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
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PMID: identifiant
de la référence Pubmed : |
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 (23497551)  |
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| titre : |
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Suicidal behaviors in depressed adolescents: role of perceived relationships in the family. |
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| auteur(s) : |
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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 |
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| laboratoire : |
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| 1 : |
Service Psychiatrie chez l'Enfant et l'Adolescent |
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| Hôpital Pitié-Salpêtrière – Assistance publique - Hôpitaux de Paris (AP-HP) |
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| 47 Boulevard Hôpital, 75013 Paris |
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| France |
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| 2 : |
Troubles du comportement alimentaire de l'adolescent |
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| INSERM : U669 – Université Paris XI - Paris Sud – Université Paris V - Paris Descartes |
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| Maison de Solene 97, Boulevard de Port Royal 75679 PARIS cedex 14 |
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| France |
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| 3 : |
Service Psychiatrie de l'Enfant et de l'Adolescent [Le Chesnay] |
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| Centre Hospitalier de Versailles (Le Chesnay) |
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| 177 Rue de Versailles, 78150 Le Chesnay |
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| France |
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| 4 : |
Département de Santé Publique |
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| Hôpital Paul Brousse – Assistance publique - Hôpitaux de Paris (AP-HP) |
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| 12, avenue Paul Vaillant Couturier 94804 Villejuif cedex |
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| France |
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| 5 : |
Research Unit on Children's Psychosocial Maladjustment |
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| University of Montreal |
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| 2900 Boulevard Edouard-Montpetit, Montréal, QC H3T 1J4 |
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| Canada |
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| 6 : |
ISIR - Institut des Systèmes Intelligents et Robotique |
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| http://www.isir.upmc.fr |
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| CNRS : UMR7222 – Université Pierre et Marie Curie [UPMC] - Paris VI |
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| Université Pierre et Marie Curie - Paris VI Boite courrier 173 4 Place JUSSIEU 75252 Paris cedex 05 |
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| France |
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| 7 : |
La Maison de Solenn |
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| Hôpital Cochin – Assistance publique - Hôpitaux de Paris (AP-HP) |
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| 27 Rue du Faubourg Saint-Jacques, 75014 Paris |
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| France |
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| 8 : |
Centre de Soins Psychothérapeutiques de Transition pour Adolescents |
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| Hôpital d’Argenteuil |
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| Centre de Soins Psychothérapeutiques de Transition pour Adolescents, Hôpital d’Argenteuil, Argenteuil, Argenteuil, France |
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| France |
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| résumé : |
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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. |
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| domaine : |
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langue du texte
intégral : |
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Anglais |
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| ISSN : |
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1753-2000 |
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| type de publication : |
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Articles dans des revues avec comité de lecture |
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| DOI : |
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10.1186/1753-2000-7-8 |
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| journal : |
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| Child and Adolescent Psychiatry and Mental Health (Child Adolesc Psychiatry Ment Health) |
| Publisher |
BioMed Central |
| ISSN |
1753-2000 |
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| Audience : |
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internationale |
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| date de publication : |
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16/03/2013 |
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date de publication
électronique : |
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16/03/2013 |
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| volume : |
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7 |
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| numéro : |
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1 |
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| page, identifiant, ... : |
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8 |
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| mots-clés auteur : |
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Suicide – Depression – Adolescent – Community survey |
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| contrat, financement : |
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This survey was funded by
the French Monitoring Center for Drugs and Drug Addiction. Grants from
the Foundation Pfizer funded AC for this research. |
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| Liste des fichiers attachés à ce document : |
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PDF |
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ANNEX |
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