In 2020, the world is hit by a global health crisis due to a pandemic following the appearance of Sars-cov-2 or "covid-19". This pandemic was accompanied by a constant fear of contamination and death, relayed by the media. In France, the government proposed in response to the arrival of this virus on French territory. This policy was implemented in different 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 these periods. 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 a direct and psychic development. Studies have shown deleterious impact of the French health situation on the paediatric population. They point to an increase of psychological disorders such as depression and anxiety in the under -20s population, and an increase in suicidal gestures over the 2020-2021 period, with rates remaining higher than in previous years. 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 and psychological disorders, and few of them examine the factors linked to the increase in these incidences, the traumatic impact or the story of the trajectory. Similarly, the few studies focus only on the population aged 12 and over, and in some cases, do not distinguish between age groups (15-24 or under 20). Investigators believe that the various periods of social restrictions and eco-anxiety caused by the pandemic may have influenced suicidal behaviour in this population. The main objective of this study is to investigate the clinical and socio-economic characteristics of the pediatric population who experienced suicidal behaviors in the Auvergne Rhone Alpes region during the covid 19 pandemic.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
6,500
The demographic and diagnostic characteristics will be collected in aggregate form nafrom digital services departments or medical information departments of participating hospitals.
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.
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
Demographic and diagnostic characteristics
The following demographic and diagnostic characteristics will be collected in aggregate form for the entire population of children and adolescents who engaged in suicidal behavior during the health crisis and in the two preceding years: * Age, gender, place of residence, * ICD-10 diagnosis and referral, * Type of suicidal behavior (ideation, self-harm, suicide attempt), * Periods of social restrictions (lockdown, curfew, vaccine pass).
Time frame: Baseline
Number of patients aged 8-17 and 11month admitted to pediatric emergency
Number of patients aged 8-17 and 11month admitted to pediatric emergency rooms or hospitalized in a continuous care/intensive care unit of university hospitals (CHU) or general hospitals (CH) for suicidal behavior during the COVID-19 pandemic period of 2020, 2021, and 2022, and those in the two preceding years: 2018 and 2019.
Time frame: Baseline
Psychopathological and socio-economic characteristics
The following psychopathological and socio-economic characteristics will be collected: * Age, sex, place of residence, * Family situation and intrafamilial relationships * Type of suicidal behavior and description (ideation, self-harm, suicide attempt) * Periods of social restrictions (lockdown, curfew, vaccination pass) * Leisure time and type of leisure activities/hobbies * Education * Relationship with peers * Previous and current psychiatric diagnosis (according to ICD-10) * Personal and family psychiatric history * Personal medical history * Pharmacological and psychological treatment; Type of care
Time frame: Baseline
Scores to CRIES
Scores on the Children's Revised Impact of Events Scale (CRIES-13) (Horowitz et al., 1979; Brunet et al., 2003) among children from a representative sample of the cohort (group 1b, volunteer subjects).
Time frame: Up to 3 months
CAS scale
Scores on the Climate Anxiety Scale (CAS) (Clayton and Karazsia, 2020; Mouguiama-Daouda et al., 2022) among children from a representative sample of the cohort (group 1b, volunteer subjects).
Time frame: Up to 3 months
Qualitative interview
Semi-structured interviews with children and adolescents with suicidal behavior from a representative sample of the cohort. Subjects who agreed to interviews. We will try to have a sample of volunteers from Group 1 who can be representative of our population (care orientation, age, personal psychiatric history, and place of residence.)
Time frame: Up to 3 months
Results to focus groups (parent's subjects, group 1b)
Focus groups with the parents of children and adolescents with suicidal behavior from a representative sample of the cohort (randomly selected).
Time frame: Up to 3 months
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