In 2020, the world is hit by a global health crisis due to a pandemic following theappearance of Sars-cov-2 or "covid-19". This pandemic was accompanied by a constant fearof contamination and death, relayed by the media. In France, the government proposed inresponse to the arrival of this virus on French territory. This policy was implemented indifferent ways over 3 distinct periods: strict containment at the start of the epidemic,then a "lighter" one, and finally a period of social restrictions without between theseperiods. This policy had a direct and rapid impact on the population's daily routines.Children and adolescents, are more susceptible to psychological trauma, as stress has adirect and psychic development. Studies have shown deleterious impact of the Frenchhealth situation on the paediatric population. They point to an increase of psychologicaldisorders such as depression and anxiety in the under -20s population, and an increase insuicidal gestures over the 2020-2021 period, with rates remaining higher than in previousyears. Suicide is the 2nd leading cause of death in the population aged 15-24.Studies continue to focus on the incidence of suicidal gestures of suicidal gestures andpsychological disorders, and few of them examine the factors linked to the increase inthese incidences, the traumatic impact or the story of the trajectory. Similarly, the fewstudies focus only on the population aged 12 and over, and in some cases, do notdistinguish between age groups (15-24 or under 20).Investigators believe that the various periods of social restrictions and eco-anxietycaused by the pandemic may have influenced suicidal behaviour in this population.The main objective of this study is to investigate the clinical and socio-economiccharacteristics of the pediatric population who experienced suicidal behaviors in theAuvergne Rhone Alpes region during the covid 19 pandemic.
Not Provided
Other: Aggregated data collection
The demographic and diagnostic characteristics will be collected in aggregate form nafrom
digital services departments or medical information departments of participating
hospitals.
Other: Data collection and qualitative interview
The psychopathological and socioeconomic characteristics will be collected. For subjects
who agreed, they will participate in interviews and/or focus groups. Parent's subjects
who agreed will be part of focus groups too.
Inclusion Criteria:
- The population (subjects and controls) will be divided into age categories:
- Pre-adolescents (≥ 8 years and < 11 years)
- Adolescents (≥ 11 years and < 15 years)
- Older adolescents (≥ 15 years and < 18 years)
Subjects with suicidal behavior during the health crisis (Group 1):
- Age > 8 years and < 18 years during the period 2020 to 2022.
- Admitted to pediatric emergency departments or hospitalized in a care unit (CHU,
general hospitals) in the AURA region during 2020, 2021, and/or 2022 for suicidal
behavior (defined as suicidal ideation and/or suicide attempt and/or
self-harm/self-poisoning with suicidal intent).
Subjects with suicidal behavior during the health crisis with qualitative interviews
(Group 1b):
- Age > 8 years and < 18 years during the period 2020 to 2022.
- Admitted to pediatric emergency departments or hospitalized in a care unit (CHU,
general hospitals) in the AURA region during 2020, 2021, and/or 2022 for suicidal
behavior (defined as suicidal ideation and/or suicide attempt and/or
self-harm/self-poisoning with suicidal intent).
- Randomly selected from the population of Group 1.
- For whom the parent(s) and/or the subject have signed informed consent.
Controls with suicidal behavior before the health crisis (Group 2):
- Age > 8 years and < 18 years during the period 2018 to 2019.
- Admitted to pediatric emergency departments or hospitalized in a care unit (CHU,
general hospitals) in the AURA region during 2018 and/or 2019 for suicidal behavior
(defined as suicidal ideation and/or suicide attempt and/or self-harm/self-poisoning
with suicidal intent).
Exclusion Criteria:
- Subjects with Suicidal Behavior during the Health Crisis with and without Qualitative
Interviews (Group 1 and 1b):
• Admitted to pediatric emergency services or hospitalized in a healthcare facility
(university hospital center, general hospital) in the AURA region for a psychiatric
reason other than suicidal behavior during the period from 2020 to 2022.
Controls with Suicidal Behavior before the Health Crisis (Group 2):
- Admitted to pediatric emergency services or hospitalized in a healthcare facility
(university hospital center, general hospital) in the AURA region for a psychiatric
reason other than suicidal behavior during the period from 2018 to 2019.
- Intercurrent illness with a life expectancy of less than 24 hours.
For Group 1:
- Pregnant, postpartum, or breastfeeding women.
- Persons deprived of liberty by judicial or administrative decision.
- Adults subject to a legal protection measure (guardianship, curatorship).
- Persons not affiliated with a social security scheme or beneficiaries of a similar
scheme.
- Persons who do not understand and do not speak French.
Hospices Civils de Lyon - Hôpital Femme Mère Enfant- Service de pédopsychiatrie de l'enfant et de l'adolescent
Bron, France
CHU de Clermont-Ferrand - Service de psychiatrie de l'enfant et de l'adolescent
Clermont-Ferrand, France
CHU de Grenoble - Service de psychiatrie de l'enfant et de l'adolescent
Grenoble, France
CHU de Saint-Etienne - Urgences psychiatriques
Saint-Etienne, France
Elise MAMIMOUE, Dr
472129567 - +33
Elise.mamimoue@chu-lyon.fr
Sonia GALLETTI
427857739 - +33
Sonia.galletti@chu-lyon.fr
Not Provided