@article{ref1,
title="Changes in the number of suicide attempts in the NPC region since the start of VigilanS: first estimates",
journal="L'Encephale (1974)",
year="2019",
author="Vaiva, G. and Plancke, L. and Amariei, A. and Demarty, A. L. and Lardinois, M. and Creton, A. and Debien, C. and Duhem, S. and Messiah, A.",
volume="45",
number="Spec 1",
pages="S22-S26",
abstract="BACKGROUND: The implementation of a surveillance program after a suicide attempt (SA) is a very innovative step in the evolution of our system of care. It was interesting to know if we observe a decline in suicide attempts in the region, in particular of recurrences of SA. <br><br>METHOD: We measured the evolution of the number of suicide attempts before and after implantation of VigilanS, using two types of analysis: a first from the national medical information systems in Medicine-Surgery-Obstetrics (PMSI-MCO) and a second from the collection of the ER stays for SA in the hospitals involved in the VigilanS program. <br><br>RESULTS: In 2014 (year before start of VigilanS), a total of 10 119 ER stays for SA was observed (5626 women and4463 men); in 2017, the total was 9.230 stays for SA (5047 women and 3 839 men), representing a decrease of 13.5%. The reduction was balanced between men (-14%) and women (-10%). Based on the figures of PMSI, we see an acceleration of the reduction of stay for SA in the Nord-Pas-de-Calais after 2014 (-16% instead of -6%), instead of the two Picardy departments the most comparable which show a degradation of the phenomenon (+13%), and opposed to the Department of the Oise which shows a stable maintenance of the current decline (-12%). <br><br>CONCLUSION: These two indicators are imperfect, but evolution over three years since the implementation of VigilanS goes in the same direction. We find a uncoupling of a hospital stay in connection with a SA. The intensity of this decline seems correlated to the penetrance of the program.<br><br>Copyright © 2018. Published by Elsevier Masson SAS.<p /> <p>Language: fr</p>",
language="fr",
issn="0013-7006",
doi="10.1016/j.encep.2018.09.006",
url="http://dx.doi.org/10.1016/j.encep.2018.09.006"
}