VigilanS is a region‐wide programme that tailors surveillance to individuals discharged from the hospital after a suicide attempt.
In the Bretagne region, the suicide rate is quite high compared to the
national average. VigilanS is a region‐wide programme that relies on
an algorithmic system to tailor surveillance and BCI (Brief Contact
Intervention) provisions to individuals discharged from the hospital
after a suicide attempt. VigilanS main objective is to reduce suicide
and suicide reattempt rates both at the individual level (patients
included in VigilanS) and at the populational level. It’s been set up by
a psychiatric physician from the University Hospital of Brest
At discharge, every attempter coming from a participating centre is
given a crisis card with an emergency number to contact in case of
distress. All the contacts with patient are automatically schedulled by
the vigilans web application accoarding to its personal risk level.
Patients are then systematically recontacted 6 months later.
additional calls can be suggested by the app according to the risk
subgroup of the patient. This algorithm is constantly refined during
the project duration. Depending on the clinical evaluation during the
phone call, the call team may carry out proportionated crisis
interventions. Personalised postcards are sent whenever patients are
unreachable by phone or in distress.

Resources needed

485 K euros / year

Evidence of success

-A service immediately available to the patient in the event of a crisis
-This monitoring device makes it possible to orient the patient, to hook him up to a treatment path, to establish a link with him and with caregivers in the field and to trigger the SAMU if necessary;
- A link is kept with the family and the attending physicians
-- After hospitalization, the device allows automatic follow-up by sending postcards or text messages
90 patients died out of 5,100 follow-ups.

Potential for learning or transfer

The VigilanS GP was intially created in Hauts de France (Lille hospital), then transferred to Brittany (which adapte dit to its own regional needs and created in partenership with company its own application), then presently beeing transferred at national level.
The Citwiz application (developped by Sys.Vision company) can be easily transferred at European level to other regions - the application is in hosted mode so you only need a browser - It can be used for other diseases such as diabetes;
More over , Sys.Vision has also developed a PEPs application for smartphones allowing the collection of symptoms linked to dry mouth and eyes (European study in progress - potential European partnership with GB, Norway, Greece).
Main institution
University Hospital of Brest, French health ministry, ARS Bretagne
Bretagne, France
Start Date
December 2014
End Date


Adeline Jacob Please login to contact the author.