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1246 – Medico-economic Impact Of a Suicide Attempt On The Relatives Of The Suicide Attempter

Published online by Cambridge University Press:  15 April 2020

V. Jardon
Affiliation:
CHRU Lille - Hopital Michel Fontan, Lille
E. Poulet
Affiliation:
CH Le Vinatier, Lyon
P. Genest
Affiliation:
CHRU Brest, Brest
F. Chastang
Affiliation:
CHRU Caen, Caen
G. Brousse
Affiliation:
CHU Clermont- Ferrand, Clermont-Ferrand
J.B. Garre
Affiliation:
CHU Angers, Angers
C. Pichene
Affiliation:
CHU Nancy, Nancy
C. Thevenon Gignac
Affiliation:
CH Dron, Tourcoing
L. Jehel
Affiliation:
CHU Fort de France, Fort de France
C. Chanudet
Affiliation:
CH Quimper, Quimper
M. Benoit
Affiliation:
CHU Nice, Nice
J. Mousques
Affiliation:
IRDES, Paris
P. Dourgnon
Affiliation:
IRDES, Paris
A.L. Demarty
Affiliation:
CIC Lille, Lille, France
S. Duhem
Affiliation:
CIC Lille, Lille, France
F. Ducrocq
Affiliation:
CHRU Lille - Hopital Michel Fontan, Lille
M. Seguin
Affiliation:
Douglas Research Center - Mac Gill University, Montréal, QC, Canada
G. Vaiva
Affiliation:
CHRU Lille - Hopital Michel Fontan, Lille

Abstract

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Hypothesis

A suicide attempt is an major event that creates harm on both family and close relatives, that can be measured in terms of traumatic stress and medico-economic impact (costs). Each year, 3.750.000 French people are concerned by a suicide attempt of a relative (or close person).

Subjects

Male or female, older than 16, being a relative of a suicide attempter (i.e. living in the same house as the suicide attempter). 171 families were included (171 suicide attempters and 171 « family informants »). These subjects were compared to IRDES datas on French population (Institute of Research and Documentation on Health Economy ; sample of 20.000 subjects, representing 95% of the French families). All subjects were reassessed by phone at 3 month and 1 year.

Results

80% of the relatives declare “being fine” at 1 year; the 20% that declare being “not so well” are important to qualify, the sooner after the suicide attempt. An explicative model trying to evaluate the risk of being “not so well” at 1 year is possible ; this model is highly represented by the psychotraumatic impact of the confrontation with the suicide attempt.

On the economic plan, we can observe a great stability in healthcare contacts at 1 year (hospitalizations, GP or Specialists contacts, other kind of care contact…), contrasting with a big increase in medication use (× 2.37 in comparison with IRDES population); all the medication types being concerned, psychotropic and others.

The question of a self-medication partly unconscious is raised.

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Abstract
Copyright
Copyright © European Psychiatric Association 2013
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