mardi 30 juin 2015

ETUDE-RECHERCHE FRANCE : Récurrence des tentatives de suicide chez les adolescents et contact avec les cliniciens

dans Journal of Adolescence Volume 43, August 2015, Pages 111–118
"Recurrence of suicide attempt in adolescents lost to contact early by clinicians: The 10-year REPEATERS cohort of French adolescents
Fabienne Ligier a, Francis Guillemin b, Catherine Angot c, Stéphanie Bourion d, Bernard Kabuth c
a Université de Lorraine, Université Paris Descartes, EA 4360 APEMAC, Nancy – CHU de Nancy, Hôpital d'enfants, Service de Psychiatrie pour enfants et adolescents, Nancy, France
b Université de Lorraine, Université Paries Descartes, EA 4360 APEMAC, Nancy - INSERM CIC-EC 1433 – CHU de Nancy, Service d'épidémiologie et évaluation cliniques, Nancy, France
c CHU de Nancy, Hôpital d'enfants, Service de Psychiatrie pour enfants et adolescents, Nancy, France
d Service Médico-Psychologique Régional, Centre Hospitalier de Lorquin, Lorquin, FranceAvailable online 12 June 2015

Article en anglais

Recherche pour déterminer la perte de contact précoce avec les cliniciens après une TS est un facteur de risque à long terme de récidive chez les adolescents et les facteurs associés.

Resumé :
Losing contact with adult suicide attempters in the year after the suicide attempt (SA) increases the risk of recurrence. The situation with adolescents is unknown. We aimed to determine whether being lost to contact early (LCE) by clinicians is a risk factor of long-term SA recurrence among adolescents and the associated factors. Data were collected 10 years after an index SA and a Cox model was used for analysis. Among the 249 SA patients included, 59 (24%) were LCE, the most important risk factor of SA recurrence up to 10 years (hazard ratio [HR] = 2.8 [95% confidence interval (95% CI) 1.4–5.5]; p = .016). Risk factors of being LCE were female sex (odds ratio [OR] = 2.9 [95% CI 1.1–8.2]; p = .009), a psychiatric comorbidity (OR = 2.2 [1.1–4.3]; p = .023) and no family history of suicide (OR = 2.1 [1.1–4.3]; p = .047). These results support the development of preventive actions early after an SA in an adolescent to maintain contact and care.

http://www.ncbi.nlm.nih.gov/pubmed/26073674

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