This study aims to explore perceptions of care and needs of support in a suicidal crisis family members and suicidal patients (in current remission). Mapping these experiences will contribute to an emerging theory to guide care for suicidal patients…
ID
Source
Brief title
Condition
- Other condition
Synonym
Health condition
effect van suicidaliteit op familie en andere naasten, effect van steun aan familie op suicidaliteit.
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
The group of family members will be asked to complete validated questionnaires
concerning caregiver strain/ caregiver burden: Betrokkene Evaluatie Schaal
(Schene & van Wijngaarden, 1991), Caregiver Strain Index ( Robinson, 1983)
Caregiver Reaction Assesment (Given et al, 1992) and Ervaren Druk door
Informele Zorg (Pot, 1995). These measurements will be completed at baseline,
directly after the intervention and after 6 and 12 months follow up.
The patient group will be asked to complete validated questionnaires, at the
same moments as family members, about suicidal ideation and behavior, Columbia
Suicide Severity Rating Scale, Posner et al, 2011, Herth Hope Index 1992, MANSA
16 Wiersma, 2002, Mental Health Confidence Scale, Carpinello et al 2000,
Recovery Assessment Scale, Giffort et al 1995, Nederlandse Empowerment Lijst,
Boevink et al 2009 and resilience ( Mental Health Confidence Scale)
A process evaluation will be conducted three months after the end of the
intervention, in an interview of both participants and their patient-family
members about the impact of the intervention for their recovery, the level of
appreciation of the intervention and their suggestions for improvement.
Secondary outcome
Possible information will follow after the development of the intervention.
Background summary
Suicide remains a health care issue that is difficult to resolve. After a long
period of decline the incidence of suicide is rising
again. In 2015, 1,871 people committed suicide compared to 1,524 in 2009.
Involvement of significant others is considered as
one of the options to reduce suicide risk. The Dutch *Multidisciplinary
Guideline for the diagnosis and treatment of suicidal
behavior' (Hemert et al., 2012) recommends more co-operation between
significant others and treatment staff (e.g.
psychiatrist, psychiatric nurses). This may help to obtain relevant information
for diagnosing, needs assessment and treatment,
and at the same time to provide support to families in caring, accompanying
and, if needed, guarding their loved ones. Little is
known, however, about the effects of suicidality on significant others.
Involvement of significant others is especially relevant in
light of the recent tendency to treat suicidal patients at home given
constraints on the capacity of psychiatric beds
(Bestuursakkoord over de toekomst van de GGz 2012, Min. van VWS).
Study objective
This study aims to explore perceptions of care and needs of support in a
suicidal crisis family members and suicidal patients (in current remission).
Mapping these experiences will contribute to an emerging theory to guide care
for suicidal patients.
The aim of this study is the improvement of mental health care for suicidal
people through the development of a new
intervention:
- targeted psycho-education for family/partners of suicidal patients;
A pilot to evaluate the intervention is preceded by a new request to the
Medical Ethics Committee.
Our research questions are:
1. What are the essential ingredients of psycho-education for significant
others of suicidal patients?
2. Is group-based psycho-education for significant others a valuable addition
to the care for suicidal patients and their
families?
3. How do significant others evaluate the psycho-education offered ?
Project
Study design
The intervention will be developed on the basis of a literature review and
qualitative research, after which a pilot study will
be conducted to evaluate outcomes as well as the process. The pilot will be
conducted without a control group.
Due to the small sample and the qualitative study design, we will not be able
to draw conclusions on any causal relationship
between intervention and the quantitative findings. However, we will obtain
qualitative data which will provide insights into the
meaning of the interventions for the patients and their family members and
their appreciation of the interventions. Additionally,
the conditions for implementation in mental health care will be evaluated by
qualitative interviews with stakeholders.
Intervention
- targeted psycho-education for family/partners of suicidal patients;
Study burden and risks
Burden: One interview duration max. 60 minutes. Survey 30 minutes. (T 0-T 1-T 2)
Focusgroups 1.5-2 hrs.
Risk: Aftercare is accounted for.
Sandifortdreef 19
Leiden 2333 ZZ
NL
Sandifortdreef 19
Leiden 2333 ZZ
NL
Listed location countries
Age
Inclusion criteria
Sufficiënt command of the Dutch language
Age at least 18 years old
Being member of the family system of a suïcidal patiënt
Exclusion criteria
Severe drugs or alcohol addiction
Severe mental retardation
Design
Recruitment
metc-ldd@lumc.nl
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| CCMO | NL59218.058.16 |