Since 2014, suicide prevention has been a national priority and is one of the 3 priority areas of the mental health plan's roadmap .
Hospitalization offers a crucial opportunity for life-preserving intervention . Brief health interventions and contacts are reputed to be easy to implement, effective and inexpensive .
The Hope Box is a practical emotional management tool that aims to encourage the expression of reasons for living by materializing them in a customizable box, filled with objects, photos, writings and memories in order to find comfort and hope .
Peer support use their experiential knowledge of disorders and recovery to accompany people and help humanize care . They can play a decisive role in suicide prevention .
In contrast to an approach focusing only on risk factors, peer support and the Hope Box are both focus on protective factors, the strengths of the people concerned and hope.
The primary objective of this study is to evaluate the feasibility of the HOPAIR intervention (peer-support and Hope Box, completed by a reminder postcard) with suicidal people hospitalized in psychiatric crisis units. Its secondary objective is to assess the potential effectiveness on intensity of hopelessness, sense of self-efficacy, reasons for living, perceived social support and suicidal recurrence at 3 months.
This is a mixed-methods study involving 40 patients and 2 peer support in two crisis hospitalization units.
Major ;
Hospitalized in a psychiatric crisis unit;
Having attempted suicide in the month preceding hospitalisation;
Able to give free and informed consent;
Presenting a relational modality incompatible with the proposed intervention (agitation, acute delirium, major cognitive disorders or psychic disorganisation, etc.);
Included in another research protocol related to suicide prevention.
Single group
HOPAIR Intervention: Meeting between Peer Helper and Concerned Individual in Psychiatric Crisis Unit
Other interventionThis intervention begins with an initial discussion focused on the individual's lived experience, followed by an explanation of the Hope Box's principle, utility, and use. After each intervention, the peer supporter will complete a satisfaction self-questionnaire to provide feedback.
Feasibility Evaluation of the Combined HOPAIR Intervention (Peer Support, Hope Box, and Postcard Reminder) for Suicidal Inpatients in Psychiatric Crisis Units at 3-Month Post-Intervention.
It will be assessed by : * Achievement of the target of recruiting two peer support (yes/no). * Completion of training by the two peer support (yes/no). * Recruitment capacity of 40 patients, 20 in each center; * Collection and description of the characteristics of the resulting sample at the time of inclusion by the IPA within 24 hours of arrival in the department; * The acceptability of the intervention and the use of the Hope Box through feedback from the people concerned by means of a semi-directive telephone interview at 3 months by the IPA; * Feedback from peer support after each intervention, using self-questionnaires;
Effectiveness of the HOPAIR intervention on indicators of well-being at 3 months post-intervention.
The potential effectiveness of the HOPAIR system will be assessed by comparing the differences in scores and responses to questions at inclusion, during a face-to-face interview and at 3 months after the HOPAIR intervention during a telephone interview by the IPA using the following scales and questions.
Effectiveness of the HOPAIR intervention on indicators of suicidality at 3 months post-intervention.
The potential effectiveness of the HOPAIR system will be assessed by comparing the differences in scores and responses to questions at inclusion, during a face-to-face interview and at 3 months after the HOPAIR intervention during a telephone interview by the IPA using the following scales and questions
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