi: 10.1371/journal.pone.0156711. eCollection 2016.

Reference Type BACKGROUND
PMID: 27249421 (View on PubMed)

de Beurs D, Vancayseele N, van Borkulo C, Portzky G, van Heeringen K. The association between motives, perceived problems and current thoughts of self-harm following an episode of self-harm. A network analysis. J Affect Disord. 2018 Nov;240:262-270. doi: 10.1016/j.jad.2018.07.047. Epub 2018 Jul 27.

Reference Type BACKGROUND
PMID: 30086470 (View on PubMed)

Vancayseele N, Rotsaert I, Portzky G, van Heeringen K. Medication used in intentional drug overdose in Flanders 2008-2013. PLoS One. 2019 May 2;14(5):e0216317. doi: 10.1371/journal.pone.0216317. eCollection 2019.

Reference Type BACKGROUND
PMID: 31048918 (View on PubMed)

Related Links

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http://www.zelfmoord1813.be

The page refers to the semi-structured interview and more information about the study

Other Identifiers

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BC-03869

Identifier Type: -

Identifier Source: org_study_id

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