Impact sur les connaissances et représentations sur le suicide d’une formation par simulation pour des internes de médecine
Doi : 10.1016/j.encep.2021.05.004
A. Taverne a, M. Wathelet a, b, c, A. Dezetree a, b, C.-E. Notredame a, G. Lebuffe d, M. Jourdain e, G. Vaiva a, c, A. Amad c, ⁎ 
a University Lille, Inserm, CHU Lille, U1172-LilNCog, Lille Neuroscience & Cognition, 59000 Lille, France
b Fédération régionale de recherche en psychiatrie et santé mentale Hauts-de-France (F2RSM Psy), Saint-André-Lez-Lille, France
c Centre national de ressources et de résilience (CN22R), Lille, France
d Pôle
d’anesthésie réanimation, PRESAGE – ULR 7365–GRITA – groupe de
recherche sur les formes injectables et les techniques associées,
University Lille, CHU de Lille, 59000 Lille, France
e Univ Lille, Inserm, CHU Lille, Presage, U1190, Department of Intensive Care Médecine, F-59000, Lille France
⁎Corresponding author.
Abstract
Background
Suicide is a leading yet underestimated cause of death in the world and in France. The goal of our study was to determine the impact at 3 months of a large-scale simulation program on suicide risk assessment for first-year medical residents.
Methods
All the first-year medical residents participated in the simulation program that included a session on suicide risk assessment. The scenario was carried out by a standardized patient (professional actor) who had a normal check-up at the ER after a chest pain. He verbalized suicidal thoughts to an ER nurse due to a recent divorce and social difficulties, who then reported it to the resident. The latter had to assess suicide risk on his own. The QECS “Questionnaire de connaissances relatives au suicide” was used to assess knowledge of suicide before the training session (T0) and 3 months later (T1). A pre/post comparison was performed with a paired t-test.
Results
420 residents participated in this study. A total of 273 matching questionnaires was obtained. A statistically significant theoretical knowledge improvement was found at 3 months of the session for all the residents.
Limitations
The absence of a control group and data loss were some of the major limitations of our study. Another limitation corresponds to the lack of additional questions, such as levels of interest, former and recent training, level of experience, attitudes, and self-competency in suicide risk assessment before and after the simulation program that could have helped to interpret the obtained results and their variation. Moreover, the exact effects of this increased knowledge on clinical practice has not been measured in our study.
Conclusion
This is an unprecedented, large-scale attempt in France to allow all the medical residents to practice suicide risk assessment. This simulation-based training had a positive impact at 3 months on the knowledge of suicide in medical residents.Le texte complet de cet article est disponible en PDF.
Keywords : Suicide, Simulation, Teaching
Plan
Introduction
Methods
Participants and simulation session
Assessment
Statistical analysis
Results
Discussion
Conclusion
Disclosure of interest