Thonex

Suicide is a leading cause of death among teenagers, and preventing it is a public health priority. This research aims to evaluate the effectiveness of a brief primary suicide prevention intervention specifically designed for vulnerable adolescents. These adolescents include those detained in juvenile detention centers, at risk of dropping out of school, undergoing psychiatric treatment, belonging to sexual or gender minorities, affected by chronic conditions, or facing family or relational problems. The study focuses on improving suicide awareness, reducing psychological distress, and lowering suicidal thoughts in this high-risk group. The study compares two behavioral interventions: a psychoeducation workshop as the primary suicide prevention method, and an art-based control intervention involving a slam poetry workshop. Participants will be randomly assigned to either group to assess the impact of the suicide prevention workshop on their awareness and mental health. The trial includes adolescents aged 14 to 25 years who have good knowledge of French and consent to participate. During the study, researchers will measure a composite outcome of suicide awareness one week after the intervention. They will also explore challenges such as access to prevention programs and non-response bias within vulnerable populations. Participants will be closely monitored for any interference with their psychiatric care, and safety considerations will be addressed throughout the study period.

Researchers are evaluating a new recovery-oriented model of psychiatric inpatient care aimed at improving individualized treatment, involving patient participation, and integrating relatives into care planning. This study focuses on patients aged 18 to 65 admitted to three adult psychiatric wards at Geneva University Hospital, excluding those with dementia. The study seeks to understand whether this new organizational model affects the use of coercive measures, length of hospital stays, clinical improvements, patient satisfaction, perception of coercion, ward atmosphere, and personal recovery. The new model involves several structural changes such as reorganizing clinical discussions and decision-making spaces, establishing medical and nursing referral teams available daily, promoting shared decision-making with patients, and enhancing transparency. It also emphasizes the subjective experience of illness beyond symptoms, provides weekly care agendas to patients, encourages collaboration with relatives through open invitations and hotlines, and fosters communication with community care networks. Initially, this model will be implemented on one pilot ward for nine months, followed by extension to two additional wards. Participants will be assessed at discharge over an 18-month period covering both the pilot and extension phases. Data including coercive measures, length of stay, demographic and clinical details, and admission and discharge scores will be collected from electronic records. Patients will complete digital questionnaires at discharge to evaluate satisfaction, perceived coercion, personal recovery, ward atmosphere, and recovery support, taking about 30 to 45 minutes. The study monitors outcomes at discharge and throughout the hospital stay.