Citation

Ducher JL, de Chazeron I, Llorca PM. Encephale (1974) 2016; 42(3): 242-247.

Vernacular Title

Suicide et évaluation. Revue des outils disponibles en français : approche non dimensionnelle et autoquestionnaires.

Affiliation

EA 7280, service de psychiatrie B, CHU de Clermont-Ferrand, Clermont université, université d'Auvergne, 63003 Clermont-Ferrand, France.

Copyright

(Copyright © 2016, Masson Editeur)

DOI

10.1016/j.encep.2015.12.004

PMID

26806143

Abstract

Suicide prevention represents a major challenge to public health, and the suicide risk is a permanent concern in psychiatry. But the main difficulty is its diagnosis. What resources are available in French which seem to help therapists in this process? We can distinguish the non-dimensional approach, the use of self-administered questionnaires or interviewer-administrated questionnaires. In this paper, for reasons of editing constraints, we are interested only in a non-dimensional approach and direct assessment measures by self-assessment, analysing the strengths and limitations of each and taking into account scientific studies that have been devoted to them and their clinical relevance. We first considered various aspects of non-dimensional approach through suicidal risk factors research, suicidal emergency and suicidal potential concepts, Shea approach, the model of Mann and some recommended evaluations. This type of approach has a number of advantages, but also limitations. Dimensional approach allows going further. In this article, we also discuss the existing self-assessment tools in French as for example dedicated item for Beck Depression Inventory (BDI) or specific scales such as Reasons for Living Inventory (RFL), Suicidal Probability Scale (SPS), Beck Hopelessness Scale (BHS) and self-administered Suicide Risk Assessment Scale of Ducher (aRSD). These last two seem to be used as a priority regarding result of their validation studies. The strong correlation between the self-administered questionnaire aRSD and the interviewer-administered Suicide Risk Assessment Scale of Ducher RSD (r=0.92; P<10(-7)) shows the ability of patients to express their suicidal ideation if we want to invite them to do so.

Language: fr