Suicidal IdeationG-PACTSNCT02664701
Cognitive Behavioural Group Therapy Versus Individual Supportive Therapy for the Prevention of Repeat Suicide Attempts
A study testing Baseline evaluation with a psychiatrist, Individual supportive therapy and Cognitive behavioural group therapy in people with Suicidal Ideation and Suicide, Attempt, run by Centre Hospitalier Universitaire de Nīmes at 9 sites in France.
Trial summary
The primary objective of this study is to evaluate the efficacy of a program of 6 sessions of Cognitive Behavioural Group Therapy (CBGT) (as compared to 6 sessions of Individual Supportive Therapy (IST)) designed for preventing repeat suicide attempts at 12 months post-psychotherapy in adults admitted to inpatient… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Suicidal Ideation, Suicide, Attempt
- What is being tested?
- Baseline evaluation with a psychiatrist, Individual supportive therapy and Cognitive behavioural group therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 240 participants
- Where
- 9 sitesFrance
- Study dates
- 17 Oct 2017to Nov 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The patient has been correctly informed
- The patient must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- French speaking adults (18 years or older) freely hospitalized (in centres or via emergency services) for prevention of suicide and who have a medium or high suicide risk score according to a Mini International Neuropsychiatric Interview structured interview
- Presence of suicidal ideation according to the Beck Suicide Ideation Scale (score > 3)
- Prior (or recent) suicide attempt within the last three month
- The patient is able to understand the study and capable of giving his/her informed consent
- The patient is available during the weekly time slots proposed by the investigator
Who cannot join
- The patient is participating in another study that may interfere with the results or conclusions of this study
- Within the past three months, the patient has participated in another study that may interfere with the results or conclusions of this study
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection, or is an adult under guardianship
- The patient refuses to sign the consent, or it is impossible to correctly inform the patient
- Emergency situations preventing proper study conduct
Show all 10Show fewer
- History of schizophrenia or other psychotic troubles
- Presence of psychotic symptoms at initial interview
- Serious cognitive impairment
- Medical incapacity to participate
Trial locations and contacts
9 sites in 1 country.
9 sites in 1 country
France9 sites
CHU de Clermont Ferrand - Hôpital Gabriel-Montpied
Clermont-Ferrand, 63003
CHU de Lyon - Groupement Hospitalier Edouard Herriot
Lyon, 69437
CHRU de Montpellier - Hôpital Lapeyronie
Montpellier, 34295
Clinique Les Sophoras
Nîmes, 30000
CHRU de Nîmes - Hôpital Universitaire Carémeau
Nîmes, 30029
CMME
Paris, 75674
CH Henri Laborit
Poitiers, 86021
CHRU de Tours - Clinique Psychiatrique Universitaire
Saint-Cyr-sur-Loire, 37540
CHRU de Strasbourg - Hôpital Civil
Strasbourg, 67091
About this study
Official title: Cognitive Behavioural Group Therapy Versus Individual Supportive Therapy for the Prevention of Repeat Suicide Attempts: a Multicentre, Assessor-blinded, 2-parallel-group, Randomised, Superiority Trial
The primary objective of this study is to evaluate the efficacy of a program of 6 sessions of Cognitive Behavioural Group Therapy (CBGT) (as compared to 6 sessions of Individual Supportive Therapy (IST)) designed for preventing repeat suicide attempts at 12 months post-psychotherapy in adults admitted to inpatient care for suicide attempts.
Read the detailed description
The secondary objectives of this study are to assess the efficacy of CBGT on:
- parameters describing the incidence of suicide and repeat suicide attempts, as well as suicide re-attempt free follow-up time,
- long-term changes in suicidal ideation,
- long-term changes in psychiatric symptoms (depression, hope for the future, hospitalization).
- Conditions
- Suicidal Ideation, Suicide, Attempt
- Being tested
- Baseline evaluation with a psychiatrist, Individual supportive therapy, Cognitive behavioural group therapy, Evaluations with a psychiatrist
- Medical subject headings
- Suicidal Ideation, Suicide, Attempted
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Baseline evaluation with a psychiatristOther
Baseline data and questionnaires are established.
Individual supportive therapyOther
6 sessions of individual supportive therapy with a psychologist, 1 session per week for 6 weeks
Cognitive behavioural group therapyOther
6 sessions of cognitive behavioural group therapy with a psychologist, 1 session per week for 6 weeks
Evaluations with a psychiatristOther
Evaluation withs a psychiatrist in the 10 days following the end of psychotherapy, then at 3, 6, 9, and 12 months.
| Study group | Role | What they receive |
|---|---|---|
| Individual supportive therapy | Active comparator | Patients randomized to this arm will have individual supportive therapy.
Intervention: Baseline evaluation with a psychiatrist
Intervention: Individual supportive therapy
Intervention: Evaluations with a psychiatrist Receives: Other: Baseline evaluation with a psychiatrist; Other: Individual supportive therapy; Other: Evaluations with a psychiatrist |
| Cognitive behavioural group therapy | Experimental | Patients randomized to this arm will have cognitive behavioural therapy.
Intervention: Baseline evaluation with a psychiatrist
Intervention: Cognitive behavioural group therapy
Intervention: Evaluations with a psychiatrist Receives: Other: Baseline evaluation with a psychiatrist; Other: Cognitive behavioural group therapy; Other: Evaluations with a psychiatrist |
What is being measured
The primary outcome is the main question the study is designed to answer.
The primary clinical endpoint is the duration (in days) of a suicide reattempt-free follow-up period
Measured: 12 months
Secondary outcomes (39)
The Columbia suicide severity rating scale (C-SSRS)
Measured: baseline
The Columbia suicide severity rating scale (C-SSRS)
Measured: in the 10 days after the end of psychotherapy
The Columbia suicide severity rating scale (C-SSRS)
Measured: 3 months
The Columbia suicide severity rating scale (C-SSRS)
Measured: 6 months
The Columbia suicide severity rating scale (C-SSRS)
Measured: 9 months
The Columbia suicide severity rating scale (C-SSRS)
Measured: 12 months
Completed suicide (yes/no)
Measured: in the 10 days after the end of psychotherapy
Completed suicide (yes/no)
Measured: 3 months
Completed suicide (yes/no)
Measured: 6 months
Completed suicide (yes/no)
Measured: 9 months
Completed suicide (yes/no)
Measured: 12 months
Number of suicide re-attempts during the follow-up period.
A suicide attempt is defined as either an "actual attempt" or an "interrupted attempt" using the definitions in the C-SSRS assessment.
Measured: in the 10 days after the end of psychotherapy
Number of suicide re-attempts during the follow-up period.
A suicide attempt is defined as either an "actual attempt" or an "interrupted attempt" using the definitions in the C-SSRS assessment.
Measured: 3 months
Number of suicide re-attempts during the follow-up period.
A suicide attempt is defined as either an "actual attempt" or an "interrupted attempt" using the definitions in the C-SSRS assessment.
Measured: 6 months
Number of suicide re-attempts during the follow-up period.
A suicide attempt is defined as either an "actual attempt" or an "interrupted attempt" using the definitions in the C-SSRS assessment.
Measured: 9 months
Number of suicide re-attempts during the follow-up period.
A suicide attempt is defined as either an "actual attempt" or an "interrupted attempt" using the definitions in the C-SSRS assessment.
Measured: 12 months
Beck Suicide Ideation Scale (BSSI)
Measured: Baseline
Beck Suicide Ideation Scale (BSSI)
Measured: in the 10 days after the end of psychotherapy
Beck Suicide Ideation Scale (BSSI)
Measured: 3 months
Beck Suicide Ideation Scale (BSSI)
Measured: 6 months
Beck Suicide Ideation Scale (BSSI)
Measured: 9 months
Beck Suicide Ideation Scale (BSSI)
Measured: 12 months
Beck Depression Inventory-II (BDI-II)
Measured: Baseline
Beck Depression Inventory-II (BDI-II)
Measured: in the 10 days after the end of psychotherapy
Beck Depression Inventory-II (BDI-II)
Measured: 3 months
Beck Depression Inventory-II (BDI-II)
Measured: 6 months
Beck Depression Inventory-II (BDI-II)
Measured: 9 months
Beck Depression Inventory-II (BDI-II)
Measured: 12 months
Beck Hopelessness Scale (BHS)
Measured: Baseline
Beck Hopelessness Scale (BHS)
Measured: in the 10 days after the end of psychotherapy
Beck Hopelessness Scale (BHS)
Measured: 3 months
Beck Hopelessness Scale (BHS)
Measured: 6 months
Beck Hopelessness Scale (BHS)
Measured: 9 months
Beck Hopelessness Scale (BHS)
Measured: 12 months
Cumulative days of hospitalization
Measured: in the 10 days after the end of psychotherapy
Cumulative days of hospitalization
Measured: 3 months
Cumulative days of hospitalization
Measured: 6 months
Cumulative days of hospitalization
Measured: 9 months
Cumulative days of hospitalization
Measured: 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jan 2016 (estimated)
- Study start17 Oct 2017
- Primary completionNov 2025 (estimated)
- Study completionNov 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Suicidal IdeationStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 240 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Centre Hospitalier Universitaire de Nīmes
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Mocrane Abbar, MD, Study director, Centre Hospitalier Universitaire de Nīmes
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02664701
- Sponsor's protocol ID
- PHRC-N/2014/MA-01
- Other IDs
- 2015-A01585-44
- Acronym
- G-PACTS
- Status last verified
- Aug 2025
- First submitted
- 19 Jan 2016
- Last updated
- 20 Aug 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2.
PubMed 33884617Chaib LS, Lopez-Castroman J, Abbar M. Group Post-Admission Cognitive Therapy for Suicidality vs Individual Supportive Therapy for the prevention of repeat suicide attempts: a randomized controlled trial. Trials. 2020 Oct 27;21(1):889. doi: 10.1186/s13063-020-04816-y.
PubMed 33109271
Study at a glance
From the registry record, last updated by the sponsor on 20 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Cognitive Behavioural Group Therapy Versus Individual Supportive Therapy for the Prevention of Repeat Suicide Attempts: a Multicentre, Assessor-blinded, 2-parallel-group, Randomised, Superiority Trial
- ClinicalTrials.gov ID
- NCT02664701
- Acronym / sponsor ID
- G-PACTS / PHRC-N/2014/MA-01
- Conditions
- Suicidal Ideation, Suicide, Attempt
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 240 participants (estimated)
- Lead sponsor
- Centre Hospitalier Universitaire de NīmesUniversity, hospital or other
- Study start
- 17 Oct 2017 (actual)
- Primary completion
- Nov 2025 (estimated)
- Study completion
- Nov 2025 (estimated)
- First posted
- 27 Jan 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of this study is to evaluate the efficacy of a program of 6 sessions of Cognitive Behavioural Group Therapy (CBGT) (as compared to 6 sessions of Individual Supportive Therapy (IST)) designed for preventing repeat suicide attempts at 12 months post-psychotherapy in adults admitted to inpatient care for suicide attempts.
Detailed description
The secondary objectives of this study are to assess the efficacy of CBGT on:
- parameters describing the incidence of suicide and repeat suicide attempts, as well as suicide re-attempt free follow-up time,
- long-term changes in suicidal ideation,
- long-term changes in psychiatric symptoms (depression, hope for the future, hospitalization).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Individual supportive therapy | Active comparator | Other: Baseline evaluation with a psychiatrist, Other: Individual supportive therapy, Other: Evaluations with a psychiatristPatients randomized to this arm will have individual supportive therapy. Intervention: Baseline evaluation with a psychiatrist Intervention: Individual supportive therapy Intervention: Evaluations with a psychiatrist |
| Cognitive behavioural group therapy | Experimental | Other: Baseline evaluation with a psychiatrist, Other: Cognitive behavioural group therapy, Other: Evaluations with a psychiatristPatients randomized to this arm will have cognitive behavioural therapy. Intervention: Baseline evaluation with a psychiatrist Intervention: Cognitive behavioural group therapy Intervention: Evaluations with a psychiatrist |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- The patient has been correctly informed
- The patient must have given his/her informed and signed consent
- The patient must be insured or beneficiary of a health insurance plan
- French speaking adults (18 years or older) freely hospitalized (in centres or via emergency services) for prevention of suicide and who have a medium or high suicide risk score according to a Mini International Neuropsychiatric Interview structured interview
- Presence of suicidal ideation according to the Beck Suicide Ideation Scale (score > 3)
Key exclusion criteria (10 listed)
- The patient is participating in another study that may interfere with the results or conclusions of this study
- Within the past three months, the patient has participated in another study that may interfere with the results or conclusions of this study
- The patient is in an exclusion period determined by a previous study
- The patient is under judicial protection, or is an adult under guardianship
- The patient refuses to sign the consent, or it is impossible to correctly inform the patient
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Baseline evaluation with a psychiatristBaseline data and questionnaires are established. | Other | Cognitive behavioural group therapy, Individual supportive therapy |
| Individual supportive therapy6 sessions of individual supportive therapy with a psychologist, 1 session per week for 6 weeks | Other | Individual supportive therapy |
| Cognitive behavioural group therapy6 sessions of cognitive behavioural group therapy with a psychologist, 1 session per week for 6 weeks | Other | Cognitive behavioural group therapy |
| Evaluations with a psychiatristEvaluation withs a psychiatrist in the 10 days following the end of psychotherapy, then at 3, 6, 9, and 12 months. | Other | Cognitive behavioural group therapy, Individual supportive therapy |
Primary outcome
The primary clinical endpoint is the duration (in days) of a suicide reattempt-free follow-up period
Time frame: 12 months
39 secondary outcomes
The Columbia suicide severity rating scale (C-SSRS)
Time frame: baseline
The Columbia suicide severity rating scale (C-SSRS)
Time frame: in the 10 days after the end of psychotherapy
The Columbia suicide severity rating scale (C-SSRS)
Time frame: 3 months
The Columbia suicide severity rating scale (C-SSRS)
Time frame: 6 months
The Columbia suicide severity rating scale (C-SSRS)
Time frame: 9 months
The Columbia suicide severity rating scale (C-SSRS)
Time frame: 12 months
Completed suicide (yes/no)
Time frame: in the 10 days after the end of psychotherapy
Completed suicide (yes/no)
Time frame: 3 months
Completed suicide (yes/no)
Time frame: 6 months
Completed suicide (yes/no)
Time frame: 9 months
Completed suicide (yes/no)
Time frame: 12 months
Number of suicide re-attempts during the follow-up period.
Time frame: in the 10 days after the end of psychotherapy
Number of suicide re-attempts during the follow-up period.
Time frame: 3 months
Number of suicide re-attempts during the follow-up period.
Time frame: 6 months
Number of suicide re-attempts during the follow-up period.
Time frame: 9 months
Number of suicide re-attempts during the follow-up period.
Time frame: 12 months
Beck Suicide Ideation Scale (BSSI)
Time frame: Baseline
Beck Suicide Ideation Scale (BSSI)
Time frame: in the 10 days after the end of psychotherapy
Beck Suicide Ideation Scale (BSSI)
Time frame: 3 months
Beck Suicide Ideation Scale (BSSI)
Time frame: 6 months
Beck Suicide Ideation Scale (BSSI)
Time frame: 9 months
Beck Suicide Ideation Scale (BSSI)
Time frame: 12 months
Beck Depression Inventory-II (BDI-II)
Time frame: Baseline
Beck Depression Inventory-II (BDI-II)
Time frame: in the 10 days after the end of psychotherapy
Beck Depression Inventory-II (BDI-II)
Time frame: 3 months
Beck Depression Inventory-II (BDI-II)
Time frame: 6 months
Beck Depression Inventory-II (BDI-II)
Time frame: 9 months
Beck Depression Inventory-II (BDI-II)
Time frame: 12 months
Beck Hopelessness Scale (BHS)
Time frame: Baseline
Beck Hopelessness Scale (BHS)
Time frame: in the 10 days after the end of psychotherapy
Beck Hopelessness Scale (BHS)
Time frame: 3 months
Beck Hopelessness Scale (BHS)
Time frame: 6 months
Beck Hopelessness Scale (BHS)
Time frame: 9 months
Beck Hopelessness Scale (BHS)
Time frame: 12 months
Cumulative days of hospitalization
Time frame: in the 10 days after the end of psychotherapy
Cumulative days of hospitalization
Time frame: 3 months
Cumulative days of hospitalization
Time frame: 6 months
Cumulative days of hospitalization
Time frame: 9 months
Cumulative days of hospitalization
Time frame: 12 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Aug 2025.
- Derived from this study: PubMed 33884617Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2.
- Derived from this study: PubMed 33109271Chaib LS, Lopez-Castroman J, Abbar M. Group Post-Admission Cognitive Therapy for Suicidality vs Individual Supportive Therapy for the prevention of repeat suicide attempts: a randomized controlled trial. Trials. 2020 Oct 27;21(1):889. doi: 10.1186/s13063-020-04816-y.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Mocrane Abbar, MD study director
Centre Hospitalier Universitaire de Nīmes
9 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Baseline evaluation with a psychiatrist, Individual supportive therapy and Cognitive behavioural group therapy in people with Suicidal Ideation and Suicide, Attempt, run by Centre Hospitalier Universitaire de Nīmes at 9 sites in France.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 10 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: under way, not looking for participants, as of the sponsor's last update on 20 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 9 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The primary clinical endpoint is the duration (in days) of a suicide reattempt-free follow-up period (time frame: 12 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02664701, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Aug 2025.