Pattern of encounters to emergency departments for suicidal attempts in France: Identification of high-risk days, months and holiday periods.

IF 1.2 4区医学 Q4 NEUROSCIENCES Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique Pub Date : 2024-02-04 DOI:10.1016/j.encep.2023.11.018

Michaël Rochoy, Isabelle Pontais, Céline Caserio-Schönemann, Christine Chan-Chee, Luce Gainet, Yann Gobert, Jan Baran, Vincent Dodin, Luc Defebvre, Claire Collins, Emmanuel Chazard, Christophe Berkhout, Pierre Balayé

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Abstract

Introduction: Seasonal change in patterns of suicidal attempts is not well known in France and may differ from other western countries. We aimed to determine the peak times (days, months and holiday periods) of suicidal attempts in France.

Methods: We carried out a multicentre retrospective epidemiological study, using data from the Organization for Coordinated Monitoring of Emergencies (OSCOUR®) network. We aggregated daily data from January 1, 2010, to December 31, 2019. Variations in suicidal attempts on specific days were investigated by comparing their frequencies (ad hoc Z-scores).

Results: 114,805,488 ED encounters were recorded including 233,242 ED encounters regarding suicidal attempts. Men accounted for 45.7%. A significantly higher frequency of ED encounters for suicidal acts were found on Sundays in the months of May-June for both sexes and on New Year's Day for all genders and age groups. An increased risk was also noted on July 14th (National Day) and June 22nd (Summer Solstice). A protective effect was noted on the day after Valentine's Day, on Christmas Day and Christmas time (in particular December 24 and 26).

Conclusion: Sundays, June, New Year's Day were at increased risk of suicidal attempts in France requiring a strengthening of prevention.

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法国因企图自杀而前往急诊科就诊的情况：确定高风险日、月和节假日。

简介在法国，自杀企图模式的季节性变化并不为人所知，而且可能与其他西方国家有所不同。我们旨在确定法国自杀未遂事件的高峰期（日、月和节假日期间）：我们利用紧急情况协调监测组织 (OSCOUR®) 网络的数据，开展了一项多中心回顾性流行病学研究。我们汇总了 2010 年 1 月 1 日至 2019 年 12 月 31 日的每日数据。通过比较特定日期的自杀未遂频率（临时 Z 值），研究了自杀未遂的变化情况：记录了 114,805,488 次急诊就诊，其中 233,242 次与自杀未遂有关。男性占 45.7%。在 5 月至 6 月的周日和元旦期间，因自杀行为而就诊的急诊就诊率明显较高，男女均是如此，所有性别和年龄组均是如此。7月14日（国庆日）和6月22日（夏至日）的风险也有所增加。在情人节的第二天、圣诞节和圣诞节期间（特别是 12 月 24 日和 26 日）则有保护作用：结论：在法国，周日、六月和元旦是自杀未遂的高发期，需要加强预防。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique 医学-精神病学

CiteScore

4.60

自引率

7.40%

发文量

162

审稿时长

6-12 weeks

期刊介绍： Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.