[Changes in the number of suicide attempts in the NPC region since the start of VigilanS: First estimates].
Évolutions du nombre de tentatives de suicide dans le Nord-PasdeCalais depuis l’implantation de VigilanS : premières estimations.
Adolescent
Adult
Female
France
/ epidemiology
Health Plan Implementation
/ standards
Humans
Male
Middle Aged
Monitoring, Physiologic
/ methods
Population Surveillance
/ methods
Preliminary Data
Preventive Psychiatry
/ methods
Program Evaluation
Recurrence
Suicide, Attempted
/ prevention & control
Young Adult
Codage PMSi
Epidemiology
PMSI codage
Prevention
Prévention
Reattempt
Récidive
Suicide attempt
Tentative de suicide
Épidémiologie
Journal
L'Encephale
ISSN: 0013-7006
Titre abrégé: Encephale
Pays: France
ID NLM: 7505643
Informations de publication
Date de publication:
Jan 2019
Jan 2019
Historique:
received:
23
08
2018
revised:
03
09
2018
accepted:
08
09
2018
pubmed:
25
11
2018
medline:
3
8
2019
entrez:
25
11
2018
Statut:
ppublish
Résumé
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. 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. 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%). 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.
Sections du résumé
BACKGROUND
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.
METHOD
METHODS
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.
RESULTS
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%).
CONCLUSION
CONCLUSIONS
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.
Identifiants
pubmed: 30470501
pii: S0013-7006(18)30200-8
doi: 10.1016/j.encep.2018.09.006
pii:
doi:
Types de publication
Journal Article
Langues
fre
Pagination
S22-S26Informations de copyright
Copyright © 2018. Published by Elsevier Masson SAS.