mardi 19 avril 2016

ETUDE RECHERCHE FRANCE Les relations entre l'automutilation non suicidaire et comportement suicidaire à l'adolescence: un examen systématique.

Relations between Nonsuicidal Self-Injury and Suicidal Behavior in Adolescence: A Systematic Review.
Grandclerc S1,2,3, De Labrouhe D1,2,3, Spodenkiewicz M3,4,5,6, Lachal J1,2,3, Moro MR1,2,3.

1Maison de Solenn, Hôpital Cochin, AP-HP, Paris, France.
2Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
3Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France.
4Service de Psychiatrie de l'Enfant et de l'Adolescent, Groupe Hospitalier Pitié-Salpêtrière, APHP, Paris, France.
5Université Pierre et Marie Curie, Paris, France.
6Institut de Systèmes Intelligents et Robotique, Paris, France.
PLoS One. 2016 Apr 18;11(4)

Nonsuicidal self-injury (NSSI) and suicidal behaviors, both important issues in adolescent health care, are frequently associated and possibly clinically related. Our objective was to explore the views of relations between nonsuicidal self-injury and suicidal behaviors during adolescence and young adulthood (11-25 years) expressed in the scientific (medical and psychological) literature. We adopted a textual approach to the process of synthesis to tell the story of the findings from the included studies. Our narrative systematic review of 64 articles found that they share the same risk factors. Integrated models envision nonsuicidal self-injury as a gateway enabling teens to acquire the capability for suicide. Because suicidal behavior short-circuits thought, it is difficult to conceive an intention to die during adolescents' acts of self-injury. Intention is constructed by the narrative of the act, influenced by numerous elements from the psychopathologic, cultural, religious, and philosophic context. Techniques of mentalizing-based treatments and work on the meaning that adolescents attribute to their behaviors might improve care.

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