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A Suicide Attempt Multicomponent Intervention Treatment (SAMIT Program): study protocol for a multicentric randomised

Anna Beneria1,2,3,4, Anna Motger-Albertí5,6, Marta Quesada-Franco7,8,9,10

  • 1Department of Mental Health, Vall d'Hebron Hospital Universitari, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Catalonia, Spain. anna.beneria@vallhebron.cat.

BMC Psychiatry
|October 8, 2024
PubMed
Summary

This study protocol outlines an 8-session psychotherapy intervention (SAMIT) for patients hospitalized after a medically serious suicide attempt (MSSA). The goal is to reduce suicide re-attempts and improve psychosocial outcomes.

Keywords:
InterventionMedically Serious Suicide Attempts (MSSA)Psychotherapeutic interventionPsychotherapyRandomised controlled trialSuicide attempt

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Area of Science:

  • Psychiatry
  • Psychology
  • Public Health

Background:

  • Suicide is a major public health issue, exacerbated by COVID-19's mental health impact.
  • Few studies examine early psychotherapy for suicide attempt survivors, especially those in non-psychiatric units.
  • Medically Serious Suicide Attempts (MSSA) represent a severely suicidal subgroup requiring targeted interventions.

Purpose of the Study:

  • To describe a protocol for evaluating the effectiveness of individual psychological treatment for patients hospitalized after an MSSA.
  • To assess the impact of early psychological intervention on quality of life and psychosocial variables in MSSA patients.
  • To analyze the biological, psychological, and clinical effects of early psychotherapy on MSSA patients.

Main Methods:

  • A longitudinal randomized controlled trial involving patients over 16 in two general hospitals.
  • The intervention group receives an 8-session Suicide Attempts Multi-component Intervention Treatment (SAMIT), combining Dialectical Behaviour Therapy (DBT), Mentalization-Based Therapy (MBT), and Narrative approaches.
  • The control group receives treatment-as-usual (TAU), with assessments at baseline, post-treatment, and 3, 6, and 12 months.

Main Results:

  • The primary outcome is the rate of suicide re-attempts during the follow-up period.
  • Secondary outcomes include changes in quality of life, psychosocial variables, and biological, psychological, and clinical markers.
  • Longitudinal data will provide insights into the effectiveness of SAMIT over one year.

Conclusions:

  • Early, combined psychotherapeutic interventions like SAMIT show promise for preventing suicide re-attempts in high-risk MSSA patients.
  • Understanding the multi-level impact of SAMIT can inform the development of effective psychological and pharmacological treatments.
  • This research addresses the urgent need for evidence-based interventions to combat high suicide rates.