Implementing a nurse-led safety planning intervention in emergency departments to prevent suicide reattempts: a stepped-wedge randomized controlled trial protocol (French multicentre randomized controlled trial with a stepped-wedge design)

Suicide prevention is a worldwide challenge, and an emergency department (ED) visit is a key moment to prevent subsequent suicide risk. Previous studies reported the effectiveness of safety plan interventions (SPI), which are recommended by the suicide prevention resource centre and various health ministries. The safety plan encompasses a range of strategies to prevent and manage suicidal thoughts and actions. Our study (PROTECT) aims to evaluate the effectiveness of the SPI before patient discharged after suicide attempt by nurses and other health care professionals in the ED. Secondly, we will examine the implementation of the intervention among healthcare professionals and patients. The primary outcome is the reduction of suicidal behavior at six months, including suicide reattempts and death by suicide, after the index suicide attempt in patients who received the SPI compared to those who received the practices as usual. The effectiveness of the SPI will be evaluated through a multicenter stepped-wedge cluster randomized controlled trial. 2,387 people who have attempted suicide will be identified in 20 EDs and will first be observed during a control phase. The control group (observation phase) is defined by the administration of usual practices, which include the suicidal recontact program (Vigilans) combined with specialized follow-up tailored to each patient. Initially, the research teams will train emergency professionals in the use of the SPI (transition phase). Finally, an intervention phase will be activated during which the SPI will be implemented in addition to practices as usual. PROTECT is the first study to largely evaluate the effectiveness of the SPI and is the first ongoing study with a large number of included participants and participating centres. Significant findings may aid in the adoption of novel nursing care approaches to prevent suicide reattempts in the ED. The present trial has been registered on the ClinicalTrials.gov database (NCT05609487) since 8 November 2022.

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Publication Details

Journal
BMC Nursing
Published
2025-05-19
DOI
https://doi.org/10.1186/s12912-025-03121-w
Citations
1
Primary Topic
Suicide and Self-Harm Studies
Type
article
Field-Weighted Citation Impact
2.31

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article

Implementing a nurse-led safety planning intervention in emergency departments to prevent suicide reattempts: a stepped-wedge randomized controlled trial protocol (French multicentre randomized controlled trial with a stepped-wedge design)

Damien Denès, Benoît Chalancon, Gabrielle Mugnier, Pauline Mascarel et al.
1 citations
BMC Nursing
Suicide and Self-Harm Studies
2.31
article

Implementing a nurse-led safety planning intervention in emergency departments to prevent suicide reattempts: a stepped-wedge randomized controlled trial protocol (French multicentre randomized controlled trial with a stepped-wedge design)

Damien Denès, Benoît Chalancon, Gabrielle Mugnier, Pauline Mascarel, Elise Cléva, Caroline Marchand, Romain Pérot, Édouard Leaune, Jérôme Petit, Erwann Nouvel, Louis Simon, Laure Varin, Judith Leblanc, J.I. Álvarez de los Heros, Emmanuel Poulet, M Benoist, Frédéric Dubois, E. Sybil Durand, Merrill Turpin, Julie Haesebaert, Maxime Vieux, Gaël Fouldrin, Fabien Subtil, Paul Roux, Camila Mahara Dias Damasceno, Sidalina Almeida, Anaïs Vandevelde, Ana M. Gil, Pauline Boudin, Dewi Le Gal, O. Barasino, Josselin Guyodo, Pierre Gérard, Cyrille Colin, Emmanuel Léger, Aurélie Vacher, Tamara Vernet, Pauline Guillemet-Senkel, Pierrick Duchemin, Charlotte Folin, Claire Paturaux, Rémy Chapelle, Clément Lefort, Anne Lelandais, Fazna Ruttee, Mélodie Supera, Gilles Robic, Marion Bussière Lheureux, Priscilla Evo, Arthur Hauray, Carole Saludas, Julia Dalmont, Maxime Freton, Audrey Touvenot, Elodie Bastard, Baptiste Lallement, Romain Leperchois, Brice Terrolles
article en
1 citations

Abstract

Suicide prevention is a worldwide challenge, and an emergency department (ED) visit is a key moment to prevent subsequent suicide risk. Previous studies reported the effectiveness of safety plan interventions (SPI), which are recommended by the suicide prevention resource centre and various health ministries. The safety plan encompasses a range of strategies to prevent and manage suicidal thoughts and actions. Our study (PROTECT) aims to evaluate the effectiveness of the SPI before patient discharged after suicide attempt by nurses and other health care professionals in the ED. Secondly, we will examine the implementation of the intervention among healthcare professionals and patients. The primary outcome is the reduction of suicidal behavior at six months, including suicide reattempts and death by suicide, after the index suicide attempt in patients who received the SPI compared to those who received the practices as usual. The effectiveness of the SPI will be evaluated through a multicenter stepped-wedge cluster randomized controlled trial. 2,387 people who have attempted suicide will be identified in 20 EDs and will first be observed during a control phase. The control group (observation phase) is defined by the administration of usual practices, which include the suicidal recontact program (Vigilans) combined with specialized follow-up tailored to each patient. Initially, the research teams will train emergency professionals in the use of the SPI (transition phase). Finally, an intervention phase will be activated during which the SPI will be implemented in addition to practices as usual. PROTECT is the first study to largely evaluate the effectiveness of the SPI and is the first ongoing study with a large number of included participants and participating centres. Significant findings may aid in the adoption of novel nursing care approaches to prevent suicide reattempts in the ED. The present trial has been registered on the ClinicalTrials.gov database (NCT05609487) since 8 November 2022.

BMC NursingVol. 24(1)
Université Claude Bernard Lyon 1 (FR), Centre National de la Recherche Scientifique (FR), Inserm (FR), Altran (France) (FR), Université de Versailles Saint-Quentin-en-Yvelines (FR), University of Reunion Island (RE), Centre Hospitalier Universitaire de Lille (FR), Centre Hospitalier Universitaire de Nantes (FR), Sorbonne Université (FR), HIA du Val-de-Grâce à Paris (FR), Centre Hospitalier Universitaire de La Réunion (RE), Santé Publique France (FR), Hôpital Cochin (FR), Centre de Recherche en Neurosciences de Lyon (FR), Centre Hospitalier Universitaire de Tours (FR), Laboratoire Analyse et Modélisation pour la Biologie et l'Environnement (FR), Assistance Publique – Hôpitaux de Paris (FR), Maternité Port Royal (FR), Hospices Civils de Lyon (FR), Conseil Régional de Champagne-Ardenne (FR), Hôpital Saint-Antoine (FR), Centre de recherche en Epidémiologie et Santé des Populations (FR), Conseil Régional de La Réunion (RE), Centre Hospitalier Universitaire de Reims (FR), Centre Hospitalier Universitaire d'Angers (FR), Centre Hospitalier Universitaire de Caen Normandie (FR), 82th Hospital of Pla (CN), Hôpital Lariboisière (FR), Health Services and Performance Research Laboratory (FR), Groupe Hospitalier Cochin - Port-Royal, Hôtel-Dieu, Broca - La Collégiale (FR), Centre Hospitalier Sainte-Anne (FR), Centre Hospitalier du Rouvray (FR), Centre Hospitalier Universitaire de Clermont-Ferrand (FR), Etablissements de Santé Mentale (FR), Hôpital Lapeyronie (FR), Centre Hospitalier Régional Universitaire de Brest (FR), Institut Pierre Louis d‘Épidémiologie et de Santé Publique (FR), Hôpital Paris Saint-Joseph (FR), Laboratoire de Biométrie et Biologie Evolutive (FR), Centre Hospitalier Le Vinatier (FR), FHU Neurovasc (FR), Groupe d’Etude des Cétacés du Cotentin (FR), Centre Hospitalier Universitaire de Rouen (FR), Centre Hospitalier Universitaire de Saint-Étienne (FR), Centre Hospitalier de Versailles (FR), Hôpital Fontmaure (FR), Centre Hospitalier Saint-Nazaire (FR), Research on healthcare performance (FR), Université de Rouen Normandie (FR), Université de Reims Champagne-Ardenne (FR)
Centre Hospitalier Universitaire de Nantes, Centre Hospitalier Universitaire de Clermont-Ferrand
Good health and well-being, Gender equality
Openalex Percentile: Top 14%
Suicide and Self-Harm Studies
2.31
DOIOpen Access PDFOpenAlex
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