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Leaune E, Rouzé H, Lestienne L, Bislimi K, Morgiève M, Chalancon B, Lau-Taï P, Vaiva G, Grandgenèvre P, Haesebaert J, Poulet E. The use of social media after bereavement by suicide: results from a French online survey. BMC Psychiatry 2024; 24:306. [PMID: 38654345 DOI: 10.1186/s12888-024-05761-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Accepted: 04/11/2024] [Indexed: 04/25/2024] Open
Abstract
BACKGROUND According to recent research, the Internet and social media are shaping and changing how we die and mourn. However, the use of social media after bereavement by suicide remains poorly understood. Thus, emerging research is needed to better assess the role that social media can play after bereavement by suicide. The objective of our study was to evaluate the use of social media in French people bereaved by suicide and to assess their expectations toward social media. METHOD We conducted a national cross-sectional online survey including French people bereaved by suicide assessing their use of social media after the death of their relative. All adults bereaved by suicide were eligible to participate in the study. An online 26-item questionnaire collected sociodemographic and loss-related characteristics and evaluated four dimensions: (1) the use of social media in daily life, (2) the perceived needs regarding suicide bereavement, (3) the use of social media associated with the suicide loss, and (4) the expectations regarding the development of an online resource for people bereaved by suicide and proposals regarding the development of such a resource. RESULTS Among 401 participants, 61.6% reported using social media after the death of their relative by suicide, especially those recently bereaved, those receiving counseling and bereaved parents. The participants mainly used social media to reach peers bereaved by suicide and to memorialize, while they expected social media to help them finding information on suicide and accessing bereaved peers. Younger participants were more prone to use social media to memorialize, while bereaved partners and those bereaved by the suicide of a parent were less prone to use them with such aim. DISCUSSION A large part of people bereaved by suicide use social media for their grief process, mainly to contact peers bereaved by suicide and to memorialize their loved one. According to or results, social media contributes to contemporary grief processes after suicide bereavement and can be seen as putative means to improve the well-being of people bereaved by suicide.
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Affiliation(s)
- Edouard Leaune
- Research on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France.
- Center for Suicide Prevention, Centre Hospitalier le Vinatier, 95, Boulevard Pinel, 69500, BRON, France.
- Groupement d'Etude et de Prévention du Suicide, Brest, France.
| | - Héloïse Rouzé
- Research on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France
- Service Recherche et Epidémiologie Cliniques, Pôle Santé Publique, Hospices Civils de Lyon, Lyon, France
| | - Laurène Lestienne
- Center for Suicide Prevention, Centre Hospitalier le Vinatier, 95, Boulevard Pinel, 69500, BRON, France
- Groupement d'Etude et de Prévention du Suicide, Brest, France
| | - Kushtrim Bislimi
- Center for Suicide Prevention, Centre Hospitalier le Vinatier, 95, Boulevard Pinel, 69500, BRON, France
| | - Margot Morgiève
- Groupement d'Etude et de Prévention du Suicide, Brest, France
- Cermes3, Université Paris Cité, CNRS, Inserm, Paris, France
| | - Benoit Chalancon
- Center for Suicide Prevention, Centre Hospitalier le Vinatier, 95, Boulevard Pinel, 69500, BRON, France
- Groupement d'Etude et de Prévention du Suicide, Brest, France
| | - Pauline Lau-Taï
- Center for Suicide Prevention, Centre Hospitalier le Vinatier, 95, Boulevard Pinel, 69500, BRON, France
| | - Guillaume Vaiva
- Groupement d'Etude et de Prévention du Suicide, Brest, France
- U1172-LilNCog-Lille Neuroscience & Cognition, University of Lille, CHU Lille, Inserm, Lille, France
- Centre National de Ressources & Résilience Pour Les psychotraumatismes (Cn2r Lille Paris), Lille, France
| | - Pierre Grandgenèvre
- Groupement d'Etude et de Prévention du Suicide, Brest, France
- U1172-LilNCog-Lille Neuroscience & Cognition, University of Lille, CHU Lille, Inserm, Lille, France
| | - Julie Haesebaert
- Research on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard Lyon 1, Lyon, France
- Service Recherche et Epidémiologie Cliniques, Pôle Santé Publique, Hospices Civils de Lyon, Lyon, France
| | - Emmanuel Poulet
- Center for Suicide Prevention, Centre Hospitalier le Vinatier, 95, Boulevard Pinel, 69500, BRON, France
- Groupement d'Etude et de Prévention du Suicide, Brest, France
- Department of Emergency Psychiatry, Hospital Edouard Herriot, Hospices Civils de Lyon, Lyon, France
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Wathelet M, Dézétrée A, Pauwels N, Vaiva G, Séguin M, Thomas P, Grandgenèvre P, Notredame CÉ. Validation of a French questionnaire assessing knowledge of suicide. Encephale 2023:S0013-7006(23)00180-X. [PMID: 38040504 DOI: 10.1016/j.encep.2023.08.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2023] [Revised: 08/25/2023] [Accepted: 08/26/2023] [Indexed: 12/03/2023]
Abstract
OBJECTIVES The objective of this study was to develop and validate the Knowledge of Suicide Scale (KSS), elaborated to assess adherence to myths about suicide. METHODS The KSS is a self-questionnaire including 22 statements relating to myths about suicide for which the respondent is asked to rate his degree of adherence on a scale ranging from 0 ("strongly disagree") to 10 ("completely agree"). Using the script concordance test scoring method, the respondents' scores were compared with those of experts to obtain, for each item, a score between 0 (maximum deviation with the experts) and 1 (minimum deviation with the experts). One thousand and thirty-five individuals (222 psychiatric interns, 332 medical interns in the first semester excluding psychiatry and 481 journalism students) were included. RESULTS According to the exploratory factor analysis, the KSS is a two-dimensional scale: the first subscale includes 15 items and the second seven items. The tool showed excellent face validity, correct convergent and divergent validities (multi-method multi-feature analyzes), and good internal consistency (Cronbach's alpha coefficient between 0.66 and 0.83 for scales and subscales). The KSS is moderately and negatively correlated with the Stigma of Suicide Scale (r=-0.3). It significantly discriminates groups with different expected levels of knowledge regarding suicide (P<0.001). CONCLUSIONS The KSS demonstrated good psychometric properties to measure adherence to myths about suicide. This tool could be useful in assessing the effectiveness of suicide prevention literacy improvement programs.
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Affiliation(s)
- Marielle Wathelet
- Fédération Régionale de Recherche en Psychiatrie et Santé Mentale des Hauts-de-France, 59000 Lille, France; Centre National de Ressources et de Résilience Lille-Paris (CN2R), 59000 Lille, France; Department of Psychiatry, CHU de Lille, 59000 Lille, France
| | - Arnaud Dézétrée
- Sistel Service Interprofessional Health Service at Work Eure-et-Loire, 28000 Chartes, France
| | - Nathalie Pauwels
- Fédération Régionale de Recherche en Psychiatrie et Santé Mentale des Hauts-de-France, 59000 Lille, France; Papageno program, France
| | - Guillaume Vaiva
- Centre National de Ressources et de Résilience Lille-Paris (CN2R), 59000 Lille, France; Department of Psychiatry, CHU de Lille, 59000 Lille, France; University Lille, Inserm, CHU de Lille, U1172-LilNCog-Lille Neuroscience & Cognition, 59000 Lille, France; Group for the suicide study and prevention, France
| | | | - Pierre Thomas
- Fédération Régionale de Recherche en Psychiatrie et Santé Mentale des Hauts-de-France, 59000 Lille, France; Department of Psychiatry, CHU de Lille, 59000 Lille, France; University Lille, Inserm, CHU de Lille, U1172-LilNCog-Lille Neuroscience & Cognition, 59000 Lille, France
| | - Pierre Grandgenèvre
- Department of Psychiatry, CHU de Lille, 59000 Lille, France; Papageno program, France; University Lille, Inserm, CHU de Lille, U1172-LilNCog-Lille Neuroscience & Cognition, 59000 Lille, France
| | - Charles-Édouard Notredame
- Department of Psychiatry, CHU de Lille, 59000 Lille, France; Papageno program, France; University Lille, Inserm, CHU de Lille, U1172-LilNCog-Lille Neuroscience & Cognition, 59000 Lille, France; Group for the suicide study and prevention, France.
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Viard MC, Grandgenèvre P, Bubrovszky M, Coisne E, Plancke L, Notredame CE, Wathelet M. [Impact of the suicidal crisis intervention training program on the confidence and skills of hospital professionals in the Hauts-de-France region]. Encephale 2023; 49:504-509. [PMID: 35985851 DOI: 10.1016/j.encep.2022.05.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 05/07/2022] [Accepted: 05/12/2022] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Suicide is a major public health issue given its huge human and economic consequences. Symptoms prior to suicide are often not specific. Nevertheless, the majority of suicidal people express suicidal thoughts, and nearly one in two meet a health professional in the period preceding the act. Being able to recognize the warnings and intervene during the suicidal crisis, defined as a mental crisis where the major risk is suicide, is to seize the opportunity to postpone the suicidal plan and to gain time to implement in place lasting strategies to combat suffering. Thus, the training for suicidal crisis intervention is a major axis of the suicide prevention strategy. Recently, crisis intervention training programs have been updated with knowledge accumulated since the early 2000's. In France, one of the countries most concerned by suicide, the Hauts-de-France region is one of the most impacted. In this context, the Regional Health Agency of Hauts-de-France included in its Regional Health Program of 2018-2023 the training of healthcare workers who work with high suicidal risk patients. The suicidal crisis intervention training program (SCIT) has been introduced to hospital staffs in Hauts-de-France. The purpose of this study was to evaluate this program. METHODS Eight training sessions with 15 to 21 participants were carried out from 2019 November to 2021 January in the Hauts-de-France region. Participants were volunteer healthcare professionals in direct contact with suicidal crisis patients. The training included three modules. The first one concerned the suicidal crisis intervention training: definition of the suicidal crisis, typology of the crisis, vulnerability development, crisis evaluation and crisis intervention practice. The second concerned the evaluation with the RED scale (Risk-Emergency-Danger) and the adequate patient orientation to a psychiatric unit. The third was dedicated to the Gatekeeper training with the constitution of a Gatekeeper network to enhance the capacity to detect suicidal risk and to orient the concerned person towards an adequate evaluation or care organization. We evaluated the first two levels of the Kirkpatrick's model: level 1) the participant's satisfaction (rated out of 10), and level 2) the degree of confidence in their professional abilities (rated out of 10) and their skills in responding to a person in a suicidal crisis (using the SIRI-2-VF - French version of the Suicide Intervention Response Inventory-2). The participants were interviewed before (T0), just after (T1) and at one month of training (T2). RESULTS Among the 141 health professionals who followed the training, 139 answered the questionnaire at least one time (13 psychologists, 22 doctors, 97 nurses and 7 head nurses). The participation rates were 99.3 % at T0, 96.4 % at T1 and 46.0 % at T2. Most of the participants were nurses (69.8 %), and 33.1 % of the respondents declared they had already followed a suicidal crisis training. The satisfaction with the training was evaluated at 8.6 (± 1.3) out of 10. There was no significant difference among the professions, neither between those having already received or not a previous training. The self-perceived capacity to manage a suicidal crisis was rate 6.8 (± 1.8) out of 10 at T0. There was a significant increase just after the training (8.1±1.2 vs 6,8±1,8, p<0,001) which persisted at 1 month (8.1±1.1 vs 6.8±1.8, P<0.001). The score at the SIRI-2-VF was 15.0 (± 4.2) out of 30 at T0. There was a significant increase just after the training (17.5±3.5 vs 15.0±4.2, P<0.001), which persisted at 1 month (17.0±4.0 vs 15.0±4.2, P<0.001). DISCUSSION This is the first evaluation of the suicidal crisis intervention training program. This program increased and homogenized the competency of the participants to manage suicidal ideation and behaviors. Those who followed a previous training maintained higher scores than the others, which shows the importance of repeated training to maintain a satisfying level of knowledge over the long term. One of the strengths of this training is the use of roleplay which enhances the learning and abilities to interact with people at suicidal risk. It seems important to integrate a suicidal crisis intervention training in the cursus of health students to avoid suicide and the dramatic consequences for the entourage and the health professionals who are confronted with it. CONCLUSION The SCIT program showed encouraging results in terms of confidence and capacity of the healthcare professionals to intervene in suicidal crisis.
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Affiliation(s)
- M-C Viard
- Fédération régionale de recherche en santé mentale et psychiatrie (F2RSMPsy) Hauts-de-France, Saint-André-lez-Lille, France
| | - P Grandgenèvre
- Université de Lille, Inserm, CHU de Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, 59000 Lille, France; Département de psychiatrie, CHU de Lille, 59000 Lille, France
| | - M Bubrovszky
- Fédération régionale de recherche en santé mentale et psychiatrie (F2RSMPsy) Hauts-de-France, Saint-André-lez-Lille, France; Établissement Public de santé mentale de l'agglomération Lilloise (EPSM-AL), Saint-André-lez-Lille, France
| | - E Coisne
- Fédération régionale de recherche en santé mentale et psychiatrie (F2RSMPsy) Hauts-de-France, Saint-André-lez-Lille, France
| | - L Plancke
- Fédération régionale de recherche en santé mentale et psychiatrie (F2RSMPsy) Hauts-de-France, Saint-André-lez-Lille, France
| | - C-E Notredame
- Université de Lille, Inserm, CHU de Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, 59000 Lille, France; Département de psychiatrie, CHU de Lille, 59000 Lille, France
| | - M Wathelet
- Fédération régionale de recherche en santé mentale et psychiatrie (F2RSMPsy) Hauts-de-France, Saint-André-lez-Lille, France; Université de Lille, Inserm, CHU de Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, 59000 Lille, France; Département de psychiatrie, CHU de Lille, 59000 Lille, France; Centre National de Ressources et Résilience (CN2R), 59000 Lille, France.
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Notredame CE, Wathelet M, Morgiève M, Grandgenèvre P, Debien C, Mannoni C, Pauwels N, Ducrocq F, Leaune E, Binder P, Berrouiguet S, Walter M, Courtet P, Vaiva G, Thomas P. The 3114: A new professional helpline to swing the French suicide prevention in a new paradigm. Eur Psychiatry 2022:1-11. [PMID: 36203338 DOI: 10.1192/j.eurpsy.2022.2318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- C-E Notredame
- CHU Lille, Psychiatry Department, F-59000Lille, France
- PSY Lab, Lille Neuroscience & Cognition Centre, INSERM U1172, Lille University, F-59000Lille, France
- Groupement d'Étude et de Prévention du Suicide, F-86280 Saint-Benoît, France
| | - M Wathelet
- CHU Lille, Psychiatry Department, F-59000Lille, France
- Groupement d'Étude et de Prévention du Suicide, F-86280 Saint-Benoît, France
- Fédération Régionale de Recherche en Psychiatrie et Santé Mentale des Hauts-de-France, F-59350St-André, France
- Centre National de Ressources et Résilience pour les psychotraumatismes (Cn2r), F-75000 Paris and F-59000Lille, France
| | - M Morgiève
- Groupement d'Étude et de Prévention du Suicide, F-86280 Saint-Benoît, France
- CERMES3, CNRS, INSERM, University of Paris, F-75006, Paris, France
| | - P Grandgenèvre
- CHU Lille, Psychiatry Department, F-59000Lille, France
- PSY Lab, Lille Neuroscience & Cognition Centre, INSERM U1172, Lille University, F-59000Lille, France
- Groupement d'Étude et de Prévention du Suicide, F-86280 Saint-Benoît, France
| | - C Debien
- CHU Lille, Psychiatry Department, F-59000Lille, France
- Groupement d'Étude et de Prévention du Suicide, F-86280 Saint-Benoît, France
| | - C Mannoni
- Fédération Régionale de Recherche en Psychiatrie et Santé Mentale des Hauts-de-France, F-59350St-André, France
| | - N Pauwels
- Fédération Régionale de Recherche en Psychiatrie et Santé Mentale des Hauts-de-France, F-59350St-André, France
| | - F Ducrocq
- CHU Lille, Psychiatry Department, F-59000Lille, France
- Groupement d'Étude et de Prévention du Suicide, F-86280 Saint-Benoît, France
| | - E Leaune
- Groupement d'Étude et de Prévention du Suicide, F-86280 Saint-Benoît, France
- Center for Suicide Prevention, Centre Hospitalier le Vinatier, F-69500Bron, France
| | - P Binder
- Department of general medicine, Medicine and pharmacy University of Poitiers, F-86000Poitiers, France
| | - S Berrouiguet
- Groupement d'Étude et de Prévention du Suicide, F-86280 Saint-Benoît, France
- LaTIM, INSERM, UMR1101, F-29200Brest, France
- CHU Brest, Psychiatry Department, F-29609Brest, France
| | - M Walter
- Groupement d'Étude et de Prévention du Suicide, F-86280 Saint-Benoît, France
- EA 7479 SPURBO, West Brittany University, F-29238Brest, France
- Department of Emergency Psychiatry and Acute Care, CHU Montpellier, F-34000Montpellier, France
| | - P Courtet
- Department of Emergency Psychiatry and Acute Care, CHU Montpellier, F-34000Montpellier, France
- IGF, University of Montpellier, CNRS, INSERM, F-34000Montpellier, France
| | - G Vaiva
- CHU Lille, Psychiatry Department, F-59000Lille, France
- PSY Lab, Lille Neuroscience & Cognition Centre, INSERM U1172, Lille University, F-59000Lille, France
- Groupement d'Étude et de Prévention du Suicide, F-86280 Saint-Benoît, France
- Centre National de Ressources et Résilience pour les psychotraumatismes (Cn2r), F-75000 Paris and F-59000Lille, France
| | - P Thomas
- CHU Lille, Psychiatry Department, F-59000Lille, France
- PSY Lab, Lille Neuroscience & Cognition Centre, INSERM U1172, Lille University, F-59000Lille, France
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Leaune E, Rouzé H, Lestienne L, Bislimi K, Chalancon B, Morgiève M, Grandgenèvre P, Vaiva G, Laplace N, Poulet E, Haesebaert J. The Needs, Use and Expectations of People Bereaved by Suicide Regarding Online Resources: An Online Survey. Int J Environ Res Public Health 2022; 19:12156. [PMID: 36231459 PMCID: PMC9566504 DOI: 10.3390/ijerph191912156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Revised: 09/22/2022] [Accepted: 09/23/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Online resources constitute a new and effective way to obtain support or information during bereavement processes. However, little is known about the needs, use and expectations of people bereaved by suicide regarding online resources. METHOD The objective of our national cross-sectional online survey was to collect the use, needs and expectations of people bereaved by suicide regarding online resources. The data were collected from July to October 2021 through a 26-item online questionnaire hosted on the website LimeSurvey. RESULTS A total of 401 respondents fully completed the questionnaire. Their mean age was 45.7. The majority of participants were women bereaved by the suicide of their child or partner. Half of the participants were bereaved for less than 3 years and benefited from counselling during their bereavement process. Three-quarters of the participants used the Internet for their bereavement process, mainly to obtain information on suicide bereavement and suicide prevention and to access testimonies of other people bereaved by suicide. Three-quarters of the participants found that available online resources for people bereaved by suicide are insufficient and expected a dedicated web platform to be developed. Finding information on suicide bereavement and on suicide prevention, discussing with a mental health professional and accessing testimonies of other people bereaved by suicide were expected by a majority of the participants regarding the future platform. Receiving counselling and being bereaved by the death of a child were the most important factors in explaining patterns of use and expectations regarding online resources. DISCUSSION Our results offer precise insights into the needs, use and expectations of people bereaved by suicide regarding online resources. The development of web platforms offering access to reliable information on suicide bereavement and on suicide prevention to peers bereaved by suicide and help to seek counselling are urgently needed.
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Affiliation(s)
- Edouard Leaune
- Centre Hospitalier Le Vinatier, 69678 Bron, France
- INSERM, U1028, CNRS, UMR5292, Lyon Neuroscience Research Center, Psychiatric Disorders: From Resistance to Response—PSYR2 Team, 69000 Lyon, France
- Groupement d’Etude et de Prévention du Suicide, 29200 Brest, France
- Research on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard Lyon 1, 69100 Villeurbanne, France
| | - Héloïse Rouzé
- Research on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard Lyon 1, 69100 Villeurbanne, France
- Service Recherche et Epidémiologie Cliniques, Pôle Santé Publique, Hospices Civils de Lyon, 69003 Lyon, France
| | - Laurène Lestienne
- Centre Hospitalier Le Vinatier, 69678 Bron, France
- INSERM, U1028, CNRS, UMR5292, Lyon Neuroscience Research Center, Psychiatric Disorders: From Resistance to Response—PSYR2 Team, 69000 Lyon, France
| | | | | | - Margot Morgiève
- Groupement d’Etude et de Prévention du Suicide, 29200 Brest, France
- Cermes3, Université Paris Cité, CNRS, Inserm, 75006 Paris, France
| | - Pierre Grandgenèvre
- Groupement d’Etude et de Prévention du Suicide, 29200 Brest, France
- U1172-LilNCog-Lille Neuroscience & Cognition, University of Lille, Inserm, CHU Lille, 59000 Lille, France
| | - Guillaume Vaiva
- Groupement d’Etude et de Prévention du Suicide, 29200 Brest, France
- Cermes3, Université Paris Cité, CNRS, Inserm, 75006 Paris, France
- U1172-LilNCog-Lille Neuroscience & Cognition, University of Lille, Inserm, CHU Lille, 59000 Lille, France
- Centre National de Ressources & Résilience Pour Les psychotraumatismes (Cn2r Lille Paris), 59000 Lille, France
| | | | - Emmanuel Poulet
- Centre Hospitalier Le Vinatier, 69678 Bron, France
- Groupement d’Etude et de Prévention du Suicide, 29200 Brest, France
- Department of Emergency Psychiatry, Hospital Edouard Herriot, Hospices Civils de Lyon, 69003 Lyon, France
| | - Julie Haesebaert
- Research on Healthcare Performance RESHAPE, INSERM U1290, Université Claude Bernard Lyon 1, 69100 Villeurbanne, France
- Service Recherche et Epidémiologie Cliniques, Pôle Santé Publique, Hospices Civils de Lyon, 69003 Lyon, France
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Leroy A, Very E, Birmes P, Yger P, Szaffarczyk S, Lopes R, Outteryck O, Faure C, Duhem S, Grandgenèvre P, Warembourg F, Vaiva G, Jardri R. Intrusive experiences in posttraumatic stress disorder: Treatment response induces changes in the directed functional connectivity of the anterior insula. Neuroimage Clin 2022; 34:102964. [PMID: 35189456 PMCID: PMC8861823 DOI: 10.1016/j.nicl.2022.102964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Revised: 01/27/2022] [Accepted: 02/08/2022] [Indexed: 11/18/2022]
Abstract
Many causal paths were less influenced by the AI after effective therapy for PTSD. Insular influences over the rest of the brain were found to be positively correlated with re-experiencing. Re-experiencing was linked with changes in intrinsic networks’ spatial stability after treatment.
Background One of the core features of posttraumatic stress disorder (PTSD) is re-experiencing trauma. The anterior insula (AI) has been proposed to play a crucial role in these intrusive experiences. However, the dynamic function of the AI in re-experiencing trauma and its putative modulation by effective therapy need to be specified. Methods Thirty PTSD patients were enrolled and exposed to traumatic memory reactivation therapy. Resting-state functional magnetic resonance imaging (fMRI) scans were acquired before and after treatment. To explore AI-directed influences over the rest of the brain, we referred to a mixed model using pre-/posttreatment Granger causality analysis seeded on the AI as a within-subject factor and treatment response as a between-subject factor. To further identify correlates of re-experiencing trauma, we investigated how intrusive severity affected (i) causality maps and (ii) the spatial stability of other intrinsic brain networks. Results We observed changes in AI-directed functional connectivity patterns in PTSD patients. Many within- and between-network causal paths were found to be less influenced by the AI after effective therapy. Insular influences were found to be positively correlated with re-experiencing symptoms, while they were linked with a stronger default mode network (DMN) and more unstable central executive network (CEN) connectivity. Conclusion We showed that directed changes in AI signaling to the DMN and CEN at rest may underlie the degree of re-experiencing symptoms in PTSD. A positive response to treatment further induced changes in network-to-network anticorrelated patterns. Such findings may guide targeted neuromodulation strategies in PTSD patients not suitably improved by conventional treatment.
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Affiliation(s)
- Arnaud Leroy
- Univ Lille, INSERM, CHU Lille, Lille Neuroscience & Cognition Centre (U-1172), Plasticity & SubjectivitY Team, CURE Platform, 59000 Lille, France; CHU Lille, Fontan Hospital, General Psychiatry Dpt., 59037 Lille Cedex, France; Centre National de Ressources et Résilience pour les psychotraumatismes (CN2R Lille - Paris), 59000 Lille, France.
| | - Etienne Very
- CHU Toulouse, Purpan Hospital, Psychiatry Department, 31059 Toulouse Cedex, France; ToNIC, Toulouse NeuroImaging Center, INSERM U-1214, UPS, France
| | - Philippe Birmes
- ToNIC, Toulouse NeuroImaging Center, INSERM U-1214, UPS, France
| | - Pierre Yger
- Univ Lille, INSERM, CHU Lille, Lille Neuroscience & Cognition Centre (U-1172), Plasticity & SubjectivitY Team, CURE Platform, 59000 Lille, France; Institut de la Vision, Sorbonne Université, Inserm S968, CNRS UMR7210, Paris, France
| | - Sébastien Szaffarczyk
- Univ Lille, INSERM, CHU Lille, Lille Neuroscience & Cognition Centre (U-1172), Plasticity & SubjectivitY Team, CURE Platform, 59000 Lille, France
| | - Renaud Lopes
- Univ Lille, INSERM, CHU Lille, Lille Neuroscience & Cognition Centre (U-1772), Degenerative & Vascular Cognitive Disorders Team, 59000 Lille, France; Univ Lille, CNRS, INSERM, CHU Lille, Institut Pasteur de Lille, US 41 - UMS 2014 - PLBS, 59000 Lille, France
| | - Olivier Outteryck
- Univ Lille, INSERM, CHU Lille, Lille Neuroscience & Cognition Centre (U-1772), Degenerative & Vascular Cognitive Disorders Team, 59000 Lille, France; CHU Lille, Department of Neuroradiology, Roger Salengro Hospital, 59037 Lille Cedex, France
| | - Cécile Faure
- Univ Lille, INSERM, CHU Lille, Lille Neuroscience & Cognition Centre (U-1172), Plasticity & SubjectivitY Team, CURE Platform, 59000 Lille, France
| | - Stéphane Duhem
- CHU Lille, Fontan Hospital, General Psychiatry Dpt., 59037 Lille Cedex, France; Centre National de Ressources et Résilience pour les psychotraumatismes (CN2R Lille - Paris), 59000 Lille, France; Université de Lille, Inserm, CHU Lille, CIC 1403 - Clinical Investigation Center, 59000 Lille, France
| | - Pierre Grandgenèvre
- Univ Lille, INSERM, CHU Lille, Lille Neuroscience & Cognition Centre (U-1172), Plasticity & SubjectivitY Team, CURE Platform, 59000 Lille, France; CHU Lille, Fontan Hospital, General Psychiatry Dpt., 59037 Lille Cedex, France
| | | | - Guillaume Vaiva
- Univ Lille, INSERM, CHU Lille, Lille Neuroscience & Cognition Centre (U-1172), Plasticity & SubjectivitY Team, CURE Platform, 59000 Lille, France; CHU Lille, Fontan Hospital, General Psychiatry Dpt., 59037 Lille Cedex, France; Centre National de Ressources et Résilience pour les psychotraumatismes (CN2R Lille - Paris), 59000 Lille, France
| | - Renaud Jardri
- Univ Lille, INSERM, CHU Lille, Lille Neuroscience & Cognition Centre (U-1172), Plasticity & SubjectivitY Team, CURE Platform, 59000 Lille, France; CHU Lille, Fontan Hospital, Child & Adolescent Psychiatry Dpt., 59037 Lille Cedex, France
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Walter K, Wathelet M, Valdenaire S, Grandgenèvre P, Pauwels N, Vaiva G, Notredame CE. A Short Media Training Session Is Effective in Reinforcing Psychiatrists' Communication Skills About Suicide. Front Psychol 2021; 12:733691. [PMID: 34603154 PMCID: PMC8481656 DOI: 10.3389/fpsyg.2021.733691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 08/19/2021] [Indexed: 11/13/2022] Open
Abstract
Because it has been associated with significant increases [through the Werther Effect (WE)] or decreases [through the Papageno Effect (PE)] of suicide rates, media coverage of suicide-related events is recognized as a prevention leverage. Unfortunately, the recommendations that the World Health Organization (WHO) has published to help journalists reporting on suicide remain poorly applied. The Mini Media Training (MMT) is a short media training session designed to increase psychiatrists’ ability to communicate about suicide during interviews. We aimed at assessing the effect of the MMT on psychiatrists’ ability to help journalists complying with the WHO recommendations. From June 2017 to December 2019, 173 physicians and residents in psychiatry were recruited during French national congresses. At baseline (T0) and 1 and 3 months later (T1), participants received the MMT, which consisted in a simulated interview where they we asked to answer a journalist about a mock suicide. Communication skills were measured with a score summing the number of delivered pieces of advice in relation to the WHO recommendations, with a maximum score of 33. A weighted score was also derived based on the degree of directivity needed for the participant to provide these items, again with a possible maximum of 33. A total of 132 psychiatrists participated in the study at T0 and T1. Both the weighted and unweighted score significantly increased from T0 to T1 (d = +2.08, p < 0.001, and d = +1.24, p < 0.001, respectively). Having a history of contacts with journalists, a short professional experience (<3 years) and prior knowledge of the WE, PE, and WHO recommendations were significantly associated with greater unweighted and weighted scores at baseline. The latter two variables also predicted greater T0–T1 improvement of the weighted score. These results suggest that the MMT could be effective for improving the ability of psychiatrists to guide journalists toward more responsible media coverage of suicide. As a short, easy to implement educational activity, the MMT could therefore be considered in association with other measures to help media professionals mitigating the WE and promoting the PE.
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Affiliation(s)
- Karl Walter
- Psychiatry Department, CHU Lille, Lille, France.,Papageno Program, Lille, France
| | - Marielle Wathelet
- Psychiatry Department, CHU Lille, Lille, France.,Fédération Régionale de Recherche en Psychiatrie et Santé Mentale Hauts-de-France (F2RSM Psy), Saint-André, France.,Centre National de Ressources et Résilience pour les Psychotraumatismes (Cn2r), Lille, France.,PSY Lab, Lille Neuroscience & Cognition Centre, INSERM U1172, University of Lille, Lille, France
| | | | - Pierre Grandgenèvre
- Psychiatry Department, CHU Lille, Lille, France.,Papageno Program, Lille, France
| | - Nathalie Pauwels
- Papageno Program, Lille, France.,Fédération Régionale de Recherche en Psychiatrie et Santé Mentale Hauts-de-France (F2RSM Psy), Saint-André, France
| | - Guillaume Vaiva
- Psychiatry Department, CHU Lille, Lille, France.,Centre National de Ressources et Résilience pour les Psychotraumatismes (Cn2r), Lille, France.,PSY Lab, Lille Neuroscience & Cognition Centre, INSERM U1172, University of Lille, Lille, France
| | - Charles-Edouard Notredame
- Psychiatry Department, CHU Lille, Lille, France.,Papageno Program, Lille, France.,PSY Lab, Lille Neuroscience & Cognition Centre, INSERM U1172, University of Lille, Lille, France
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Leaune E, Lestienne L, Grandgenèvre P, Morgiève M, Vaiva G, Vieux M, Chalancon B, Laplace N, Haesebaert J, Poulet E. Development of an Online Resource for People Bereaved by Suicide: A Mixed-Method User-Centered Study Protocol. Front Psychiatry 2021; 12:770154. [PMID: 34992555 PMCID: PMC8724422 DOI: 10.3389/fpsyt.2021.770154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Accepted: 11/22/2021] [Indexed: 12/04/2022] Open
Abstract
Introduction: Suicide bereavement is known to be highly distressing and is frequently associated with mental health problems. Despite high-level of need regarding mental and physical health, people bereaved by suicide display low level of help-seeking and perceived support in the aftermath of the loss. The lack of accessibility and reliability of face-to-face counseling resources is notably reported by suicide survivors. Online resources can enhance early access to help and support for people bereaved by suicide. The primary objective of the study is to design and implement an innovative and adaptive online resource for people bereaved by suicide according to their needs and expectation regarding online solutions dedicated to suicide bereavement. Methods: The ESPOIR2S study is a mixed-method user-centered study. ESPOIR2S seeks to build the resource from the perspectives and needs of both people bereaved by suicide and professionals or volunteers working in the field of postvention. The Information System Research (ISR) Framework is used to guide the design of the study through a 3-step research cycle. The structure of the ESPOIR2S study relies on a simultaneous collection of qualitative and quantitative data which will be collected and analyzed during (a) the Relevance cycle through an online questionnaire and focus groups; (b) the Design cycle through focus groups; and (c) and the Rigor cycle through an online questionnaire and semi-structured interviews. The user-centeredness will be ensured by the active participation of people bereaved by suicide, members of associations for bereaved people and professionals of postvention. Discussion: The mixed-method and user-centered design of the ESPOIR2S study will offer an in-depth collection of the needs and expectation of suicide survivors regarding online resources. Through the implementation of an adaptive online solution, we aim to enhance the access to help and support for suicide survivors which are highly correlated with well-being and recovery.
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Affiliation(s)
- Edouard Leaune
- Centre Hospitalier Le Vinatier, Bron, France.,INSERM, U1028, CNRS, UMR5292, Lyon Neuroscience Research Center, Psychiatric Disorders: from Resistance to Response - PSYR2 Team, Lyon, France.,Groupement d'étude et de prévention du suicide, Saint-Benoît, France
| | | | - Pierre Grandgenèvre
- Groupement d'étude et de prévention du suicide, Saint-Benoît, France.,Univ. Lille, INSERM, CHU Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, Lille, France
| | - Margot Morgiève
- Groupement d'étude et de prévention du suicide, Saint-Benoît, France.,Centre de Recherche Médecine, Sciences, Santé, Santé Mentale, Société (Cermes3), UMR CNRS 8211, Unité INSERM 988-EHESS-Université Paris Descartes, Paris, France
| | - Guillaume Vaiva
- Groupement d'étude et de prévention du suicide, Saint-Benoît, France.,Univ. Lille, INSERM, CHU Lille, U1172 - LilNCog - Lille Neuroscience & Cognition, Lille, France.,Centre National de Ressources & Résilience pour les Psychotraumatismes (Cn2r Lille Paris), Lille, France
| | | | | | | | - Julie Haesebaert
- EA 7425, HESPER Health Services and Performance Research-Claude Bernard Lyon 1 University, Université de Lyon, Lyon, France
| | - Emmanuel Poulet
- Centre Hospitalier Le Vinatier, Bron, France.,INSERM, U1028, CNRS, UMR5292, Lyon Neuroscience Research Center, Psychiatric Disorders: from Resistance to Response - PSYR2 Team, Lyon, France.,Groupement d'étude et de prévention du suicide, Saint-Benoît, France.,Department of Emergency Psychiatry, University Hospital Edouard Herriot, Hospices Civils de Lyon, Lyon, France
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Wathelet M, Duhem S, Vaiva G, Baubet T, Habran E, Veerapa E, Debien C, Molenda S, Horn M, Grandgenèvre P, Notredame CE, D’Hondt F. Factors Associated With Mental Health Disorders Among University Students in France Confined During the COVID-19 Pandemic. JAMA Netw Open 2020; 3:e2025591. [PMID: 33095252 PMCID: PMC7584927 DOI: 10.1001/jamanetworkopen.2020.25591] [Citation(s) in RCA: 349] [Impact Index Per Article: 87.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
IMPORTANCE The coronavirus disease 2019 (COVID-19) pandemic and quarantine measures have raised concerns regarding their psychological effects on populations. Among the general population, university students appear to be particularly susceptible to experiencing mental health problems. OBJECTIVES To measure the prevalence of self-reported mental health symptoms, to identify associated factors, and to assess care seeking among university students who experienced the COVID-19 quarantine in France. DESIGN, SETTING, AND PARTICIPANTS This survey study collected data from April 17 to May 4, 2020, from 69 054 students living in France during the COVID-19 quarantine. All French universities were asked to send an email to their students asking them to complete an online questionnaire. The targeted population was approximately 1 600 000 students. EXPOSURE Living in France during the COVID-19 quarantine. MAIN OUTCOMES AND MEASURES The rates of self-reported suicidal thoughts, severe distress, stress, anxiety, and depression were assessed using the 22-item Impact of Events Scale-Revised, the 10-item Perceived Stress Scale, the 20-item State-Trait Anxiety Inventory (State subscale), and the 13-item Beck Depression Inventory, respectively. Covariates were sociodemographic characteristics, precariousness indicators (ie, loss of income or poor quality housing), health-related data, information on the social environment, and media consumption. Data pertaining to care seeking were also collected. Multivariable logistic regression analyses were performed to identify risk factors. RESULTS A total of 69 054 students completed the survey (response rate, 4.3%). The median (interquartile range) age was 20 (18-22) years. The sample was mainly composed of women (50 251 [72.8%]) and first-year students (32 424 [47.0%]). The prevalence of suicidal thoughts, severe distress, high level of perceived stress, severe depression, and high level of anxiety were 11.4% (7891 students), 22.4% (15 463 students), 24.7% (17 093 students), 16.1% (11 133 students), and 27.5% (18 970 students), respectively, with 29 564 students (42.8%) reporting at least 1 outcome, among whom 3675 (12.4%) reported seeing a health professional. Among risk factors identified, reporting at least 1 mental health outcome was associated with female gender (odds ratio [OR], 2.10; 95% CI, 2.02-2.19; P < .001) or nonbinary gender (OR, 3.57; 95% CI, 2.99-4.27; P < .001), precariousness (loss of income: OR, 1.28; 95% CI, 1.22-1.33; P < .001; low-quality housing: OR, 2.30; 95% CI, 2.06-2.57; P < .001), history of psychiatric follow-up (OR, 3.28; 95% CI, 3.09-3.48; P < .001), symptoms compatible with COVID-19 (OR, 1.55; 95% CI, 1.49-1.61; P < .001), social isolation (weak sense of integration: OR, 3.63; 95% CI, 3.35-3.92; P < .001; low quality of social relations: OR, 2.62; 95% CI, 2.49-2.75; P < .001), and low quality of the information received (OR, 1.56; 95% CI, 1.49-1.64; P < .001). CONCLUSIONS AND RELEVANCE The results of this survey study suggest a high prevalence of mental health issues among students who experienced quarantine, underlining the need to reinforce prevention, surveillance, and access to care.
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Affiliation(s)
- Marielle Wathelet
- Department of Public Health, Centre Hospitalier Universitaire de Lille, Lille, France
- Fédération de Recherche en Psychiatrie et Santé Mentale des Hauts-de-France, Lille, France
- Centre National de Ressources et de Résilience Lille-Paris, Lille, France
| | - Stéphane Duhem
- Fédération de Recherche en Psychiatrie et Santé Mentale des Hauts-de-France, Lille, France
- Centre National de Ressources et de Résilience Lille-Paris, Lille, France
- University Lille, Inserm, Centre Hospitalier Universitaire de Lille, CIC1403–Clinical Investigation Center, Lille, France
- Department of Psychiatry, Centre Hospitalier Universitaire de Lille, Lille, France
| | - Guillaume Vaiva
- Centre National de Ressources et de Résilience Lille-Paris, Lille, France
- Department of Psychiatry, Centre Hospitalier Universitaire de Lille, Lille, France
- University Lille, Inserm, Centre Hospitalier Universitaire de Lille, U1172–LilNCog–Lille Neuroscience and Cognition, Lille, France
| | - Thierry Baubet
- Centre National de Ressources et de Résilience Lille-Paris, Lille, France
- Department of Infant, Child and Adolescent Psychiatry, Avicenne Hospital, Assistance Publique–Hôpitaux de Paris, Sorbonne Paris Nord University, Centre de recherche en Epidémiologie et Santé des Populations, Bobigny, France
| | - Enguerrand Habran
- Fonds Fédération Hospitalière de France Recherche et Innovation, Paris, France
| | - Emilie Veerapa
- Department of Psychiatry, Centre Hospitalier Universitaire de Lille, Lille, France
- University Lille, Inserm, Centre Hospitalier Universitaire de Lille, U1172–LilNCog–Lille Neuroscience and Cognition, Lille, France
| | - Christophe Debien
- Centre National de Ressources et de Résilience Lille-Paris, Lille, France
- Department of Psychiatry, Centre Hospitalier Universitaire de Lille, Lille, France
| | - Sylvie Molenda
- Centre National de Ressources et de Résilience Lille-Paris, Lille, France
| | - Mathilde Horn
- Department of Psychiatry, Centre Hospitalier Universitaire de Lille, Lille, France
- University Lille, Inserm, Centre Hospitalier Universitaire de Lille, U1172–LilNCog–Lille Neuroscience and Cognition, Lille, France
| | - Pierre Grandgenèvre
- Department of Psychiatry, Centre Hospitalier Universitaire de Lille, Lille, France
- University Lille, Inserm, Centre Hospitalier Universitaire de Lille, U1172–LilNCog–Lille Neuroscience and Cognition, Lille, France
| | - Charles-Edouard Notredame
- Department of Psychiatry, Centre Hospitalier Universitaire de Lille, Lille, France
- University Lille, Inserm, Centre Hospitalier Universitaire de Lille, U1172–LilNCog–Lille Neuroscience and Cognition, Lille, France
| | - Fabien D’Hondt
- Centre National de Ressources et de Résilience Lille-Paris, Lille, France
- Department of Psychiatry, Centre Hospitalier Universitaire de Lille, Lille, France
- University Lille, Inserm, Centre Hospitalier Universitaire de Lille, U1172–LilNCog–Lille Neuroscience and Cognition, Lille, France
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Notredame CE, Grandgenèvre P, Pauwels N, Morgiève M, Wathelet M, Vaiva G, Séguin M. Leveraging the Web and Social Media to Promote Access to Care Among Suicidal Individuals. Front Psychol 2018; 9:1338. [PMID: 30154742 PMCID: PMC6102313 DOI: 10.3389/fpsyg.2018.01338] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 07/12/2018] [Indexed: 12/14/2022] Open
Abstract
After two decades of exponential development, the Internet has become an inseparable component of suicide prevention matters. More specifically, social media has turned out to be a privileged space for suicidal individuals to express their distress and seek support. Although this tendency carries with it specific risks and challenges, it creates unprecedented opportunities to face the challenges of help seeking and access to care. In this paper, we present the empirical, technological, and theoretical evidence supporting the implementation of a digitally augmented prevention policy that would increase its reach. Congruent to the clinical observations and theories on the help-seeking process, we argue that social media can help undertake three main functions of increasing proactivity to bring suffering Web users to care. The gateway function relates to the properties of social media interactions to leverage help-seeking barriers and enable ambivalent individuals to access the mental healthcare system. The communication outreach function aims to broadcast pro-help-seeking messages, while drawing on the functional structure of the social media network to increase its audience. The intervention outreach function consists in using machine learning algorithms to detect social media users with the highest risk of suicidal behaviors and give them a chance to overcome their dysfunctional reluctance to access help. We propose to combine these three functions into a single coherent operational model. This would involve the joint actions of a communication and intervention team on social networks, working in close collaboration with conventional mental health professionals, emergency service, and community resources.
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Affiliation(s)
- Charles-Edouard Notredame
- Department of Psychiatry, Centre Hospitalier Regional et Universitaire de Lille, Lille, France.,SCALab, Centre National de la Recherche Scientifique, Lille, France.,McGill Group for Suicide Studies, Douglas Institute, McGill University, Montreal, QC, Canada
| | - Pierre Grandgenèvre
- Department of Psychiatry, Centre Hospitalier Regional et Universitaire de Lille, Lille, France.,SCALab, Centre National de la Recherche Scientifique, Lille, France
| | - Nathalie Pauwels
- Fédération Régionale de Recherche en Psychiatrie et Santé Mentale des Hauts-de-France, Lille, France
| | - Margot Morgiève
- Department of Psychiatry, Fondation FondaMental, Hospital Albert Chenevier, Créteil, France
| | - Marielle Wathelet
- Department of Public Health, Centre Hospitalier Regional et Universitaire de Lille, Lille, France
| | - Guillaume Vaiva
- Department of Psychiatry, Centre Hospitalier Regional et Universitaire de Lille, Lille, France.,SCALab, Centre National de la Recherche Scientifique, Lille, France.,Fédération Régionale de Recherche en Psychiatrie et Santé Mentale des Hauts-de-France, Lille, France
| | - Monique Séguin
- McGill Group for Suicide Studies, Douglas Institute, McGill University, Montreal, QC, Canada.,Department of Psychology, Université du Québec en Outaouais, Gatineau, QC, Canada
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Affiliation(s)
- Charles-Edouard Notredame
- Psychiatry and Forensic Medicine Department, Hôpital Fontan, CHU Lille, 2 Rue André Verhaeghe, 59000, Lille, France. .,SCALab Laboratory, CNRS, UMR 9193, Université de Lille, 1 Place de Verdun, 59045, Lille Cedex, France. .,McGill Group for Suicide Studies, Douglas Institute, 6875 Boulevard LaSalle, Verdun, QC, H4H 1R3, Canada.
| | - Pierre Grandgenèvre
- Psychiatry and Forensic Medicine Department, Hôpital Fontan, CHU Lille, 2 Rue André Verhaeghe, 59000, Lille, France.,SCALab Laboratory, CNRS, UMR 9193, Université de Lille, 1 Place de Verdun, 59045, Lille Cedex, France
| | - Guillaume Vaiva
- Psychiatry and Forensic Medicine Department, Hôpital Fontan, CHU Lille, 2 Rue André Verhaeghe, 59000, Lille, France.,SCALab Laboratory, CNRS, UMR 9193, Université de Lille, 1 Place de Verdun, 59045, Lille Cedex, France
| | - Monique Séguin
- McGill Group for Suicide Studies, Douglas Institute, 6875 Boulevard LaSalle, Verdun, QC, H4H 1R3, Canada.,Department of Psychology, Université du Québec en Outaouais, 283, Boulevard Alexandre-Taché, Gatineau, QC, J9A 1L8, Canada
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Kiesmann E, Grandgenèvre P, Mallet J, Dubertret C, Vaiva G. Impact of emotional and cognitive saliency on visual search in post-traumatic stress disorder. Eur Psychiatry 2017. [DOI: 10.1016/j.eurpsy.2017.02.351] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
IntroductionPatients with post-traumatic stress disorder (PTSD) have shown disturbances in visual information treatment. However, most of studies demonstrated attentional bias towards emotional stimuli by using non-ecological paradigm. The paradigm of change blindness offers the possibility of studying sensitivity to the sudden irruption of visual information with ecological stimuli.Objectives/AimsTo compare the explicit detection with the implicit detection by using respectively motor response and eye tracking in patients with PSTD and controls.MethodsFifteen patients with PTSD and fifteen healthy controls had to detect changes in 96 scenes with (1) no change, (2) one neutral change or (3) one emotional pleasant or unpleasant change. We measured the participant's speed and accuracy in explicitly reporting the changes via motor responses, and their capacity to implicitly detect changes via eye movements.ResultsThe patients showed a trend towards slower explicit detection for the emotional change (P = 0.06) and more specifically for unpleasant change (P = 0.054). The two groups did not differ for implicit detection.ConclusionPatients tend to explicitly detect more slowly emotional change (but not neutral), especially for unpleasant change. This could be the result of a lack of access to consciousness of the emotional information. The emotional visual information treatment in PSTD could require more attentional processes than the non-emotional visual information and then lead to a decrease of the available attentional resources for the explicit task.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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