mardi 10 novembre 2015

RECHERCHE ETUDE Les facteurs de risque pour les tentatives de suicide et des hospitalisations dans un échantillon de 39,542 adolescents français


Les facteurs de risque pour les tentatives de suicide et des hospitalisations dans un échantillon de 39,542 adolescents français
à paraitre dans Journal of Affective Disorders Volume 190, 15 January 2016, Pages 517–521 Short Communication
Risk factors for suicide attempts and hospitalizations in a sample of 39,542 French adolescents
Enguerrand du Roscoätb, f, , , Stéphane Legleyec, d,  Romain Guignardb,  Mathilde Huskye,  François Becka, g
a French Monitoring Centre for Drugs and Drug Addiction (OFDT), Saint-Denis, France
b French Institute for Health Promotion and Health Education (INPES), Saint-Denis, France
c French Institute of Demography (Ined), Paris, France
d Inserm, U1178, Univ Paris-Sud and Univ Paris Descartes, UMR-S1178 Paris, France
e Institut de Psychologie, Université Paris Descartes, Sorbonne Paris Cité, Institut Universitaire de France, Boulogne Billancourt, France
f Laboratoire Parisien de Psychologie Sociale (LAPPS), EA 4386, Université Paris Ouest Nanterre-La Défense, France
g ERES, Sorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d’Epidémiologie et de Santé Publique (IPLESP UMRS 1136), 75012, Paris, France
Received 7 May 2015, Revised 7 August 2015, Accepted 10 October 2015, Available online 29 October 2015

Reçue le 7 mai 2015, 7 révisé Août 2015, Accepted 10 Octobre 2015, disponible en ligne le 29 Octobre ici à 2015
http://www.sciencedirect.com/science/article/pii/S0165032715301932

Sujet
Enquête sur 39,542 adolescents français âgés de 17 ans à l'aide d'un questionnaire auto-administré. Les participants ont été tirées lors d'une vaste enquête sur population générale d'adolescents menée par le Centre de l'Observatoire français des drogues et des toxicomanies et le département du Service national. Les participants ont été interrogés au cours de la "session de journée d'information civique et militaire"

Highlights
We surveyed 39,542 adolescents aged 17 using a self-administered questionnaire.
We first examined factors associated with lifetime Suicide Attempts (SA).
Among SA, we then examined factors associated with hospitalization.
Family, school situation, substance use and body image were associated with SA.
Family, school situation and substance use were associated with hospitalization.
Abstract
Background
The high frequency of suicide attempts during adolescence is a serious public health concern. In particular attempts leading to hospitalization, often due to their severity, require careful consideration.
Methods
Participants were drawn from a large adolescent general population survey conducted by the French Monitoring Center for Drugs and Drug Addiction and the National Service department. The final sample included 39,542 adolescents aged 17. Participants were surveyed during the “one-day session of civic and military information” using a pen and paper self-administered questionnaire.
Results
Depressive symptoms, family socio-economic status, familial situation, relationship with parents, school situation, substance use and body image were significant independent predictors of lifetime suicide attempts. Among suicide attempts, hospitalization was independently predicted by daily smoking in both genders, school dropout, grade repetition, absence of relationship with the mother, regular cannabis smoking and lifetime other illicit drug use in girls.
Limitations
The main limitation of the present study is the absence of a thorough assessment of psychiatric disorders, depressive symptomatology being the only indicator of mental health status at the time of the survey. Second, the survey was cross-sectional thus limiting the interpretation of the findings.
Conclusions
The variables associated with suicide attempts and among them, those associated with hospitalization should be used to identify and provide additional services to adolescents at risk for serious suicidal behavior. Primary prevention in the field of parenting and family support, as well as intervention tackling normative beliefs related to body image should be considered.
Keywords : Suicide attempts;  Hospitalization;  Risk factors;  Adolescents

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