Citation

Kopp-Bigault C, Walter M. Encephale (1974) 2019; 45(Spec 1): S35-S37.

Vernacular Title

Prévention du suicide des personnes âgées en France. Vers une stratégie multimodale de lutte contre la dépression et l’isolement : CQFDi.

Affiliation

Équipe de recherche SPURBO EA 7479, Groupement d'études et de prévention du suicide (GEPS), service hospitalo-universitaire de psychiatrie d'adultes et de psychologie médicale, secteur 29G01, centre hospitalier régional universitaire de Brest, hôpital de Bohars, 29820 Bohars, France; Équipe de recherche SPURBO EA 7479, 29600, France; Service hospitalo-universitaire de psychiatrie d'adultes et de psychologie médicale, secteur 29G01, centre hospitalier régional universitaire de Brest-hôpital de Bohars, 29600 Bohars, France.

Copyright

(Copyright © 2019, Masson Editeur)

DOI

10.1016/j.encep.2018.09.010

PMID

30477900

Abstract

ISSUE: Suicide is a major problem of public health around the world, and if suicidal mortality rates have declined in recent years, the elderly remain a category of the world's population at major risk of suicide. Seventeen percent of deaths by suicide across the world are individuals over the age of 65. The existence of suicidal ideas for an individual in this age group increases the risk of suicide attempt in the year by 34. In France, about a little less than a quarter of suicides belong to persons over 60-years-old. More risk factors found in the international literature are in the foreground of mental disorders and in particular the major depression episode, then secondarily addictions, neuro-degenerative disorders as well as pain and other diseases. Depression is found in 60% to 90% of suicides. We notice also that older people privileged the general practitioner as interlocutor to discuss their problems and worries much more than psychiatrists or psychologists. In fact, two-thirds of the elderly who committed suicide had consulted their general practioner in the month prior to suicide and half in the 10 last days. That raises the question of the identification of depression and the evaluation of suicidal risk. On the other side, there is an abundant literature about psychosocial risk factors especially on the influence of isolation and lack of social support as well as on conflicts and family losses. In France, more than 4 million of the elderly live alone. So, while the world population is increasing and life expectancy lengthens, it is important to already act for elderly suicide prevention. PERSPECTIVES: Suicide prevention actions whose efficacity have been demonstrated around the world are designed as part of multimodal strategies combining several levers of action. The consensual recommendations for prevention of elderly suicide recommend the association of actions on the reduction of depression and combating social isolation in connection with the training of front-line actors such as general practitioners. As a result of these experiments and recommendations, the first francophone multimodal strategy was developed to act both on depression and social isolation: the Coopération Québec France sur la dépression et l'isolement (CQFDi) program which will be implemented in France and Quebec in 2019.

CONCLUSION: It has been proven that multimodal suicide prevention strategies allow a reduction in the number of suicides. The CQFDi program focuses on at risk of suicide population and aims to reduce the suicide rate of elderly people in France.

Copyright © 2018 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

Language: fr

Keywords

Elderly; France; Multimodal strategy; Personnes âgées; Prevention; Prévention; Stratégie multimodale; Suicide