bipolarity - depression in children and adolescent suicide attempters: better diagnosis to prevent recurrence

Conditions: Suicide, Attempted

Summary: the purpose of the study is to describe the number of diagnosis of bipolar depression and comorbid suicidal behavior according to the diagnostic criteria of the dsm-5.

this study is a prospective, routine care, covering pediatric population suicidal (who attempted suicide) and suicide (with suicidal ideas with planning) hospitalized in the pediatric hospital in nice- lenval hospital. the main objective of the study is to describe the number of diagnosis of bipolar depression and comorbid suicidal behavior according to the diagnostic criteria of the dsm-5. the secondary objectives are: 1) comparison of the suicide attempt rate of recurrence at 6 months and 12 months among subjects with a diagnosis of mood disorder (depression or bipolar) and subjects with a diagnosis mood disorder; 2) the identification of specific suicidal recurrence risk factors in the diagnosis of mood disorder; 3) comparing the diagnostic evaluation field (icd-10 criteria) vs standardized assessment (dsm-5 criteria). for this the investigator propose an observational cohort study, single center, on a trailing 12 months after inclusion. the topics are selected and included consecutively over a period of 12 months. the inclusion criteria are: 1) children - teenagers age: 6-18 years inclusive; 2) hospitalization for suicide attempt or suicidal ideation with planning in the pediatric hospital of nice lenval hospital; 3) french patients; 4) speaking parents 5) affiliation to the social security system. the criterion for inclusion is not the refusal or failure to realize the kiddie - sads with the subject and / or his parents. the number of subjects to be included is estimated at 100. at baseline: standardized assessment of comorbid psychiatric diagnosis according to dsm-5 mood disorders according to dsm-iv r criteria for other diagnoses. the investigatorwill use the kiddie-sads, semi-structured interview for diagnostic purposes adapted to the dsm for that assessment. the patients were distributed into two groups: mood disorder group - group without mood disorder. in parallel, the field team evaluates blind psychiatric diagnosis according to icd-10 criteria. the population included subjects is described: clinicaly - demographic - overall operation - individual and family psychiatric history. the topics included are reassessed at 6 months and 12 months. at 6 months: occurrence of an attempted suicide or recurrence of suicidal thoughts with planning - overall operation - clinical condition. at 12 months: re standardized diagnostic evaluation with kiddie-sads and re identical clinical evaluation at 6 months. the recidivism risk factors and recidivism rates are evaluated in both groups. the primary endpoint of the study is the attempt recurrence rate of suicide.

Eligibility criteria:
inclusion criteria: * hospitalized at fondation lenval/ pediatric hospital of nice-chu lenval for suicide attempt and / or suicidal ideas with planning * french-speaking patient * francophone parents * affiliation to asocial security system exclusion criteria: * refusal or impossibility of carrying out the kiddie-sads questionnaire

Keywords: suicide