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NCT07302295

Analysis of Suicidal Behavior Among Children and Adolescents in the Auvergne-Rhone-Alpes Region During the Covid 19 Pandemic Period

Sponsor: Hospices Civils de Lyon

View on ClinicalTrials.gov

Summary

In 2020, the world is hit by a global health crisis due to a pandemic following the appearance of Sars-cov-2 or "covid-19". This pandemic was accompanied by a constant fear of contamination and death, relayed by the media. In France, the government proposed in response to the arrival of this virus on French territory. This policy was implemented in different ways over 3 distinct periods: strict containment at the start of the epidemic, then a "lighter" one, and finally a period of social restrictions without between these periods. This policy had a direct and rapid impact on the population's daily routines. Children and adolescents, are more susceptible to psychological trauma, as stress has a direct and psychic development. Studies have shown deleterious impact of the French health situation on the paediatric population. They point to an increase of psychological disorders such as depression and anxiety in the under -20s population, and an increase in suicidal gestures over the 2020-2021 period, with rates remaining higher than in previous years. Suicide is the 2nd leading cause of death in the population aged 15-24. Studies continue to focus on the incidence of suicidal gestures of suicidal gestures and psychological disorders, and few of them examine the factors linked to the increase in these incidences, the traumatic impact or the story of the trajectory. Similarly, the few studies focus only on the population aged 12 and over, and in some cases, do not distinguish between age groups (15-24 or under 20). Investigators believe that the various periods of social restrictions and eco-anxiety caused by the pandemic may have influenced suicidal behaviour in this population. The main objective of this study is to investigate the clinical and socio-economic characteristics of the pediatric population who experienced suicidal behaviors in the Auvergne Rhone Alpes region during the covid 19 pandemic.

Official title: Clinical and Socioeconomic Characteristics of Suicidal Behaviour in Children and Adolescents During the Covid19 Pandemic Period in Auvergne-Rhône-Alpes. Prospective Quantitative and Qualitative Study

Key Details

Gender

All

Age Range

8 Years - 18 Years

Study Type

INTERVENTIONAL

Enrollment

6500

Start Date

2025-12

Completion Date

2027-03

Last Updated

2025-12-24

Healthy Volunteers

Conditions

Suicidality COVID -19

Interventions

OTHER

Aggregated data collection

The demographic and diagnostic characteristics will be collected in aggregate form nafrom digital services departments or medical information departments of participating hospitals.

OTHER

Data collection and qualitative interview

The psychopathological and socioeconomic characteristics will be collected. For subjects who agreed, they will participate in interviews and/or focus groups. Parent's subjects who agreed will be part of focus groups too.

Inclusion Criteria: * The population (subjects and controls) will be divided into age categories: * Pre-adolescents (≥ 8 years and \< 11 years) * Adolescents (≥ 11 years and \< 15 years) * Older adolescents (≥ 15 years and \< 18 years) Subjects with suicidal behavior during the health crisis (Group 1): * Age \> 8 years and \< 18 years during the period 2020 to 2022. * Admitted to pediatric emergency departments or hospitalized in a care unit (CHU, general hospitals) in the AURA region during 2020, 2021, and/or 2022 for suicidal behavior (defined as suicidal ideation and/or suicide attempt and/or self-harm/self-poisoning with suicidal intent). Subjects with suicidal behavior during the health crisis with qualitative interviews (Group 1b): * Age \> 8 years and \< 18 years during the period 2020 to 2022. * Admitted to pediatric emergency departments or hospitalized in a care unit (CHU, general hospitals) in the AURA region during 2020, 2021, and/or 2022 for suicidal behavior (defined as suicidal ideation and/or suicide attempt and/or self-harm/self-poisoning with suicidal intent). * Randomly selected from the population of Group 1. * For whom the parent(s) and/or the subject have signed informed consent. Controls with suicidal behavior before the health crisis (Group 2): * Age \> 8 years and \< 18 years during the period 2018 to 2019. * Admitted to pediatric emergency departments or hospitalized in a care unit (CHU, general hospitals) in the AURA region during 2018 and/or 2019 for suicidal behavior (defined as suicidal ideation and/or suicide attempt and/or self-harm/self-poisoning with suicidal intent). Exclusion Criteria: \- Subjects with Suicidal Behavior during the Health Crisis with and without Qualitative Interviews (Group 1 and 1b): • Admitted to pediatric emergency services or hospitalized in a healthcare facility (university hospital center, general hospital) in the AURA region for a psychiatric reason other than suicidal behavior during the period from 2020 to 2022. Controls with Suicidal Behavior before the Health Crisis (Group 2): * Admitted to pediatric emergency services or hospitalized in a healthcare facility (university hospital center, general hospital) in the AURA region for a psychiatric reason other than suicidal behavior during the period from 2018 to 2019. * Intercurrent illness with a life expectancy of less than 24 hours. For Group 1: * Pregnant, postpartum, or breastfeeding women. * Persons deprived of liberty by judicial or administrative decision. * Adults subject to a legal protection measure (guardianship, curatorship). * Persons not affiliated with a social security scheme or beneficiaries of a similar scheme. * Persons who do not understand and do not speak French.

Locations (4)

Hospices Civils de Lyon - Hôpital Femme Mère Enfant- Service de pédopsychiatrie de l'enfant et de l'adolescent

Bron, France

CHU de Clermont-Ferrand - Service de psychiatrie de l'enfant et de l'adolescent

Clermont-Ferrand, France

CHU de Grenoble - Service de psychiatrie de l'enfant et de l'adolescent

Grenoble, France

CHU de Saint-Etienne - Urgences psychiatriques

Saint-Etienne, France