Ignite Creation Date:
2024-05-06 @ 7:30 PM
Last Modification Date:
2024-10-26 @ 3:08 PM
Study NCT ID:
NCT06036290
Status:
RECRUITING
Last Update Posted:
2023-09-13
First Post:
2023-08-08
Brief Title:
Discordance in the Evaluation of Suicidal Intent Between Parents and Adolescents in Adolescence and Evolution of the Suicidal Crisis a Mixed Study
Sponsor:
University Hospital Clermont-Ferrand
Organization:
University Hospital Clermont-Ferrand
Study Overview
Official Title:
Study of the Association Between the Discordance in the Evaluation of Suicidal Intentionality Between Parents and Adolescents After a Suicide Attempt in Adolescence and the Evolution of the Suicidal Crisis at 3 Months a Mixed Study
Status:
RECRUITING
Status Verified Date:
2023-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
discord-Ados
Brief Summary:
The goal of this mixed-methods study is to describe the association between the level of parentadolescent discordance in the assessment of the adolescents level of suicidal intentionality after a suicid attempt and the evolution of the suicidal crisis by assessing the evolution of the adolescents suicidal intentionality between T0 and 3 months
The main questions it aims to answer are
To show the association between the level of parentadolescent discordance in the assessment of the adolescents level of suicidal intent after a suicid attempt and various markers of the evolution of the suicidal crisis at 3 months
Explore the experience of adolescents and their parents regarding the elements they consider relevant in assessing the adolescents suicidal intent
Participants will be asked to complete various self- and hetero-questionnaires at T0 and T3
The main questions it aims to answer are
To show the association between the level of parentadolescent discordance in the assessment of the adolescents level of suicidal intent after a suicid attempt and various markers of the evolution of the suicidal crisis at 3 months
Explore the experience of adolescents and their parents regarding the elements they consider relevant in assessing the adolescents suicidal intent
Participants will be asked to complete various self- and hetero-questionnaires at T0 and T3
Detailed Description:
Mixed quantitative and qualitative descriptive observational study Participants will be included at the various sites by the investigators attached to the three inclusion sites
Primary outcome
Difference in adolescents level of suicidal intent between T0 and 3 months All measurements are with a Visual Analogue Scale VAS graded from 0 to 10
Secondary outcomes Quantitative study
Total number of new suicidal crisis-related visits to the emergency department andor the child psychiatry emergency and mobile team at 3 months
Total number of suicidal recurrences at 3 months
Total number of full-time inpatient stays in MCO andor psychiatry related to suicidal crisis at 3 months
Total length of stay in full-time inpatient care MCO andor psychiatry related to suicidal crisis at 3 months
Proportion of the number of days of absence out of the total number of school days at 3 months
Proportion of number of child psychiatric consultations honored out of total number of scheduled consultations at 3 months
Proportion of the number of psychological consultations honored out of the total number of consultations scheduled for 3 months
Total score on FACES IV self-assessment scale of family functioning
Gender age urban or rural environment family organization union single parent other situations and parents socio-professional category
i Presence of a family psychiatric history ii Presence of a family suicide history iii Presence of a family history of TS iv Presence of a personal history of TS v Presence of a personal history of psychological or psychiatric follow-up vi Presence of a personal history of self-harm vii Type of TS and viii Type of ICD-10 diagnosis made during the child psychiatric assessment
Difference in adolescents level of suicidal intentionality measured using a Visual Analog Scale at i T0 measurement of level 1 week prior to TS level at time of TS level at time of assessment and ii T3 months
Difference in level of parentadolescent suicidal intentionality measured at T0 and T3 months using the VAS
Qualitative study
Obtaining a thematic grid describing the experience of adolescents and their parents regarding the elements they consider relevant in assessing the adolescents suicidal intent
Obtained a thematic grid describing the experience of adolescents and their parents regarding their mutual understanding of the suicidal crisis experienced by the adolescent
The study is descriptive and qualitative for a subsample of participants
- Hetero-questionnaire 1 Hetero-questionnaire 1 collects socio-familial and clinical data at T0 Data are collected by the investigator on the day of inclusion in the study The main elements collected are
Patients gender
Patients age
rural or urban environment
Family organization
Parents socio-professional category
Family history of suicide
Presence of a family history of suicidal attempt
Presence of a personal history of suicidal attempt
Personal history of psychological or psychiatric treatment
Personal history of self-mutilation
Type of suicidal attempt
ICD-10 diagnosis made during child psychiatric assessment
Hetero-questionnaire 2
Hetero-questionnaire 2 is used to collect declarative data on progress at T3months Data are collected by an authorized member of the study by videoconference Parents will be informed of the need for the child to be alone at the time of the interview in a quiet dedicated room The main data collected are
The total number of new consultations with the emergency department andor the mobile child psychiatry team in connection with the suicidal crisis at 3 months
Total number of suicidal attempts recurrences
Total number of full-time hospital stays related to the suicidal crisis
Total length of stay in full-time hospitalization related to suicidal crisis
Number of days of absence as a proportion of school days
The proportion of the number of child psychiatric consultations honored out of the total number of scheduled consultations
The proportion of the number of psychological consultations honored out of the number of scheduled consultations
Auto-questionnaire FACES IV
Semi-structured interviews Semi-structured interviews are specifically designed to explore the various themes announced An interview guide is drawn up by the research group made up of specialists in adolescent psychiatry and qualitative methods The guide is not fixed contains starter questions and can be modulated as the research progresses The researcher has in mind a list of themes that must necessarily be addressed but the discussion remains very open in order to enter the subjects internal world The subject acts as an expert and may bring up one or more themes that the researcher hadnt thought of depending on his or her concerns and interests
Two interviews are conducted one with the adolescent the other with his or her parents The interviews with the patients and their parents explore the parents and the adolescents experience of the suicidal crisis family relationships and how they evolved during the crisis
Primary outcome
Difference in adolescents level of suicidal intent between T0 and 3 months All measurements are with a Visual Analogue Scale VAS graded from 0 to 10
Secondary outcomes Quantitative study
Total number of new suicidal crisis-related visits to the emergency department andor the child psychiatry emergency and mobile team at 3 months
Total number of suicidal recurrences at 3 months
Total number of full-time inpatient stays in MCO andor psychiatry related to suicidal crisis at 3 months
Total length of stay in full-time inpatient care MCO andor psychiatry related to suicidal crisis at 3 months
Proportion of the number of days of absence out of the total number of school days at 3 months
Proportion of number of child psychiatric consultations honored out of total number of scheduled consultations at 3 months
Proportion of the number of psychological consultations honored out of the total number of consultations scheduled for 3 months
Total score on FACES IV self-assessment scale of family functioning
Gender age urban or rural environment family organization union single parent other situations and parents socio-professional category
i Presence of a family psychiatric history ii Presence of a family suicide history iii Presence of a family history of TS iv Presence of a personal history of TS v Presence of a personal history of psychological or psychiatric follow-up vi Presence of a personal history of self-harm vii Type of TS and viii Type of ICD-10 diagnosis made during the child psychiatric assessment
Difference in adolescents level of suicidal intentionality measured using a Visual Analog Scale at i T0 measurement of level 1 week prior to TS level at time of TS level at time of assessment and ii T3 months
Difference in level of parentadolescent suicidal intentionality measured at T0 and T3 months using the VAS
Qualitative study
Obtaining a thematic grid describing the experience of adolescents and their parents regarding the elements they consider relevant in assessing the adolescents suicidal intent
Obtained a thematic grid describing the experience of adolescents and their parents regarding their mutual understanding of the suicidal crisis experienced by the adolescent
The study is descriptive and qualitative for a subsample of participants
- Hetero-questionnaire 1 Hetero-questionnaire 1 collects socio-familial and clinical data at T0 Data are collected by the investigator on the day of inclusion in the study The main elements collected are
Patients gender
Patients age
rural or urban environment
Family organization
Parents socio-professional category
Family history of suicide
Presence of a family history of suicidal attempt
Presence of a personal history of suicidal attempt
Personal history of psychological or psychiatric treatment
Personal history of self-mutilation
Type of suicidal attempt
ICD-10 diagnosis made during child psychiatric assessment
Hetero-questionnaire 2
Hetero-questionnaire 2 is used to collect declarative data on progress at T3months Data are collected by an authorized member of the study by videoconference Parents will be informed of the need for the child to be alone at the time of the interview in a quiet dedicated room The main data collected are
The total number of new consultations with the emergency department andor the mobile child psychiatry team in connection with the suicidal crisis at 3 months
Total number of suicidal attempts recurrences
Total number of full-time hospital stays related to the suicidal crisis
Total length of stay in full-time hospitalization related to suicidal crisis
Number of days of absence as a proportion of school days
The proportion of the number of child psychiatric consultations honored out of the total number of scheduled consultations
The proportion of the number of psychological consultations honored out of the number of scheduled consultations
Auto-questionnaire FACES IV
Semi-structured interviews Semi-structured interviews are specifically designed to explore the various themes announced An interview guide is drawn up by the research group made up of specialists in adolescent psychiatry and qualitative methods The guide is not fixed contains starter questions and can be modulated as the research progresses The researcher has in mind a list of themes that must necessarily be addressed but the discussion remains very open in order to enter the subjects internal world The subject acts as an expert and may bring up one or more themes that the researcher hadnt thought of depending on his or her concerns and interests
Two interviews are conducted one with the adolescent the other with his or her parents The interviews with the patients and their parents explore the parents and the adolescents experience of the suicidal crisis family relationships and how they evolved during the crisis
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None