adolescent; attempted suicide; child; ethics; family interventions; inpatient care
Abstract :
[en] OBJECTIVES: To assess practices of French psychiatrists regarding their management of children and adolescents with suicidal behaviors, focusing on the use of a separation protocol in which the youths are separated from their relatives. METHODS: In 2017, we conducted an online cross-sectional survey of French psychiatrists caring for children and adolescents. Participants were asked to describe their practice of a separation protocol in children and adolescents admitted for suicidal behavior. Our main analysis followed a descriptive approach. We also explored whether participant characteristics were associated with the use of a separation protocol. RESULTS: The response rate was 218/2403 (9,1%); 57.9 % of respondents worked in a University hospital, and 60% of respondents reported routinely hospitalizing children. A separation protocol was set up by 91.1% of survey participants (systematically 39.6%, on a case-by-case basis 51.5%). The mean age from which a separation protocol was indicated was above 11 years; 64% of participants reported a separation period of ≤ 48 h. The most common (87%) criterion cited for establishing a separation period was family relationship difficulties. The most common (80.9%) reason to justify the use of a separation protocol was to allow a better clinical assessment. Exploratory analyses did not identify any participant characteristics associated with the use of a separation protocol (p > 0.2 for all). CONCLUSION: The use of a separation protocol in children and adolescents admitted for suicidal behavior is a widespread practice in France, despite the deprivation of liberty it implies. This raises the question of the relevance and usefulness of such a practice.
Disciplines :
Psychiatry
Author, co-author :
Payet, Maymouna Mourouvaye; Child and Adolescent Psychiatry Department, Necker-Enfants Malades Hospital, APHP, Université de Paris, Paris, France. ; Université de Paris, Faculty of Medicine, Paris, France.
Bonfils, Nicolas A; Université de Paris, Faculty of Medicine, Paris, France.
Ouss, Lisa ; Child and Adolescent Psychiatry Department, Necker-Enfants Malades Hospital, APHP, Université de Paris, Paris, France. ; Université de Paris, Faculty of Medicine, Paris, France.
Fourcade, Lola J; Child and Adolescent Psychiatry Department, Necker-Enfants Malades Hospital, APHP, Université de Paris, Paris, France.
Touati-Pellegrin, Marie; Child and Adolescent Psychiatry Department, Necker-Enfants Malades Hospital, APHP, Université de Paris, Paris, France.
Golse, Bernard; Child and Adolescent Psychiatry Department, Necker-Enfants Malades Hospital, APHP, Université de Paris, Paris, France. ; Université de Paris, Faculty of Medicine, Paris, France.
Cohen, Jérémie F; Université de Paris, Faculty of Medicine, Paris, France. ; Department of General Pediatrics and Pediatric Infectious Diseases, Necker-Enfants Malades Hospital, APHP, Université de Paris, Paris, France.
Woestelandt, Laure; Child and Adolescent Psychiatry Department, Necker-Enfants Malades Hospital, APHP, Université de Paris, Paris, France. ; Université de Paris, Faculty of Medicine, Paris, France.
Language :
English
Title :
Separation Practices in Children and Adolescents Admitted for Suicidal Behavior: A National Survey of French Psychiatrists.
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