Étude des suicides au centre hospitalier psychiatrique Alpes Isère de 1998 à 2012 : comment améliorer la prévention ?
Year: 2015
Type: dissertation
Abstract: OBJECTIVE: The main objective is to investigate the deaths by suicide in Alpes Isere Hospital Centre (CHAI) to improve the prevention of suicide in psychiatric institutions. MATERIALS AND METHODS: This a retrospective unicentric qualitative study, performed using the analysis of patient reports. Patients identified as suicide by the institution during hospitalization or subsequent to the latter, from 1998 to 2012 were identified. Their case was studied with a reading grid to extract demographic data, the circumstances of the suicide, the assessment of suicide potential and approaches implemented next. The characteristics of suicide were compared with those found in other studies. Finally, proposals for improvements have been drafted with the recommendations. RESULTS: 15 suicides were reported. There are most often men (11), alone, with attempted background suicide(s), schizophrenic or melancolic, anxious and insomniac, hospitalized without consent, and who suicide by hanging, the first week or at the end of the stay. CONCLUSION: The number of identified suicide is low. The patient reports were poorly informed. Suicide risk factors during hospitalization in the literature are concordant with our sample. The main proposals for improvement relate to suicide prevention : removing means, staff training, communication among stakholders, suicide assessment and protection measures maintaining the therapeutic alliance.
Source: HAL
Author: Émilie Santarelli
Institution: Université Grenoble Alpes
Language: French
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W832199619