mardi 21 mai 2013

ARTICLE ARCHIVES OUVERTES RECHERCHE FRANCE :

Les comportements suicidaires chez les adolescents déprimés: le rôle des relations perçues dans la famille. (articles en Anglais )
 

Suicidal behaviors in depressed adolescents: role of perceived relationships in the family.
Consoli A., Peyre H., Speranza M., Hassler C., Falissard B., Touchette E., Cohen D., Moro M.-R., Révah-Lévy A.
Child and Adolescent Psychiatry and Mental Health 7, 1 (2013) 8 - http://www.hal.inserm.fr/inserm-00823408
 (23497551) 
Suicidal behaviors in depressed adolescents: role of perceived relationships in the family.
Angèle Consoli1, 2, Hugo Peyre1, 2, Mario Speranza2, 3, Christine Hassler2, Bruno Falissard2, 4, Evelyne Touchette5, David Cohen1, 6, Marie-Rose Moro2, 7, Anne Révah-Lévy () 2, 8
1 :  Service Psychiatrie chez l'Enfant et l'Adolescent
Hôpital Pitié-Salpêtrière – Assistance publique - Hôpitaux de Paris (AP-HP)
47 Boulevard Hôpital, 75013 Paris
France
2 :  Troubles du comportement alimentaire de l'adolescent
INSERM : U669 – Université Paris XI - Paris Sud – Université Paris V - Paris Descartes
Maison de Solene 97, Boulevard de Port Royal 75679 PARIS cedex 14
France
3 :  Service Psychiatrie de l'Enfant et de l'Adolescent [Le Chesnay]
Centre Hospitalier de Versailles (Le Chesnay)
177 Rue de Versailles, 78150 Le Chesnay
France
4 :  Département de Santé Publique
Hôpital Paul Brousse – Assistance publique - Hôpitaux de Paris (AP-HP)
12, avenue Paul Vaillant Couturier 94804 Villejuif cedex
France
5 :  Research Unit on Children's Psychosocial Maladjustment
University of Montreal
2900 Boulevard Edouard-Montpetit, Montréal, QC H3T 1J4
Canada
6 :  ISIR - Institut des Systèmes Intelligents et Robotique
http://www.isir.upmc.fr
CNRS : UMR7222 – Université Pierre et Marie Curie [UPMC] - Paris VI
Université Pierre et Marie Curie - Paris VI Boite courrier 173 4 Place JUSSIEU 75252 Paris cedex 05
France
7 :  La Maison de Solenn
Hôpital Cochin – Assistance publique - Hôpitaux de Paris (AP-HP)
27 Rue du Faubourg Saint-Jacques, 75014 Paris
France
8 :  Centre de Soins Psychothérapeutiques de Transition pour Adolescents
Hôpital d’Argenteuil
Centre de Soins Psychothérapeutiques de Transition pour Adolescents, Hôpital d’Argenteuil, Argenteuil, Argenteuil, France
France
Context: Suicide is the second leading cause of death in adolescents and young adults in Europe. Reducing suicides is therefore a key public health target. Previous studies have shown associations between suicidal behaviors, depression and family factors. OBJECTIVE: To assess the role of family factors in depression and suicidality in a large community-based sample of adolescents and to explore specific contributions (e.g. mother vs. father; conflict vs. no conflict; separation vs. no separation) taking into account other risk factors. METHODS: A cross-sectional sample of adolescents aged 17 years was recruited in 2008. 36,757 French adolescents (18,593 girls and 18,164 boys) completed a questionnaire including socio-demographic characteristics, drug use, family variables, suicidal ideations and attempts. Current depression was assessed with the Adolescent Depression Rating Scale (ADRS). Adolescents were divided into 4 groups according to suicide risk severity (grade 1 = depressed without suicidal ideation and without suicide attempts, grade 2 = depressed with suicidal ideations and grade 3 = depressed with suicide attempts; grade 0 = control group). Multivariate regressions were applied to assess the Odds Ratio of potential risk factors comparing grade 1, 2 or 3 risk with grade 0. RESULTS: 7.5% of adolescents (10.4% among girls vs. 4.5% among boys) had ADRS scores compatible with depression; 16.2% reported suicidal ideations in the past 12 months and 8.2% reported lifetime suicide attempts. Repeating a year in school was significantly associated to severity grade of suicide risk (1 and 3), as well as all substance use, tobacco use (severity grades 2 and 3) and marijuana use (severity grade 3), for girls and boys. After adjustment, negative relationships with either or both parents, and parents living together but with a negative relationship were significantly associated with suicide risk and/or depression in both genders (all risk grades), and Odds Ratios increased according to risk severity grade. CONCLUSION: Family discord and negative relationship with parents were associated with an increased suicide risk in depressed adolescents. So it appears essential to take intrafamilial relationships into account in depressed adolescents to prevent suicidal behaviours.
Sciences du Vivant/Médecine humaine et pathologie/Pédiatrie
Sciences du Vivant/Médecine humaine et pathologie/Psychiatrie et santé mentale
Anglais
1753-2000

Articles dans des revues avec comité de lecture
10.1186/1753-2000-7-8
Child and Adolescent Psychiatry and Mental Health (Child Adolesc Psychiatry Ment Health)
Publisher BioMed Central
ISSN 1753-2000 
internationale
16/03/2013
16/03/2013
7
1
8

Suicide – Depression – Adolescent – Community survey
This survey was funded by the French Monitoring Center for Drugs and Drug Addiction. Grants from the Foundation Pfizer funded AC for this research.
Liste des fichiers attachés à ce document : 
PDF
1753-2000-7-8.pdf(1.6 MB)
ANNEX
1753-2000-7-8.xml(139 KB)
1753-2000-7-8-S1.PPT(101.5 KB)

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