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Suicide Prevention by Monitoring and Collaborative Care


- candidate number28772
- NTR NumberNTR7131
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR5-apr-2018
- Secondary IDs537001002 and NL6193502817  ZonMw and METC Brabant (respectively)
- Public TitleSuicide Prevention by Monitoring and Collaborative Care
- Scientific TitlePrevention of Suicide Mortality in Noord Brabant: The Effect of Implementation of a Regional Suicide Prevention system. A staggered implementation stepped wedge trial.
- ACRONYMSUPREMOCOL
- hypothesisWe hypothesize to attain a drop of 20% of completed suicides in Noord-Brabant, the Netherlands.
- Healt Condition(s) or Problem(s) studiedSuicidal behaviour, Suicidal thoughts, Suicidality, Attempted suicide , Suicide
- Inclusion criteriaPersons residing in Noord-Brabant who, after a non-fatal suicide attempt or with suicidal ideation, come into contact with health care and non-health care professionals.
- Exclusion criteriaPersons with low risk of suicide will not be included in the monitoring system
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingNone
- controlNot applicable
- group[default]
- TypeSingle arm
- Studytypeintervention
- planned startdate 1-mei-2018
- planned closingdate31-jul-2019
- Target number of participants296
- InterventionsThe intervention will contain the following elements:
1) Installing a monitoring system with decision aid to support health care professionals in reporting, assessing and monitoring patients at risk for suicide i.e. after a suicide attempt.
2) Providing swift access to persons at risk for suicide in specialist crisis teams of specialty mental health institutions
3) Positioning nurse case-managers in those teams to collaborate with psychiatrists in assessment, case management and treatment of the persons at risk according to the collaborative care model
4) Providing telephone monitoring for a year to the patient, by the nurse case-manager, to enhance adherence to treatment
- Primary outcomeThe occurrence of a completed suicide in the province of Noord-Brabant
- Secondary outcomeThe following secondary outcomes are included:
1) Non-fatal suicide attempts
2) Suicidal ideation of persons included in the monitoring system
3) Admissions to specialty mental health institutions in the context of suicidality
4) RE-AIM evaluation with stakeholders
5) Process evaluation with stakeholders
- TimepointsEntire study: 48 months. Preparatory phase: 18 months. Inclusion phase and follow-up: 24 months. RE-AIM evaluation will overlap with the inclusion phase. Data-analyses, reporting and dissemination 6 months.
- Trial web sitehttps://www.ggzbreburg.nl/Suicidepreventie.aspx
- statusplanned
- CONTACT FOR PUBLIC QUERIESProf. dr. Christina van der Feltz-Cornelis
- CONTACT for SCIENTIFIC QUERIESProf. dr. Christina van der Feltz-Cornelis
- Sponsor/Initiator GGZ Breburg
- Funding
(Source(s) of Monetary or Material Support)
ZonMw
- PublicationsPublication of ‘Springtime Peaks and Christmas Troughs: A National Longitudinal Population-Based Study into Suicide Incidence Time Trends in the Netherlands’ https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00045/full
- Brief summaryThe aim of this study is to lower suicide rates in Noord-Brabant with 20% by establishing a chain of care and a suicide prevention system in this regional network of chain partners. To this end, two sub-objectives are (1) to evaluate the effect of the suicide prevention system in terms of completed suicides, non-fatal suicide attempts and patients’ suicidal ideation and (2) to explore which factors facilitate or hinder the implementation of the suicide prevention system, or are associated with early withdrawal.
- Main changes (audit trail)
- RECORD5-apr-2018 - 15-apr-2018


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