TY  - JOUR
PY  - 2014//
TI  - Suicidal ideas in psychiatric emergency departments: prospective study comparing self- and hetero-assessment
JO  - L'Encephale (1974)
A1  - Moroge, S.
A1  - Paul, F.
A1  - Milan, C.
A1  - Gignoux-Froment, F.
A1  - Henry, J-m
A1  - Pilard, M.
A1  - Marimoutou, C.
SP  - 359
EP  - 365
VL  - 40
IS  - 5
N2  - OBJECTIVE: Many suicide victims had contacts with an emergency department before their attempt. We aimed to determine whether patients coming to a psychiatric emergency department were well assessed concerning their suicidal risk, and to test an easy to fill in scale rapidly assessing suicidal risk. <br><br>METHOD: We conducted a descriptive epidemiological survey in Marseille. The source population was all patients admitted to the psychiatric emergency department. We used a booklet containing three questionnaires for "nurse", "psychiatrist" and "patient". We estimated the suicidal risk using both a visual analogue scale (similar for patients and caregivers), and validated scales on self-assessment (scale of suicidality SBQ-R and the Beck Hopelessness Scale). <br><br>RESULTS AND DISCUSSION: The questionnaire results have shown that people who visited a psychiatric emergency department presented a significant suicidal risk on several criteria: socio-demographic criteria (social isolation, low level of education, low number of people with a job), psychiatric history (rate of pre-existing psychiatric disorders significantly higher than in the general population, high proportions of family and personal history of suicide attempts, psychiatric hospitalizations, and people with a psychiatrist). Six percent of patients claimed to have come to an emergency unit for suicidal ideas but they were ten times more with a suicidal risk, according to the SBQ-R score. The suicidal risk self-assessed by patients on our visual analogue scale was well correlated with SBQ-R scale and Beck Hopelessness scale, but was not well correlated with the evaluation of caregivers. <br><br>CONCLUSION: Hence, the analog scale we created is easy to use and seems to be a good tool for suicidal risk estimation when it is self-assessed by patients in our study population.<p />  <p>Language: fr</p>
LA  - fr
SN  - 0013-7006
UR  - http://dx.doi.org/10.1016/j.encep.2014.08.004
ID  - ref1
ER  -