2026-04-05T10:53:38Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/122212025-10-01T01:33:40Zcom_2072_378071com_2072_378040col_2072_378097

A Suicide Attempt Multicomponent Intervention Treatment (SAMIT Program): study protocol for a multicentric randomised controlled trial Beneria Gonzalez, Anna Motger Albertí, Anna Quesada-Franco, Marta Santesteban-Echarri, Olga Arteaga-Henriquez, Gara Ibáñez-Jiménez, Pol Parramon Puig, Gemma Braquehais, María Dolores Ramos-Quiroga, Josep Antoni Conducta suïcida Psicoteràpia PSYCHIATRY AND PSYCHOLOGY::Behavior and Behavior Mechanisms::Behavior::Behavioral Symptoms::Self-Injurious Behavior::Suicide::Suicide, Attempted PSYCHIATRY AND PSYCHOLOGY::Behavioral Disciplines and Activities::Psychotherapy PSIQUIATRÍA Y PSICOLOGÍA::conducta y mecanismos de la conducta::conducta::síntomas conductuales::conducta autolesiva::suicidio::intento de suicidio PSIQUIATRÍA Y PSICOLOGÍA::disciplinas y actividades conductuales::psicoterapia Psychotherapeutic intervention; Suicide attempt Intervenció psicoterapèutica; Intent de suïcidi Intervención psicoterapéutica; Intento de suicidio Background Suicide has become a first-order public health concern, especially following the negative impact of COVID-19 on the mental health of the general population. Few studies have analysed the effects of early psychotherapeutic interventions on subjects who have attempted suicide, and even fewer have focused on those hospitalized in non-psychiatric units after a Medically Serious Suicide Attempt (MSSA). The main aim of this study is to describe the protocol designed to evaluate the effectiveness of individual psychological treatment for patients hospitalized after an MSSA. The secondary objectives of the study are: (1) to evaluate the impact on quality of life and other psychosocial variables of patients with a recent MSSA who receive early psychological intervention; (2) to analyse the biological, psychological, and clinical impact of early psychotherapeutic treatment on subjects hospitalized after an MSSA. Methods A longitudinal randomised controlled trial will be conducted with patients over 16 years of age admitted to two general hospitals. The case intervention group will enrol for 8-sessions of individual psychotherapy, Suicide Attempts Multi-component Intervention Treatment (SAMIT), combining Dialectical Behaviour Therapy (DBT), Mentalization-Based Therapy (MBT), and Narrative approaches, while the control group will receive a treatment-as-usual intervention (TAU). Longitudinal assessment will be conducted at baseline (before treatment), post-treatment, and 3, 6, and 12 months after. The main outcome variable will be re-attempting suicide during follow-up. Discussion Some psychotherapeutic interventions, usually implemented in outpatient, have proven to be effective in preventing suicidal behaviours. The combination of some of these may be a powerful treatment for preventing future SA in patients hospitalised after an MSSA, which is the most severely suicidal subgroup. Moreover, assessment of the biological, clinical and psychometric impact of this new intervention on patients during the first year after the attempt may help understand some of the multi-level factors associated with the effectiveness of psychotherapeutic interventions in MSSAs. The prevalence of high suicide rates requires the design of effective psychological interventions for their prevention, and also in order to design new pharmacological and psychological treatments. The panel of La Marató de TV3 Foundation, a non-profit association from Catalonia (Spain), which funded the project (202208-30-31 funds), has peer reviewed the study protocol as part of the funding process. Funding bodies will not be involved in any part of the design, conduct, analysis, interpretation, and reporting of this trial. 2024-11-14T07:44:48Z 2024-11-14T07:44:48Z 2024-10-08 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion BMC Psychiatry;24 https://doi.org/10.1186/s12888-024-06113-3 Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess BMC Scientia