SIAM (Suicide intervention assisted by messages): the
development of a post-acute crisis text messaging outreach for suicide
prevention
Abstract : Background Suicidal
behaviour and deliberate self-harm are common among adults. Research
indicates that maintaining contact either via letter or postcard with
at-risk adults following discharge from care services can reduce
reattempt risk. Feasibility trials demonstrated that intervention
through text message was also effective in preventing suicide repetition
amongst suicide attempters. The aim of the current study is to
investigate the effect of text message intervention versus traditional
treatment on reducing the risk of suicide attempt repetition among
adults after self-harm.Methods/designThe study will be a 2-year
multicentric randomized controlled trial conducted by the Brest
University Hospital, France. Participants will be adults discharged
after self inverted question markharm, from emergency services or after a
short hospitalization. Participants will be recruited over a 12-month
period. The intervention is comprised of an SMS that will be sent at
h48, D7, D15 and monthly. The text message enquires about the patients
inverted question mark well-being and includes information regarding
individual sources of help and evidence-based self help strategies.
Participants will be assessed at the baseline, month 6 and 13. As
primary endpoint, we will assess the number of patients who reattempt
suicide in each group at 6 months. As secondary endpoints, we will
assess the number of patients who reattempt suicide at 13 month, the
number of suicide attempts in the intervention and control groups at 6
and 13 month, the number of death by suicide in the intervention and
control groups at month 6 and 13. In both groups, suicidal ideations,
will be assessed at the baseline, month 6 and 13. Medical costs and
satisfaction will be assessed at month 13.DiscussionThis paper describes
the design and deployment of a trial SIAM; an easily reproducible
intervention that aims to reduce suicide risk in adults after self-harm.
It utilizes several characteristics of interventions that have shown a
significant reduction in the number of suicide reattempts. We propose to
assess its efficacy in reducing suicide reattempt in the suicide
attempter (SA) population.Trial registrationThe study was registered on
Clinical Trials Registry (clinicaltrials.gov):
NCT02106949, registrerd on 06 June 2014.
A lire http://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-014-0294-8
NCT02106949, registrerd on 06 June 2014.
A lire http://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-014-0294-8