VigilanS interventional goals, and evaluative goals and method
| Interventional goals | Evaluative goals | Indicators | Procedure | |
| Distal (principal) | Reduce the rates of suicides and suicide reattempts in individuals discharged from hospital after an index suicide attempt. | Assess the effects of the programme in terms of reduction of suicide and suicide reattempt rates in VigilanS cohort. | Suicide and suicide reattempt rates in the cohort. | Prospective comparison with a control cohort via survival analyses. |
| Sources: monitoring, CepiDC and PMSI. | ||||
| Assess the territorial effects of the programme in terms of reduction of suicide and suicide reattempt rates in the Nord–Pas-de-Calais region. | Suicide and suicide reattempt rates in the Nord–Pas-de-Calais region. | Longitudinal interrupted time-series analysis cross-sectional here/there comparisons with Picardie’s region data. | ||
| Sources: monitoring, CepiDC and PMSI. | ||||
| Proximal (secondary) | Implement an effective BCIs and surveillance system. | Measure the level of territorial implementation of the programme. | Penetrance rate. | Description. |
| Measure the functioning of the programme in terms of BCIs provision. | Number of Green Cards distributed. | Description. | ||
| Number of outcoming calls. | ||||
| Number of postcards sent. | ||||
| Measure the acceptability of the programme. | Professionals’ opinion about the possibility to integrate the programme in their practice. | Quantitative assessment: questionnaires. | ||
| Patients’ opinion about the efficiency and/or intrusiveness of the system. | Qualitative assessment: semistructured interviews. | |||
| Descriptive analysis. | ||||
| Optimise the care management of patients discharged from hospital after a suicide attempt. | Disclose the effects of the programme on the patients’ healthcare paths. | Number of professionals involved in patients’ management. | Cross-sectional comparisons 1 year before versus 1 year after the entry in the programme. | |
| Number of medical appointments. | ||||
| Use of medical treatments. | ||||
| Number of admissions in a psychiatric facility. | ||||
| Sources: PMSI. | ||||
| Assess the impact of the programme on the professionals’ knowledge about suicide. | Knowledge of Suicide Scale score. | Cross-sectional comparison of the scores before versus 9 months after the opening of the partner centres. |
BCI, brief contact intervention; CepiDC, French Center for Epidemiology on Medical Causes of Death; PMSI, Program for Medicalization of Information Systems.