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Survivors at Risk: a Randomized Controlled Trial of primary prevention of complicated grief among first degree relatives of suicide victims.


- candidate number2025
- NTR NumberNTR634
- ISRCTNISRCTN66473618
- Date ISRCTN created28-apr-2006
- date ISRCTN requested25-apr-2006
- Date Registered NTR20-mrt-2006
- Secondary IDsMETC 2002/137 
- Public TitleSurvivors at Risk: a Randomized Controlled Trial of primary prevention of complicated grief among first degree relatives of suicide victims.
- Scientific TitlePrevention of complicated grief among first-degree relatives and spouses of suicide victims in the one-year aftermath of suicide.
- ACRONYMN/A
- hypothesisA brief (four sesssions) nurse-led family focused intervention, based on cognitive behavioral therapy and psycho-education, offered between 3 and 6 months following the suicide prevent depressive and complicated grief symptoms at 13 months bereavement.
- Healt Condition(s) or Problem(s) studiedSuicide bereavement, Complicated grief
- Inclusion criteriaFamilies (first-degree relatives, in-laws and spouses) of suicide victims recruited in the three northern provinces of the Netherlands between 1 September 1999 and 1 January 2002.
- Exclusion criteria1. Severe mental illness;
2. Imprisonment of the deceased;
3. Lack of Dutch fluency.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-sep-1999
- planned closingdate1-jan-2004
- Target number of participants106
- InterventionsBrief, nurse-led family-focused 4 session intervention by trained psychiatric nurses, based on cognitive behavioural therapy and psycho-education vs. care as usual (controls).
- Primary outcome1. Depression (CESD);
2. complicated grief (ITG);
3. TRGR2L;
4. SCAN.
- Secondary outcome1. Guilt;
2. Relief;
3. Satisfaction.
- TimepointsN/A
- Trial web siteN/A
- statusstopped: trial finished
- CONTACT FOR PUBLIC QUERIES Marieke Groot, de
- CONTACT for SCIENTIFIC QUERIES Marieke Groot, de
- Sponsor/Initiator University Medical Center Groningen (UMCG)
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsBMJ. 2007 May 12;334(7601):994. Epub 2007 Apr 20
- Brief summaryComplicated (traumatic) grief is associated with a high risk of long-term psychiatric dysfunction. Suicide survivors may consist a high-risk group for psychiatric morbidity because of their shared pre-existing vulnerability for mental illness with the deceased relative and the impact of the suicide and the following bereavement on mental and physical health. Researches to the effect of primary prevention show that people who initially suffer most do benefit most of primary preventive intervention. Suicide tends to cluster in families; a family-focused intervention possibly prevents symptoms of complicated grief in the aftermath of suicide. Objective To determine whether a brief, nurse-led and family-focused program, based on cognitive behavioural therapy and psycho-education, given three to six months following the self-inflicted death of a relative is more effective in preventing complicated grief than ‘care as usual’.
- Main changes (audit trail)
- RECORD20-mrt-2006 - 12-jun-2008


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