Beniwal Ram Pratap, Sreedaran Priya, Chari Uttara, Bhatia Triptish
Dept. of Psychiatry and Drug De-Addiction, Centre of Excellence in Mental Health, Atal Bihari Vajpayee Institute of Medical Science & Dr RML Hospital, New Delhi, India.
Dept. of Psychiatry, St John's Medical College, Bengaluru, Karnataka, India.
Indian J Psychol Med. 2020 Dec;42(6 Suppl):S39-S45. doi: 10.1177/0253717620971199. Epub 2020 Dec 19.
Persons with previous history of a suicide attempt are at increased future risk of death by suicide. These vulnerable individuals, however, do not seek receive or seek help from mental health services. Telephone-based psychosocial interventions are potential strategies in augmenting mental health care in such persons.
We aim to compare the efficacy of telephone-based psychosocial interventions (TBPI) with routine telephone reminders in persons with recent suicide attempts using a multi-site, parallel group, rater-blind, two-arm randomized controlled trial design in 362 participants. In the first group, participants will receive three sessions of TBPI comprising of brief supportive interventions, problem-solving strategies, and reminders for adherence to prescribed mental health treatment at weekly intervals. In the second group, participants will receive three telephone reminders for adherence to prescribed mental health treatment at weekly intervals. We will follow up participants for 6 months. Primary outcomes are suicidal ideation scores on Beck's Scale for Suicide Ideation and number of repeat suicide attempts. Secondary outcomes are scores on Beck's Hopelessness Scale, Beck's Depression Inventory, Connor-Davidson Resilience Scale and Visual Analogue Rating Scales for acceptability of interventions. Outcomes will be assessed at 1, 3, and 6 months after receiving telephone interventions or reminders.
The trial is currently underway after prospective registration under Clinical Trials Registry of India and has recruited 260 participants till August 15, 2020.
This study has potential to generate evidence on additional strategies for use along with standard mental health treatments in management of high-risk suicide behaviors.
有过自杀未遂史的人未来自杀死亡风险会增加。然而，这些脆弱个体并未寻求心理健康服务，也未接受或寻求此类帮助。基于电话的心理社会干预是增强这类人群心理健康护理的潜在策略。
我们旨在采用多中心、平行组、评估者盲法、双臂随机对照试验设计，比较基于电话的心理社会干预（TBPI）与常规电话提醒对近期有自杀未遂行为的人的疗效，共362名参与者。在第一组中，参与者将接受三次TBPI干预，包括简短的支持性干预、解决问题策略以及每周一次坚持规定心理健康治疗的提醒。在第二组中，参与者将每周收到三次坚持规定心理健康治疗的电话提醒。我们将对参与者随访6个月。主要结局是贝克自杀意念量表上的自杀意念得分以及重复自杀未遂次数。次要结局是贝克绝望量表、贝克抑郁量表、康纳 - 戴维森复原力量表的得分以及干预可接受性的视觉模拟评分量表得分。结局将在接受电话干预或提醒后的1、3和6个月进行评估。
该试验在印度临床试验注册中心进行前瞻性注册后目前正在进行，截至2020年8月15日已招募260名参与者。
本研究有潜力为在管理高风险自杀行为中与标准心理健康治疗一起使用的其他策略提供证据。
