vendredi 29 mars 2013

NOTICE ARTICLE : Accueil du suicidant Role de l'infirmier

L’accueil du suicidant dans La revue de l'infirmière - Vol 61 - N° 186 P. 42-43 - décembre 2012
Aurélie Berthillot , Infirmière, Hôpital Édouard-Herriot, 69000 Lyon,


Lors de l’accueil d’un patient ayant tenté de mettre fin à ses jours, l’infirmière joue un rôle primordial dans l’accompagnement, l’évaluation et la définition des règles et du cadre en service ouvert de soins. La présence du personnel soignant permet au patient de trouver des repères, le but étant qu’il soit soutenu pour chercher les solutions d’abord en lui-même.

Mots clés : Accueil , Écoute active , Relation d’aide , Sécurité , Soin relationnel , Suicidant

L’accueil du patient
Visite du service
Règlement et mesures de sécurité
Paramètres vitaux
L’entretien infirmier
Écoute active
Risque de fugue et pyjama

En bref : Revue article de la recherche autres pays


Gender distribution of suicide attempts among immigrant groups in European countries—an international perspective
Cendrine Bursztein Lipsicas, Ilkka Henrik Mäkinen, Danuta Wasserman, Alan Apter, Ad Kerkhof, Konrad Michel, Ellinor Salander Renberg, Kees van Heeringen, Airi Värnik, and Armin Schmidtke
Eur J Public Health. 2013; 23:279-284.  [Abstract] [Full Text] [PDF]

Ou voir post  :

Enhanced Case Management versus Substance Abuse Treatment Alone among Substance Abusers with Depression
Catherine W. Striley, Prasanthi Nattala, Arbi Ben Abdallah, Michael L. Dennis, and Linda B. Cottler
Social Work Research. 2013; 37:19-25.  [Abstract] [Full Text] [PDF]

Suicide is leading cause of death in young Indian women, finds international study
Meera Kay
BMJ. 2013; 346:f1900.  [Full Text] [PDF]

SUR PUBMED Publications par date d’entrée DU 21/03/2013 au 29/2013

- Soc Psychiatry Psychiatr Epidemiol. 2013 Mar 28. [Epub ahead of print]
Erratum to: A national case-control study of risk factors for suicide among prisoners in England and Wales.
Centre for Mental Health and Risk, University of Manchester, Jean McFarlane Building, Second Floor, Oxford Road, Manchester, M13 9PL, UK,

PMID: 23536144 [PubMed - as supplied by publisher]

At least one mental disorder usually precedes suicidal behaviors.

PMID: 23535427 [PubMed - as supplied by publisher]

a Department of Counseling, Developmental and Educational Psychology , Boston College , Chestnut Hill , MA , USA.

Research has documented significant relationships between sexual and gender minority stress and higher rates of suicidality (i.e. suicidal ideation and attempts) and substance use problems. We examined the potential mediating role of substance use problems on the relationship between sexual and gender minority stress (i.e. victimization based on lesbian, gay, bisexual, or transgender identity [LGBT]) and suicidality. A nonprobability sample of LGBT patients from a community health center(N = 1457) ranged in age from 19-70 years. Participants reported history of lifetime suicidal ideation and attempts, substance use problems, as well as experiences of LGBT-based verbal and physical attacks. Substance use problems were a significant partial mediator between LGBT-based victimization and suicidal ideation and between LGBT-based victimization and suicide attempts for sexual and gender minorities. Nuanced gender differences revealed that substance use problems did not significantly mediate the relationship between victimization and suicide attempts for sexual minority men. Substance use problems may be one insidious pathway that partially mediates the risk effects of sexual and gender minority stress on suicidality. Substances might be a temporary and deleterious coping resource in response to LGBT-based victimization, which have serious effects on suicidal ideation and behaviors.

PMID: 23535038 [PubMed - as supplied by publisher]

- J Psychiatr Res. 2013 Mar 24. pii: S0022-3956(13)00083-6. doi: 10.1016/j.jpsychires.2013.02.017. [Epub ahead of print]
Additive effects between prematurity and postnatal risk factors of suicidal behavior.
Department of Psychiatry, IIS-Puerta de Hierro Hospital, CIBERSAM, Madrid, Spain; Inserm, U1061, Montpellier, France. Electronic address:


BACKGROUND: Pre- and perinatal insults increase suicide risk. The main objective of the present study is to investigate if prematurity interacts in an additive fashion with postnatal risk factors of suicidal behavior.
Sample and procedure: 857 adult suicide attempters consecutively hospitalized for a suicide attempt were included. Studied characteristics of suicide attempts included use of a violent mean, age at first suicide attempt, and number of suicide attempts. Risk factors of suicidal behavior included indexes of pre- and perinatal adversity, childhood maltreatment as measured with the Childhood Trauma Questionnaire, personality traits as measured with the Tridimensional Personality Questionnaire, and family history of suicidal behavior. Statistical analyses: Comparisons between the different patterns of suicide attempts characteristics were made using logistic regression with crude and adjusted odds ratios and 95% confidence intervals.
The risk of violent suicide attempts increased significantly in patients born prematurely (OR [95%] = 2.38[1.12-5.08]). There were additive effects for very preterm birth and 1) emotional abuse (OR [95% CI] = 4.52 [1.75-11.60]), 2) novelty seeking (OR [95% CI] = 8.92[3.09-25.7]), and 3) harm avoidance (OR [95% CI] = 5.81 [2.43-13.90]) on the age at first suicide attempt, after adjustment for potential confounders.
Very preterm birth appears to be the first step in a cascade of stressors across lifetime, which affects the risk and the severity of suicidal behavior. Furthermore, very preterm birth, childhood maltreatment and personality traits have additive effects that influence the age at onset of suicide attempt. Our findings may have potential consequences for preventive policies.

Copyright © 2013. Published by Elsevier Ltd.

PMID: 23535031 [PubMed - as supplied by publisher]

[Article in Portuguese]
Centro de Estudos de Doenças Crónicas. Faculdade de Ciências Médicas, Universidade Nova de Lisboa. Lisboa. Portugal.

Abstract Introduction/Objectives: Depression has shown as the more common mental disorder in elderly community and suicide is it worst consequence. In the Portuguese context suicide rates among the elderly take values higher than in other age groups. The present study aimed to compare elderly institutionalized and not institutionalized in terms of depression, suicidal ideation, dependency and leisure activities. Material and Methods: The sample was collected in Algarve, Alentejo and Lisbon, in 155 elderly, 85 institutionalized and 71 not institutionalized, with similar proportions between genders. The instruments were The Activity and Leisure Index (IAL), the Geriatric Depression Scale (GDS), The Barthel Index and the Beck Scale for Suicide Ideation (BSI). Results: The results showed that the elderly institutionalized did not presented higher depression, loneliness, suicidal thoughts or lowest level of activity and leisure, but were less independent. The participants with highest suicidal thoughts had more depression. A self-perception of worse health and more loneliness were related with more depression. A higher activity and leisure was related with less suicidal ideation. Conclusions: The data seem to show that the institutionalization of elderly is not related negatively with depression and suicidal ideation.

PMID: 23534586 [PubMed - as supplied by publisher]

- ScientificWorldJournal. 2013;2013:485851. doi: 10.1155/2013/485851. Epub 2013 Feb 28.
Life Cycle and Suicidal Behavior among Women.
Department of Psychology, Catholic University of Maule, Avenida San Miguel 3605, Talca, Chile.

Abstract It is nowadays accepted that, independently of methodological issues, women commit fewer suicides than men but make more frequent attempts. Yet, female suicidal risk varies greatly along the lifetime and is linked to the most significant moments in it. A wide analysis of the existing literature was performed to provide a narrative description on the evolution of female suicidal rates from childhood to old age, considering the milestones in their life history. A detailed analysis of gender differences in suicidal behavior is key to establish preventive measures and priorities. More specific studies are needed to adapt future interventions on female suicide.
Free Article

PMID: 23533350 [PubMed - in process]

Icon for Hindawi Publishing Corporation


PMID: 23533120 [PubMed - in process]

Icon for HighWire

- J Affect Disord. 2013 Mar 23. pii: S0165-0327(13)00098-0. doi: 10.1016/j.jad.2013.01.043. [Epub ahead of print]
Prevalence and correlates of suicidal ideation among Operation Enduring Freedom and Operation Iraqi Freedom veterans.
Portland Center for the Study of Chronic, Comorbid Physical and Mental Disorders, Portland Veterans Affairs Medical Center; Department of Psychiatry, Oregon Health & Science University, P.O. Box 1034 (P3:DEP-PC), Portland, OR 97207, United States. Electronic address:


We sought to determine the prevalence and correlates of suicidal ideation (SI) among Operation Enduring Freedom and Operation Iraqi Freedom (OEF/OIF) veterans following the Department of Veterans Affairs' (VA) 2007 implementation of required brief SI assessments for veterans who screen positive for depression and post-traumatic stress disorder.

We retrospectively identified OEF/OIF veterans screened for depression using the Patient Health Questionnaire (PHQ-2) between April 2008 and September 2009 at three geographically-distinct VA Medical Centers' primary care or mental health clinics. Veteran responses to a two-item risk assessment tool (VA Pocket Card) or PHQ-9 9th item, administered following a positive depression screen (PHQ-2≥3), were determined using manual chart review. Generalized estimating equations were used to calculate adjusted odds ratios for demographic and clinical correlates of positive SI assessments.

Of 1340 OEF/OIF veterans with positive depression screens, 32.4% reported SI. In multivariate models, odds of SI were lower for non-Hispanic white veterans (AOR=0.68) and greater for those with PHQ-2≥5 (AOR=1.87), depression (AOR=1.45), bipolar disorder/schizophrenia (AOR=2.84), and 2 or ≥3 diagnoses (AORs=1.59 and 2.49, respectively).

Study findings may not be generalizable to non-veteran patient populations and the study does not address the reliability and validity of tools employed for brief suicidal ideation assessment.

SI is common among OEF/OIF veterans who receive VA care, perhaps more so among non-white veterans. Targeting veterans with higher PHQ-2 scores for SI assessment should be considered to reduce patient and administrative burden.

Published by Elsevier B.V.

PMID: 23531358 [PubMed - as supplied by publisher]

Icon for Elsevier Science

- Suicide Life Threat Behav. 2013 Mar 26. doi: 10.1111/sltb.12024. [Epub ahead of print]
Patient Suicide: The Experience of Flemish Psychiatrists.
Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal.

The experience of the most distressing patient suicide on Flemish psychiatrists is described. Of 584 psychiatrists, 107 filled a self-report questionnaire. Ninety-eight psychiatrists had been confronted with at least one patient suicide. Emotional suffering and impotence were the most common feelings reported. Changes in professional practice were described and included a more structured approach to the management of suicidal patients. Colleagues and contact with the patient's family were the most frequently used sources of help, whereas team case review and colleagues were rated as the most useful ones. Patient suicide leads to emotional suffering and has a considerable professional impact.

© 2013 The American Association of Suicidology.

PMID: 23530711 [PubMed - as supplied by publisher]

- Suicide Life Threat Behav. 2013 Mar 26. doi: 10.1111/sltb.12023. [Epub ahead of print]

Social Integration and Suicide-Related Ideation from a Social Network Perspective: A Longitudinal Study among Inner-City African Americans.

American Psychiatric Institute for Research and Education, Arlington, VA, USA.


Social network density, as measured by the extent to which network members know each other, was examined to determine whether it is associated with suicide-related ideation and plan approximately 3 years later. Eight hundred and nineteen African Americans were interviewed at Wave 1 (1997-1999) and Wave 4 (2001-2003) of the Self-Help In Eliminating Life-Threatening Diseases (SHIELD) study, a HIV preventive intervention study in Baltimore, MD. Multinomial logistic regression models were used to compare risks of suicide-related ideation and plan at Wave 4 by Wave 1 density. Even after adjusting for baseline sociodemographic characteristics and depressive symptoms, individuals with a lower level of density were three times more likely to report suicide-related ideation and plan in the past year at Wave 4. The findings reinforce the importance of social integration among inner-city African Americans from a social network perspective. Future research should examine the mechanisms associated with this relationship and other social network constructs.
© 2013 The American Association of Suicidology.

PMID: 23530665 [PubMed - as supplied by publisher]

- J Gen Intern Med. 2013 Mar 26. [Epub ahead of print]

Capsule Commentary on Ganzani et al., Trust is the Basis for Effective Suicide Risk Screening and Assessment in Veterans.

Center for Integrated Healthcare, Syracuse Veterans Affairs Medical Center, Syracuse, NY, 13210, USA,

PMID: 23529712 [PubMed - as supplied by publisher]

Icon for Springer

- Rev Esp Sanid Penit. 2013 Jun;15(1):3-7. doi: 10.4321/S1575-06202013000100002.

[Psychopathy and suicidal behaviour in a sample of mentally disordered offenders].

[Article in Spanish]
John Jay College of Criminal Justice, New York City University, New York.


Empirical literature has yielded a positive association between psychopathy levels and suicide attempts. This association is centred around impulsivity and disinhibitory facets of psychopathy, whereas suicide and emotional poverty remain independent. Evidence about the relation between suicide and psychopathy in mentally disordered offenders is not conclusive. The present work explores the relation between several measures of antisocial personality, suicide attempt and deliberate self mutilation in a sample of inmates from a forensic psychiatric hospital. Results support the association between disinhibitory aspects of personality and suicide in this population.
Free Article

PMID: 23529362 [PubMed - in process]

Icon for Scientific Electronic Library Online

- Psychiatry Res. 2013 Mar 23. pii: S0165-1781(13)00108-X. doi: 10.1016/j.psychres.2013.02.033. [Epub ahead of print]

Cognitive inflexibility and suicidal ideation: Mediating role of brooding and hopelessness.

Department of Psychology, Hunter College, City University of New York, NY, USA; Department of Psychology, The Graduate Center, City University of New York, NY, USA. Electronic address:


Previous research suggests that cognitive inflexibility prospectively increases vulnerability to suicidal ideation, but the specific cognitive factors that may explain the relation have not been examined empirically. The present study examined the brooding subtype of rumination and hopelessness as potential mediators of the prospective relation between cognitive inflexibility and suicidal ideation. Fifty-six young adults who completed a measure of cognitive inflexibility and suicidal ideation at baseline were followed up 2-3 years later and completed measures of brooding, hopelessness, and suicidal ideation. Cognitive inflexibility at baseline predicted suicidal ideation at follow up, adjusting for baseline ideation. This relation was mediated by brooding but not by hopelessness. However, there was an indirect relation between perseverative errors and suicidal ideation through brooding, followed by hopelessness, such that brooding was associated with greater hopelessness and hopelessness, in turn, was associated with greater suicidal ideation. Cognitive inflexibility may increase vulnerability to suicidal thinking because it is associated with greater brooding rumination, while brooding, in turn, is associated with hopelessness.
Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

PMID: 23528518 [PubMed - as supplied by publisher]

Icon for Elsevier Science

- Nord J Psychiatry. 2013 Mar 26. [Epub ahead of print]

Clinical utility of proposed non-suicidal self-injury diagnosis-A pilot study.

Psychiatry, Department of Neuroscience, Uppsala University, University Hospital , SE 751 85 Uppsala , Sweden .


In the forthcoming fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM), a new diagnosis is proposed: non-suicidal self-injury (NSSI). To test its clinical utility in a pilot study, NSSI criteria were assessed in 39 young psychiatric outpatients with self-harm behavior. There were no differences between the NSSI (n = 18) and the non-NSSI (n = 21) groups concerning other diagnoses, including borderline personality disorder (BPD) (22% vs. 24%). However, NSSI patients had more suicidal behavior than non-NSSI patients. This pilot study indicates that the NSSI diagnosis is different from BPD, but it does not delimit suicidal behavior.

PMID: 23527788 [PubMed - as supplied by publisher]

Icon for Informa Healthcare

- J Forensic Sci. 2013 Mar 25. doi: 10.1111/1556-4029.12056. [Epub ahead of print]

Suicide Pacts: Six Cases and Literature Review.

Institut Médico-légal, Centre Hospitalier Universitaire de Tours, Université François Rabelais de Tours, 37044, TOURS Cedex, France.


A suicide pact is the decision of two or more people to die together. This event is rare. The majority of suicide pacts victims are married, socially isolated, with a serious physical illness in one or both partners. We performed a retrospective study of all cases of suicide pacts leading to death between January 1, 2003 and December 31, 2010 referred to the Forensic Medicine Department of Tours (France). Six cases were recorded as suicide pacts. Firearms were the preferred means of death. Five suicide notes were discovered. For some cases, it was difficult to establish whether death was the result of a suicide pact or of a homicide-suicide without the consent of the victim. An objective element, such as a suicide note and motive, is required to prove that a suicide pact is involved. The prevalence of mental disorders is hard to assess. In France, psychological autopsies are not performed in such cases, as the investigation is usually very sparse after the death of both individuals.
© 2013 American Academy of Forensic Sciences.

PMID: 23527698 [PubMed - as supplied by publisher]

Icon for Blackwell Publishing

- Depress Anxiety. 2013 Mar 22. doi: 10.1002/da.22049. [Epub ahead of print]


Departments of Radiology, Emory University School of Medicine, Atlanta, Georgia.



Deficits in serotonergic neurotransmission have been implicated in the pathogenesis of depression and suicidality. The present study utilized a novel positron-emission tomography (PET) ligand to quantitate and compare brain regional serotonin transporter (SERT) binding potential in depressed patients with a past history of suicide attempts to that of healthy comparison subjects.


We used [11 C]-ZIENT PET to label SERT in the serotonergic cell body rich brainstem, and forebrain projection fields. Quantitative PET emission data from 21 adults (10 healthy controls and 11 drug-free patients with major depression) was used for group comparison. SERT binding potential (BPND ) in eight MRI-based brain regions of interest (ROI) were compared in high-resolution PET images.


SERT binding potential was significantly decreased in the midbrain/pons (P = .029) and putamen (P = .04) of depressed patients with a past suicide attempt relative to comparison subjects. Forebrain SERT binding was also reduced in the patient sample, though these region effects did not survive a multiple comparison correction.


These results suggest that decreased availability of the brainstem and basal ganglia SERT represents a biomarker of depression and thus confirm and extend the role of dysregulation of brain serotonergic neurotransmission in the pathophysiology of depression and suicide.
© 2013 Wiley Periodicals, Inc.

PMID: 23526784 [PubMed - as supplied by publisher]

Icon for John Wiley & Sons, Inc.

- J Psychiatr Res. 2013 Mar 21. pii: S0022-3956(13)00065-4. doi: 10.1016/j.jpsychires.2013.02.009. [Epub ahead of print]

Suicides in older adults: A case-control psychological autopsy study in Australia.

Australian Institute for Suicide Research and Prevention, National Centre of Excellence in Suicide Prevention World Health Organization Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Australia. Electronic address:



The present study aims to analyse predicting factors of suicide among older adults compared to sudden death controls and middle-aged suicides.


During the period 2006-2008, at two Australian sites, the psychological autopsy method was utilised to investigate suicides of individuals over the age of 35 by interviewing next-of-kin and healthcare professionals. A case-control study design was applied using sudden death cases as controls. Initial information was gathered from coroner's offices. Potential informants were approached and interviews were conducted using a semi-structured format.


In total, 261 suicides (73 aged 60+) and 182 sudden deaths (79 aged 60+) were involved. Older adult suicides showed a significantly lower prevalence of psychiatric diagnoses (62%) when compared to middle-aged suicide cases (80%). In both age groups, subjects who died by suicide were significantly more likely to present a psychiatric diagnosis, compared to controls; however, diagnosis did not remain in the final prediction model for older adults. Hopelessness and past suicide attempts remained in the final model for both age groups. In addition, living alone was an important predictor of suicide in older adults.


Although mood disorders represent an important target for suicide prevention in old age, there should be increased attention for other risk factors including psychosocial, environmental, and general health aspects of late life.
Copyright © 2013 Elsevier Ltd. All rights reserved.

PMID: 23522934 [PubMed - as supplied by publisher]

Icon for Elsevier Science

- Acta Psychiatr Scand. 2013 Mar 22. doi: 10.1111/acps.12127. [Epub ahead of print]

Assessing risk of suicide and aggression in hospitals: same but different.

University of New South Wales - School of Psychiatry, Sydney, NSW, Australia.

PMID: 23521425 [PubMed - as supplied by publisher]

- Soc Work Health Care. 2013;52(2-3):239-57. doi: 10.1080/00981389.2012.737903.

A Social Work Contribution to Suicide Prevention Through Assertive Brief Psychotherapy and Community Linkage: Use of the Manchester Short Assessment of Quality of Life (MANSA).

a Department of Social Work, Faculty of Medicine, Nursing & Health Sciences , Monash University , Melbourne , Victoria , Australia.


There is a striking absence of literature articulating and evaluating clinical social work contributions to suicide prevention, despite considerable practice in this important field. This article reports on a model of assertive brief psychotherapeutic intervention and facilitated linkage to community services utilized in a prospective cohort study of emergency department suicide attempt aftercare. A key outcome measure, the Manchester Short Assessment of Quality of Life (MANSA), was used with 65 patients to assess psychosocial domains at initial presentation, 4-weeks, 3-months, and 6-months. There were significant improvements in the domains of work, finance, leisure, social life, living situation, personal safety and health by 3 months. There were highly significant correlations between psychosocial improvements and improved depression scores.

PMID: 23521387 [PubMed - in process]

Icon for Atypon