This trial is active, not recruiting.

Conditions suicidal behaviour, repetition of suicidal behaviour
Treatment opac (outreach, problem solving, adherence, continuity)
Sponsor Rigshospitalet, Denmark
Collaborator Ministry of Social Affairs, Denmark
Start date January 2005
End date August 2008
Trial size 133 participants
Trial identifier NCT00821756, AH-2005



Repetition rate after a suicide attempt and self harm is very high, about 12-30 percent. Studies, reviewed by Hawton, 1999 show a lack of evidence for psychosocial interventions. Compliance with aftercare is also often very poor.


Inspired by the Norwegian Baerum project, the aim is to study if active, assertive outreach, seeking contact, talking about problem solution, motivate to comply to other appointments, will reduce repetition of suicidal acts in the following years.


The design is a prospective randomized, controlled trial. The patients (immediately after a suicide attempt or deliberate self harm)) included are randomized to intervention or standard (treatment as usual), aiming at at least 60 persons in each arm. The intervention is carried out through research nurses with about 8 home visits, phone contact, phone messaging, e-mails.Included are persons 12 years of age and older, danish speaking without translator and without diagnoses of severe mental illness (schizophrenia, bipolar illness, mania and severe/psychotic depression) or severe dementia.


Outcome is measured by repetition of suicidal act (suicide attempt, self harm or completed suicide)as recorded in medical records and by the Danish Cause of Death Register. Repetition measured by persons and by acts throughout 1 year, 2 and 3 years periods. Additional outcome is number and character of health system contacts.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Endpoint classification efficacy study
Intervention model parallel assignment
Masking single blind (outcomes assessor)
Primary purpose prevention
Assertive intervention in OPAC-style: Outreach,problem solving,adherence,continuity
opac (outreach, problem solving, adherence, continuity)
Assertive outreach immediately after the suicide attempt with about 8 home visits plus contact by telephone, phone messages, e-mails. Duration of intervention 6 months.
(No Intervention)
Control arm: Treatment as usual

Primary Outcomes

Persons repeating a suicidal act
time frame: One, two and three years

Secondary Outcomes

Acts of suicidal behaviour Contacts with health system
time frame: One, two and three years

Eligibility Criteria

Male or female participants at least 12 years old.

Inclusion Criteria: - Suicide attempt and self harm Exclusion Criteria: - Severe mental diagnosis (schizophrenia, psychosis, bipolar affective disorder, severe/psychotic depression, severe dementia)

Additional Information

Official title The Amager Project. Intervention After Suicide Attempt: A Randomized Study.
Principal investigator August G. Wang, M.D.
Trial information was received from ClinicalTrials.gov and was last updated in January 2009.
Information provided to ClinicalTrials.gov by Rigshospitalet, Denmark.