The mains objectives of our project are to coordinate the monitoring of suicides and to identify common or specific suicide risk factors in four overseas DROM-COM (French Polynesia, La Reunion, French Guiana and Martinique) by comparing to a site in mainland France (Amiens). A mixed approach (quantitative and qualitative) will be used, based on semi-directed interviews of the psychological autopsy type.
Persons close of the deceased
Persons who knew about his/her childhood
Age 18 or over
Interviewed for the study between 2 and 11 months after the suicide
People with neuropsychiatric disorders that may affect the quality of the information collected, cognitive (memory and expression) and judgmental functions
People who refuses to participate
Persons referred to articles L.1121-6, L.1121-7, L. 1121-8 L.1121-1-2 of the French Public Health Code.
The study population corresponds to the relatives of a person who died by suicide. The deceased had been living for at least two years in one of the five study territories and information on cause of death information was obtained from potential sources on suicide victims.
Other
Prospective
other
Other interventionThe interviewers will collect data from relatives using questionnaires and evaluation grids based on an identification form, a Life Trajectory questionnaire, an anthropological evaluation grid, a retrospective psychiatric diagnosis questionnaire (SCID), a socio-demographic questionnaire, a questionnaire on suicide risks and a questionnaire on emotional state.
Existence of risk factors and mental disorders evaluated by Structured Clinical Interview for Diagnostic (SCID)
Number and percentage of mental disorders presented by the deceased and identified on the basis of data collected during DSM 5 diagnostic interviews.
Assessment and comparison of risk factors and mental disorders
The number of risk factors identified and the number of mental disorders detected will be compared between the overseas territories and the Somme department.
Existence or not of violence in childhood or during life among suicide cases
The variables related to childhood violence will be presented with the number of subjects "n" expressed as a percentage.
Score of adversity by the Life Trajectory Questionnaire
Once the interviews have been completed, the recordings will be transcribed semi-automatically via the HappyScribe® online platform. The resulting verbatim recordings will then be used as data for psycholinguistic and anthropological analyses. The qualitative data will then be transformed into quantitative data following the methodology developed by Brown and Harris, in which a panel of experts (researchers from our team and clinicians) assigns an overall rating for each five-year period, according to the severity of the burden of adversity carried by the person. This rating, from 1 to 6, makes it possible to determine the burden of adversity in the development of the individual (detailed description Séguin et al, 2007). It is the ratings of adversity that will form the curve of these trajectories.
Existence of language, social and anthropological elements associated with suicide risk factors
an audio-recording will record responses to semi-structured interview using anthropological approach. After transcription, the qualitative data gained from these questions will be analyzed using thematic analysis to understand the main themes (Representations of mental illness and suicidal commitment. Religious beliefs and cultural practices. Use of traditional methods to treat mental illness). A part of the transcription will also be analyzed using psycholinguistic approach. The words will be defined according to their frequency of occurrence and the most frequent grouped according to several "reference universes" associated with central notions (e.g. feeling, sensation, behavior, time, family, crisis, suicide, etc.). The visualization of the reference universes will summarize the frequency and proximity of key words and will make it possible to obtain a cognitive and mental representation of the speech.
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University Hospital Center of Martinique
Lead sponsor
Department for Research, Studies, Evaluation and Statistics, French Health and Social Affairs Ministry, France
Collaborator
French National Institute for Health and Medical Research, MOODS Unit
Collaborator
Clinical research and Innovation Office, Martinique
Collaborator
SOS KRIZ, Martinique
Collaborator
Amiens University Hospital, France
Collaborator
Suicide Prevention Resource Center, French Guiana
Collaborator
Cayenne Hospital Center, French Guiana
Collaborator
University Hospital, La Réunion
Collaborator
Tahiti Hospital Center, French Polynesia
Collaborator
Regional Health Agency, Martinique
Collaborator
Regional Health Agency, French Guiana
Collaborator
Regional Health Agency, La Somme
Collaborator
Regional Health Agency, La Réunion
Collaborator
