With 11.000 deaths and 150.000 attempts each year in France, the suicide represents an important public health problem. For each death by suicide, one can count 6 "direct" bereaved people and 20 people in more indirect connection with this mourning (Terra 2001). In term of impact, there is thus 300.000 people (annually) touched by the deaths by suicide and 3.750.000 people (annually) touched by the "suicide attempt" of a close relative. It seems indeed important to have Public Health data on this cascade repercussion of the suicide attempt. A suicide attempt propagates a suffering cascade on the various circles of the family and close entourage, which can be measured in term of traumatic stress and medico-economic impact. Objective = To measure the medico-economic impact on the entourage, in the 3 months following the suicide attempt and at 1 year.
Secondary objectives = To measure the impact of the suicide attempt in traumatic term of stress on the close relatives of committing suicide confronted with the suicidal scene To compare the evolution of consumption of care of the close relatives and of committing suicide To measure the evolution of the general health condition of the close relatives and of committing suicide The study participants (committing suicide it and the relatives) will be recontacted by telephone, after 3 months and to 1 year. Consumption of care (number of consultations, drugs consumption) of the population of the close relatives of committing suicide will be compared with the data of the Research Institute and Documentation in Economy of Health (IRDES) on the French population (sample of 20.000 people, representative of 95% of the French households).
Study Type
OBSERVATIONAL
Enrollment
372
University Hospital, Angers
Angers, France
University Hospital, Brest
Brest, France
University Hospital, Caen
Caen, France
University Hospital, Clermont-Ferrand
Clermont-Ferrand, France
University Hospital, Lille
Lille, France
University Hospital, Limoges
Limoges, France
Le Vinatier Hospital
Lyon, France
University Hospital, Nancy
Nancy, France
University Hospital, Nice
Nice, France
Tenon Hospital, Paris
Paris, France
...and 2 more locations
Consumption of care in the close relatives of a suicide attempter
Consumption of care in the close relatives of a suicide attempter, at the various stages of evaluation, compared with a matched sample in general population (data IRDES). One will be able to thus evaluate not only if the consumption of the close relatives is higher than the average, but still if this difference increases or on the contrary decreases during time.
Time frame: one year
Psychological level of distress
Psychological level of distress in the close relatives
Time frame: one year
Links between consumption of care and psychological level of distress
Links between consumption of care and psychological level of distress
Time frame: one year
Prevalence of the post-traumatic stress disorder
Post-traumatic stress disorder at 3 months and one year, as evaluated by the PTSD Check List Symptoms among members of the entourage having been exposed to the scene of the suicide attempt. Comparison of prevalence of the post-traumatic disorder of stress compared to the index of lethality of the suicide attempt index.
Time frame: one year
Evolution of consumption of care
Evolution of consumption of care at committing suicide compared to the remainder of the household and the general population
Time frame: one year
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