The Epidemiology of Suicide Attempts and Suicidal Thoughts in Flanders
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age12+
SponsorUniversity Hospital, Ghent
About this trial
The objective of this study is to collect data in Flanders on the incidence of suicide attempts and suicidal ideation across various healthcare settings. The study also aims to assess the proportion of individuals who receive adequate aftercare following a suicide attempt and to systematically document the methods and means used in suicidal behavior.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Everyone who is admitted alive to the emergency department after a suicide attempt is included. All methods used during the suicide attempt are included. Regarding the method of suicide attempts, a distinction is made between self-injury (hanging, strangulation, drowning, stab and cut wounds, jumping from a height, etc.) and self-poisoning (ingestion of (psycho)pharmaceuticals, drugs, alcohol, chemicals, or other harmful substances).
Everyone who is admitted with suicidal thoughts
Disqualifiers
Accidental overdose, e.g., someone taking medication for a medical condition without any intent to harm themselves
Alcohol intoxication without any intent to harm oneself
Accidental overdose involving party drugs
Individuals who were deceased upon arrival at the hospital due to suicide
Trial population
The study population consists of individuals who are admitted to hospitals or other healthcare institutions, clinic of University Hospital Ghent, A-zorg Aalst, Vitaz Sint-Niklaas, AZ Herentals, AZ Oudenaarde, AZ Sint-Lucas Gent, AZ Sint Vincentius Deinze, AZ Sint Blasius Dendermonde, AZ Jan Palfijn Gent, AZ Alma Eeklo, AZ Groeninge Kortrijk, AZ Oostende, OLV v Lourdes Waregem, AZ Sint Jan Brugge, AZ West Veurne, AZ Sint Lucas Brugge, Jan Yperman ziekenhuis, Sint Andriesziekenhuis Tielt, Sint-Jozefskliniek Izegem, AZ Delta Roeselare, AZ Sint Maria Halle, AZ diest, AZ Klina Brasschaat, AZ Monica Deurne, AZ Sint Maarten Mechelen, AZ Voorkempen Malle, Ziekenhuis Geel, Heilig Hart Lier, Universitair Ziekenhuis Antwerpen, Imeldaziekenhuis Bonheiden, ZSA-UKJA Antwerpen, Sint-Trudo Sint-Truiden, ZOL Genk, Psychiatrisch ziekenhuis Bilzen-Hoeselt.
Trial design
Design model
Case-only
Time perspective
Prospective
Treatments tested in this trial
Semi-structured interview (Guideline for Suicide care and Evaluation =LOES)
Other interventionA semi-structured interview is utilized in general hospitals and other healthcare institutions by clinicians and nurses as part of the psychosocial assessment, with the aim of collecting standardized data on episodes of self-harm and individuals experiencing suicidal ideation. The interview consists of two parts: Part 1 is administered shortly after admission to the healthcare facility due to an episode of self-harm or reported suicidal thoughts. It is conducted by a trained nurse or psychologist. This section collects demographic information, characteristics of the self-harm episode, history of self-harm behavior, perceived social support, level of hopelessness, and current suicidal ideation. Part 2 focuses on a more in-depth exploration of the individual's psychological state. It assesses underlying motives for the self-harm or suicidal thoughts, perceived personal and interpersonal problems, and current and current thoughts of self-harm.
Treatment groups
50,000 Participants
are divided into 1 treatment groupGroup A: Individuals who presented with suïcidale behavior to Hospitals and other healthcare institutions1 intervention
Trial outcomes
Primary outcomes
1
Baseline Demographic and Socioeconomic Characteristics
Sociodemographic information will be collected via standardized intake forms during the initial assessment interview. The following variables will be recorded: * Date of birth (continuous, in DD/MM/YYYY format) * Gender (Male / Female / X) * Marital status (Unmarried / Officially cohabitating / Married / Divorced / Widowed) * Housing situation (Alone / Not alone) * Presence of children (Yes / No) * Economic activity status (Economically active / Unemployed / Economically inactive) * If economically inactive: Pupil or student / Disability due to physical or psychological problems / Retirement / Other (specify) Profession (open text, if applicable) * School situation (if student): * Primary education * Secondary education (ASO / TSO / BSO / KSO / BuSO) * Higher education or university * Other (specify) All responses will be recorded and coded for analysis. Categorical variables will be summarized using frequency and percentage. Open-ended responses will be described narratively
Time frame
Day 12
Baseline Demographic, Socioeconomic and Clinical Admission Characteristics
Additional personal and contextual characteristics will be collected during the initial assessment interview. These include: Pregnancy status (Yes / No) Country of birth of the participant, their mother, and their father (Belgium / Other - specify) Current medication: Open-ended question regarding all prescribed or self-used medications at time of intake. Reason for admission (Suicidal thoughts / Suicide attempt) All categorical variables will be recorded using predefined categories. Open-text fields (e.g., country of birth, medication list) will be thematically categorized post-hoc where applicable. These variables are used to describe the population and examine their relationship with clinical outcomes.
Time frame
Day 13
Method of Suicide Attempt Classified by ICD-10 Category
The method of suicide attempt will be assessed through a semi-structured interview and classified according to the relevant ICD-10 codes for intentional self-harm (e.g., X60-X84). Each participant's attempt will be categorized based on the specific method used (e.g., poisoning, cutting, jumping, hanging), as defined by ICD-10 classification.
Time frame
Day 14
Assessment of Current Emotional State (Open-Ended Response)
Participants will be asked the open-ended question: "How are you feeling right now?" Responses will be collected verbatim during a clinical interview. A qualitative content or thematic analysis will be performed to identify and categorize emotional states (e.g., anxious, sad, calm, angry). The number and percentage of participants reporting each emotional category will be reported.
Time frame
Day 1Sponsors and contacts
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Source ClinicalTrials.gov