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| ID | Type | Description | Link |
|---|---|---|---|
| 2023-A02237-38 | Other Identifier | ID-RCB |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Subjects with suicidal behaviors during the health crisis of covid-19 between 2020 and 2022 (group1) | Experimental |
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| Subjects with suicidal behaviors during covid-19 period with qualitative interviews (group 1b) | Experimental |
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| Subjects control with suicidal behaviors before the health crisis (Group 2). | Experimental |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Aggregated data collection | Other | The demographic and diagnostic characteristics will be collected in aggregate form nafrom digital services departments or medical information departments of participating hospitals. |
| Measure | Description | Time Frame |
|---|---|---|
| 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:
| Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| 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. |
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Inclusion Criteria:
The population (subjects and controls) will be divided into age categories:
Subjects with suicidal behavior during the health crisis (Group 1):
Subjects with suicidal behavior during the health crisis with qualitative interviews (Group 1b):
Controls with suicidal behavior before the health crisis (Group 2):
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):
For Group 1:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Elise MAMIMOUE, Dr | Contact | 472129567 | +33 | Elise.mamimoue@chu-lyon.fr |
| Sonia GALLETTI | Contact | 427857739 | +33 | Sonia.galletti@chu-lyon.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospices Civils de Lyon - Hôpital Femme Mère Enfant- Service de pédopsychiatrie de l'enfant et de l'adolescent | Recruiting | Bron | 69500 | France |
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Multicenter descriptive study, involving retrospective data collection with a questionnaire and prospective qualitative evaluations. Research involving human subjects outside of health products as mentioned in Article L1121-1, 2° of the Public Health Code
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| Data collection and qualitative interview | Other | 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. |
|
| Baseline |
| Psychopathological and socio-economic characteristics | The following psychopathological and socio-economic characteristics will be collected:
| 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). | 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). | 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.) | 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). | Up to 3 months |
| CHU de Clermont-Ferrand - Service de psychiatrie de l'enfant et de l'adolescent | Not yet recruiting | Clermont-Ferrand | 63000 | France |
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| CHU de Grenoble - Service de psychiatrie de l'enfant et de l'adolescent | Not yet recruiting | Grenoble | 38043 | France |
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| CHU de Saint-Etienne - Urgences psychiatriques | Not yet recruiting | Saint-Etienne | 42100 | France |
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| ID | Term |
|---|---|
| D059020 | Suicidal Ideation |
| D000086382 | COVID-19 |
| D013405 | Suicide |
| ID | Term |
|---|---|
| D016728 | Self-Injurious Behavior |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D011024 | Pneumonia, Viral |
| D011014 | Pneumonia |
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D014777 | Virus Diseases |
| D018352 | Coronavirus Infections |
| D003333 | Coronaviridae Infections |
| D030341 | Nidovirales Infections |
| D012327 | RNA Virus Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D003625 | Data Collection |
| ID | Term |
|---|---|
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |
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