Suicide, Attempted
Conditions
Keywords
young, disruptive mood dysregulation disorder, actigraphic profile
Brief summary
An excess suicide-related morbidity is observed among young people in the Picardie region, as reflected by the \> 100% occupation rate of the Amiens University Hospital Adolescent Medicine Unit
Detailed description
An excess suicide-related morbidity is observed among young people in the Picardie region, as reflected by the \> 100% occupation rate of the Amiens University Hospital Adolescent Medicine Unit. New approaches have been proposed to these problems that have led us to reorganize our diagnostic practices: 1) more precise characterization of suicidal behaviour by using standardized instruments such as the French version of the Columbia-Suicide Severity Rating Scale developed by Posner (C-SSRS); 2) new clinical entities, such as disruptive mood dysregulation disorder, are now proposed in international classifications (DSM 5 field trial); 3) investigations such as recording of the circadian rhythm of motor activity by actigraphy are being studied as a laboratory complement to psychiatric diagnosis.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* children/adolescents admitted after a suicide attempt
Exclusion criteria
* severe depression * mental retardation * pervasive developmental disorder * active psychotic episode, * drug and alcohol abuse at the time of admission * organic sleep-wake disorders (sleep-related respiratory and motor disorders, narcolepsy) * any contraindication formulated by the clinical team * patients not covered by French national health insurance, patients deprived of their freedom as stipulated in Article L.1121-6 of the French Public Health Code
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The variable absence / presence of the disruptive mood dysregulation disorder (DMDD) | Day 0 | The variable absence / presence of the disruptive mood dysregulation disorder (DMDD) |
Countries
France