| CTRI Number |
CTRI/2025/10/095618 [Registered on: 06/10/2025] Trial Registered Prospectively |
| Last Modified On: |
03/10/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Observational |
|
Type of Study
|
mixed methods study |
| Study Design |
Other |
|
Public Title of Study
|
Inpatient suicides in psychosis at a mental health care facility |
|
Scientific Title of Study
|
Inpatient suicides in psychosis at a mental health care facility: A mixed methods study |
| Trial Acronym |
nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Shweta Banerjee |
| Designation |
Junior Resident |
| Affiliation |
Central Institute of Psychiatry |
| Address |
Central Institute of Psychiatry
Kanke, Ranchi, Jharkhand, 834006, India
Ranchi
JHARKHAND
834006
India |
| Phone |
09204858189 |
| Fax |
|
| Email |
shwetabanani@gmail.com |
|
Details of Contact Person
Scientific Query
|
| Name |
Prof Dr Varun S Mehta |
| Designation |
Professor of Psychiatry |
| Affiliation |
Central Institute of Psychiatry |
| Address |
Central Institute of Psychiatry
Kanke, Ranchi, Jharkhand, 834006, India
Ranchi
JHARKHAND
834006
India |
| Phone |
09204858189 |
| Fax |
|
| Email |
vs_mehta@yahoo.co.in |
|
Details of Contact Person
Public Query
|
| Name |
Prof Dr Varun S Mehta |
| Designation |
Professor of Psychiatry |
| Affiliation |
Central Institute of Psychiatry |
| Address |
Central Institute of Psychiatry
Kanke, Ranchi, Jharkhand, 834006, India
Ranchi
JHARKHAND
834006
India |
| Phone |
09204858189 |
| Fax |
|
| Email |
vs_mehta@yahoo.co.in |
|
|
Source of Monetary or Material Support
|
| Central Institute of Psychiatry
Kanke, Ranchi, jharkhand, 834006, India |
|
|
Primary Sponsor
|
| Name |
central institute of psychiatry |
| Address |
Central Institute of Psychiatry
Kanke, Ranchi, jharkhand, 834006, India |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Shweta Banerjee |
Central Institute of Psychiatry |
Record Section room no. 7, Central Institute of Psychiatry
Kanke, Ranchi, Jharkhand, 834006, India
Ranchi
JHARKHAND |
08340266405
shwetabanani@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institute of ethics committee, CIP, Ranchi |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: F200||Paranoid schizophrenia, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Nil |
Nil |
|
|
Inclusion Criteria
|
| Age From |
0.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Both |
| Details |
INPATIENT SUICIDES
1. Case Record files of inpatients who died by suicide during hospitalization from the 2000-2024.
2. Inpatients having at least one ICD-10 diagnosis belonging to any of the following categories – F1x.5, F20-F29, F30.2, F31.2, F31.5, F32.3, F33.3, F38
LIVING INPATIENTS
1. Case Record files of patients hospitalized in the same month, in the same ward and alive as those in-patients who died by suicide from the 2000-2024 also matched for their age, gender and diagnosis.
2. Inpatients having at least one ICD-10 diagnosis belonging to any of the following categories - F1x.5, F20-F29, F30.2, F31.2, F31.5, F32.3, F33.3, F38
INPATIENT SUICIDES LIVING INPATIENTS
INCLUSION CRITERIA 1. Case Record files of inpatients who died by suicide during hospitalization from the 2000-2024.
2. Inpatients having at least one ICD-10 diagnosis belonging to any of the following categories – F1x.5, F20-F29, F30.2, F31.2, F31.5, F32.3, F33.3, F38 1. Case Record files of patients hospitalized in the same month, in the same ward and alive as those in-patients who died by suicide from the 2000-2024 also matched for their age, gender and diagnosis.
2. Inpatients having at least one ICD-10 diagnosis belonging to any of the following categories - F1x.5, F20-F29, F30.2, F31.2, F31.5, F32.3, F33.3, F38
INCLUSION CRITERIA
1. Nursing officers of either gender who have at least 10 years of psychiatric nursing experience
2. Nursing Officers who have at least one clinical experience of an inpatient suicide (attempt/completed) in the past 2 years
|
|
| ExclusionCriteria |
| Details |
1. inpatients who have received any other
ICD-10 diagnosis apart from those in the
inclusion criteria
2. Nursing officers who refuse to provide consent
for participation in the interview |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
1. To evaluate the factors (demographic and clinical) associated with inpatient suicides in-patients with psychosis in comparison to matched living in-patients with psychosis.
2. To explore the perspectives of nurses related to inpatient suicides providing care to patients within the
mental health care facility. |
none |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
2. To explore the perspectives of nurses related to inpatient suicides providing care to patients within the
mental health care facility. |
none
|
|
|
Target Sample Size
|
Total Sample Size="11"
Sample Size from India="11"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
15/10/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="1"
Months="0"
Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
|
Brief Summary
|
INTRODUCTION
National Institute of Mental Health (NIMH)
defines suicide as death caused by self-directed injurious behavior with intent
to die as a result of the behavior. According to the World Health Organization,
nearly 703,000 people in the world die by suicide each year, at a rate of one death every 40 seconds. Approximately 90% of these individuals suffer
from a psychiatric pathology, the most common being mood disorders. Inpatient
suicide is an important issue which has significant administrative,
legislative, and therapeutic underpinnings
NEED FOR STUDY
In comparison to the abundant
information on inpatient suicide in the West, there is a paucity of data on
inpatient suicide in Asia, even so lesser in India. Very few studies have been
done in India regarding inpatient suicides, especially in a mental health
facility with none to our knowledge that have focused exclusively on psychotic
disorders. Furthermore, details about the course of illness and psychopathology
have not been assessed in these studies. Paris (2007) has pointed out over-caution
arising from fear within the clinician that leads to hospitalization and not,
because of the belief that hospitalization is the best possible management. Although
many patients benefit from the protective and containing environment of the
hospital during a suicidal crisis, hospitalization of chronically suicidal
patients can turn counterproductive and may also be replaced by outpatient
management if required information and expertise is available with the
clinician.
AIM
To evaluate the factors associated
inpatient suicides among patients with psychosis over a period of 25 years and
exploring the perspectives of nurses related to inpatient suicides.
OBJECTIVES
1. To evaluate the factors
(demographic & clinical) associated with inpatient suicides in-patients
with psychosis in comparison to matched living in-patients with psychosis.
2. To explore the
perspectives of nurses related to inpatient suicides providing care to patients
within the mental health care facility. MATERIALS AND METHODS
1. VENUE The study will be
conducted at Central Institute of
Psychiatry, Ranchi.
2. STUDY DESIGN The study will adopt a
mixed methods design. The first part will involve a retrospective review of
medical records of in-patients with psychosis who died by suicide during their hospitalization
at the Institute. The medical records will be reviewed for 25 years’ duration
from 2000 to 2024. The qualitative aspect will include ten In-depth interviews
(IDIs) with nurses exploring their perspectives related to inpatient suicides.
3. SAMPLE SIZE & SAMPLING
STRATEGY The
total number of inpatient suicide deaths occurring during the past 25 years
will be determined by review of the register and medical records maintained at
the Institute. For the IDIs, 10 nurses would be recruited through convenience
sampling. TOOLS: 1. CASE RECORD FILE 2. STRUCTURED ASSESSMENT
QUESTIONNAIRE
3. INTERVIEW GUIDE FOR
IN-DEPTH INTERVIEWS
|