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ISRCTN
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ISRCTN87018843
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ClinicalTrials.gov identifier
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Public title
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Effect of pyschosocial treatment by a case manager in patients after a suicide attempt
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Scientific title
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Effect of proactive psychosocial treatment by the case manager in patients after a suicide attempt: a randomised controlled trial
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Acronym
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N/A
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Serial number at source
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NSC96-2314-B195-011
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Study hypothesis
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Compared with usual care, intervention group will:
1. Improve treatment attendance
2. Have less repeated suicide attempts in adults after an initial suicide attempt
3. Have better satisfaction with care
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Ethics approval
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Approved by the Mackay Memorial Hospital Institutional Review Board in November 2006.
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Study design
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Randomised controlled trial.
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Countries of recruitment
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Taiwan
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Disease/condition/study domain
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Suicide attempts
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Participants - inclusion criteria
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1. Patients who will be discharged from an emergency department of a teaching hospital after a suicide attempt
2. Aged above 18 years old, both men and women
3. Agree to provide written inform consent
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Participants - exclusion criteria
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1. Patients who are too ill to be interviewed
2. Patients who have immediate and severe suicide risk
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Anticipated start date
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01/04/2008
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Anticipated end date
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30/06/2009
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Status of trial
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Ongoing
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Patient information material
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Not available in web format, please use the contact details below to request a patient information sheet
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Target number of participants
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200
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Interventions
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A case manager will be assigned to each of the participants in the intervention group. All case managers are psychologists. After discharge from the emergency department, the participants receive six sessions of proactive psychosocial intervention by their case manager over four months. Duration of each session is approximately 30 minutes. The intervention consists of telephone or face-to-face contacts with the case manager at scheduled intervals or when clinically necessary. If a patient declines medication therapy from the psychiatrist, case manager will provide psychotherapy using the model of cognitive-behavioural approach and problem-solving therapy. Case managers will receive backup and supervision by psychiatrist investigators and monthly supervision of therapy. Case managers will regularly monitor suicide risk, clinical status and provide follow-up.
The control group will receive "treatment as usual", which in most cases consists of consultation with an on-site social worker or a psychiatrist at the Emergency Room, provision of a self-help leaflet and referral to a psychiatrist.
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Primary outcome measure(s)
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Treatment adherence, defined as outpatient mental health clinic attendance at 6 and 12 month.
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Secondary outcome measure(s)
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The following will be assessed during follow-up periods (6 and 12 month):
1. Number of suicide attempts (behaviour)
2. Suicidal ideation
3. Depression score
4. Patients' satisfaction with care
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Sources of funding
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National Science Council (Taiwan)
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Trial website
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Publications
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Contact name
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Dr
Shen-Ing
Liu
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Address
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Department of Psychiatry
Mackay Memorial Hospital
No 45
Ming-Shan Road
Tam-Shu
Chu-Wui
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City/town
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Taipei County
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Zip/Postcode
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25115
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Country
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Taiwan
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Sponsor
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National Science Council (Taiwan)
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Address
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No. 106
HoPing E Road
Sec 2
Taipei 10622
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City/town
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Taipei County
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Zip/Postcode
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25115
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Country
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Taiwan
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Sponsor website:
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http://web.nsc.gov.tw/
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Date applied
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05/04/2008
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Last edited
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01/05/2008
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Date ISRCTN assigned
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01/05/2008
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