Qualitative Study of Suicidal Recrudescence Among Adolescents in November 2021

Suicidology and Anthropology Research Protocol : Qualitative Study of Suicidal Recrudescence Among Adolescents in November 2021

A qualitative study, combining psychiatric and anthropological perspectives, focused on the lived experiences of patients who had recourse to HPNCL emergencies during the period of November 2021, as well as the experiences and perceptions of those around them - such as their family, teachers or school and nursing staff. This multi-site approach will provide a multidimensional perspective on the experience of individuals and those around them, as well as a triangulation of data.

The hypotheses to explain the increase in the rate of suicidal crisis will be addressed through semi-structured interviews proposed to the participants of the study.

Interviews in the presence of two members of the research team (child psychiatrists, psychologists, anthropologists, etc.) will be offered to participants. These interviews will be face-to-face when possible, but can also be done remotely, by teleconsultation, depending on the preferences of the participants.

These interviews will be based on a questionnaire established beforehand evoking the history of mental disorders and the experience of the participant in the study and his entourage of the Covid-19 health crisis.

All information exchanged during these interviews will be made anonymous (data collected and processed as well as the results presented). They will be used exclusively in the context of the study and not communicated to the medical team involved in the patient's care.

The proposed interviews will be carried out separately with:

• The patient who consulted the emergency room during the month of November 2021
• The parent(s) of the study participant
• One or more health professionals taking care of the patient
• The school attended by the patient who will be questioned about the suicidal problem and Covid-19 in general or not about the patient in particular.
• Child welfare professionals (ASE) potentially involved in the care of the study participant.

Questionnaires will also be carried out with patients in order to complete the assessment of their clinical condition at a distance from the psychological crisis:

Inclusion Criteria:

• Any patient having consulted in the child psychiatric emergency room of the HPNCL between November 1, 2021 and November 30, 2021 for suicidal thoughts.
• Age between 13 years and 17 years and 11 months
• Good understanding of written and oral French
• Collection of the informed consent of the patient and of one of the two parents or holder of parental authority

Exclusion Criteria:

• Inability to comply with the instructions defined and exposed during inclusion
• Refusal of participation by the patient or one of the legal guardians