UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057009
Receipt number R000065154
Scientific Title Assertive case management intervention for preventing reattempt of suicide attempters at psychiatric hospitals in Japan
Date of disclosure of the study information 2025/04/01
Last modified on 2025/03/30 22:53:05

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Basic information

Public title

Assertive case management intervention for preventing reattempt of suicide attempters at psychiatric hospitals in Japan

Acronym

ACTION-JP study

Scientific Title

Assertive case management intervention for preventing reattempt of suicide attempters at psychiatric hospitals in Japan

Scientific Title:Acronym

ACTION-JP study

Region

Japan


Condition

Condition

suicide attempts

Classification by specialty

Psychiatry Emergency medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The ACTION-JP aims to evaluate the feasibility of implementing the assertive case management intervention program developed by the ACTION-J study in psychiatric hospitals and to assess its effectiveness of preventing suicide reattempts among individuals admitted to psychiatric hospitals due to a suicide attempt in Japan.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase



Assessment

Primary outcomes

Change in the Columbia Suicide Severity Rating Scale (C-SSRS) scores from time of registration to six months after registration.

Key secondary outcomes

1) Incidence rate (person-years) and proportion of deaths (suicides and any cause), first recurrent suicide attempts/self-injury and frequency of suicide attempts/self-injury
2) Proportion of treatment adherence
3) Difference in C-SSRS scores from baseline
4) Difference in BDI-II scores from baseline
5) Difference in GAF scores from baseline


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Behavior,custom

Interventions/Control_1

Assertive case management
Usual clinical practice

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Individuals over 18 years old.
2) Individuals diagnosed with a psychiatric disorder classified into DSM-IV axis I.
3) Individuals who had suicidal intentions confirmed using the Columbia-Suicide Severity Rating Scale.
4) Individuals who can attend the case management interview within one month of their suicide attempt.
5) Individuals who can understand the description of the study and provide informed consent.
6) Individuals who can understand Japanese.
7) Individuals who can attend the case management interviews and the psychoeducation program during hospitalization.
8) Individuals who can visit the participating medical facilities regularly for evaluations and case management.
9) Individuals who have not participated in this study in the past.

Key exclusion criteria

1) Individuals who have a diagnosis that is not classified into DSM-IV axis I.
2) Individuals who have been received the assertive case management in the past.

Target sample size

220


Research contact person

Name of lead principal investigator

1st name Chiaki
Middle name
Last name Kawanishi

Organization

Sapporo Medical University

Division name

Department of neuropsychiatry

Zip code

060-8543

Address

S1W16, Chuoh-ku, Sapporo, Hokkaido, Japan

TEL

011-611-2111

Email

chiaki.kawanishi@gmail.com


Public contact

Name of contact person

1st name Ryutaro
Middle name
Last name Ishibashi

Organization

Sapporo Medical University

Division name

Department of neuropsychiatry

Zip code

060-8543

Address

S1W16, Chuoh-ku, Sapporo, Hokkaido, Japan

TEL

011-611-2111

Homepage URL


Email

ryutaroishibashi@yahoo.co.jp


Sponsor or person

Institute

Department of Neuropsychiatry, Sapporo Medical University Graduate School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Japanese Association for Suicide Prevention

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)

The Japanese Association for Emergency Psychiatry


IRB Contact (For public release)

Organization

Sapporo Medical University

Address

S1W16, Chuoh-ku, Sapporo, Hokkaido, Japan

Tel

011-611-2111

Email

rinri@sapmed.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

ときわ病院(北海道)、沼津中央病院(静岡県)、桶狭間病院藤田こころケアセンター(愛知県)、三重県立こころの医療センター(三重県)、岡山県精神科医療センター(岡山県)、玉名病院(熊本県)


Other administrative information

Date of disclosure of the study information

2025 Year 04 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2024 Year 12 Month 24 Day

Date of IRB

2025 Year 03 Month 12 Day

Anticipated trial start date

2025 Year 04 Month 01 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 02 Month 12 Day

Last modified on

2025 Year 03 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065154