Recours à la psychothérapie en France chez les adultes avec tentative de suicide : résultats d’une vaste enquête épidémiologique

Revranche, Mathieu; Husky, Mathilde M.; Kovess-Masfety, Viviane

doi:10.1016/j.encep.2019.07.012

Cited by 7 publications

(4 citation statements)

References 21 publications

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“…Only one in five adults with suicidal ideation had received psychotherapy in the past year. This finding is consistent with reports indicating that 28% of general population adults with a past-year suicide attempt residing in one of four regions of France had received psychotherapy (Revranche et al, 2019). In the 2005 Health Barometer survey, among adults with a depressive episode, 10.8% of adults reported psychotherapy in the past 12 months (Lamboy et al, 2007).…”

Section: Discussionsupporting

confidence: 92%

“…Despite the advantageous healthcare system in place, very little research has been done in France to examine medication and psychotherapy use associated with suicidality. In a 2005 survey sample of general population adults of four regions of France, 28% with a past-year suicide attempt had reported psychotherapy use (Revranche et al, 2019). Studies focusing on the factors associated with receipt of pharmacotherapy and psychotherapy in individuals with suicidal ideation are scarce.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with past-year medication use and psychotherapy in adults with suicidal ideation in France

Husky

Léon

Roscoät

et al. 2023

Int J Soc Psychiatry

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Background: The objective of the study is to assess the sociodemographic and clinical factors associated with past-year medication use and/or psychotherapy among adults with suicidal ideation in the past 12 months. Methods: Data were drawn from the 2017 Health Barometer survey, a large computer-assisted telephone survey on a representative sample of the general population aged 18 to 75 years living in metropolitan France ( n = 25,319). Logistic and multinomial regression analyses were used to study past-year medication use and/or psychotherapy as a function of sociodemographic and clinical factors. Analyses were restricted to individuals reporting suicidal ideation in the past year ( n = 1,148). Results: Overall, 43.6% of adults with suicidal ideation reported no treatment for a mental health reason in the past year; 36.6% reported using medication only, 4.8% psychotherapy only, and 15.0% both. Sociodemographic and clinical factors associated with increased probability of treatment varied as a function of the type of treatment received. Adjusting for key factors including clinical factors, older adults with suicidal ideation were more likely than younger adults to receive medication only. Conclusions: The findings point to differential inequalities in access to medication and psychotherapy among adults with suicidal ideation in the general population of France.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Factors associated with past-year medication use and psychotherapy in adults with suicidal ideation in France

Husky

Léon

Roscoät

et al. 2023

Int J Soc Psychiatry

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“…Thus, there is no registry for the use of psychological support from a HCP. Some study investigated the prevalence of social support use in general population outside the COVID-19 context and found a prevalence around 10% (7% in general population of 4 regions [ 17 ] and 12% among population aged from 20 to 60 [ 18 ]).…”

Section: Introductionmentioning

confidence: 99%

Psychological support in general population during the COVID-19 lockdown in France: Needs and access

2021

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Introduction With France one of the European countries most strongly affected by COVID-19 in the spring of 2020, French authorities imposed a nationwide lockdown for 8 weeks (March 17–May 10). This study explored the perception of the adult population about the need for—and access to—psychological support from health care professionals (HCP) in response to concerns about the psychological needs during lockdown. Material and method This online cross-sectional survey of a representative sample of the adult general population of mainland France (N = 2,003) took place during the last four days of the French lockdown (May 7–10, 2020). Results One in eight respondents (12.2%) perceived a need for psychological support from an HCP during the lockdown; most had symptoms of depression and/or anxiety of at least moderate intensity. Only a third (29.8%, 3.6% of the entire sample) actually obtained this support. Factors associated with this perceived need included: age under 35, economic difficulties due to lockdown, pre-lockdown use of psychological support, infection with COVID-19, serious worries about becoming infected, and heavy media use to obtain information about the disease. Among those who perceived a need for psychological support, the elderly were the most likely not to consult an HCP. People aged 35–64, those with high income, and those seriously worried about developing COVID-19 were the most likely to forgo seeking access to care because of their fear of infection by the coronavirus-2019. Conclusion The perceived need for psychological support from an HCP and access to it appeared to be strongly associated with COVID-19 exposure factor. More research about this association is needed to improve the health authorities’ understanding of the population’s psychological needs in this situation and to enhance HCPs’ abilities to meet them. In particular, further research of its specific impact on youth is necessary.

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“…Specifically, the WMH surveys found that in the latter study, 35.5% to 50.3% of individuals with severe psychiatric disorders, including mood, anxiety, and substance use disorders, living in high-income countries did not utilize health care services. Factors associated with the use of services have been shown to include the presence of psychiatric disorders (Revranche et al, 2019;Wang et al, 2007), disorder severity (Demyttenaere et al, 2004), and psychiatric comorbidities (Fleury et al, 2012). Known barriers include a low perceived need for treatment, and among individuals who recognize a need for treatment, attitudinal barriers also exist, with wanting to handle the problem on one's own the most commonly reported reason for not seeking help (Mojtabai et al, 2011).…”

mentioning

confidence: 99%

Sexual and Nonsexual Interpersonal Violence, Psychiatric Disorders, and Mental Health Service Use

Hauw

Revranche

Kovess–Masféty

et al. 2020

Journal of Traumatic Stress

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Exposure to potentially traumatic events (PTEs) increases an individual's risk of suffering from psychiatric disorders. However, only a small proportion of individuals exposed to PTEs use health care services (HCS). Few studies have examined how exposure to different types of PTEs affect the odds an individual will suffer from a psychiatric disorder and access HCS. The present study aimed to examine the associations among lifetime exposure to sexual and nonsexual violence, psychiatric disorder presence, and utilization of HCS. Data were drawn from a large cross‐sectional survey (N = 19,958) representative of four regions of France. Lifetime occurrence of traumatic events, past‐year DSM‐IV Axis I psychiatric disorders, and past‐year use of HCS were assessed using the CIDI‐SF. Lifetime exposure to violence, particularly sexual violence, was associated with significantly higher odds of suffering from common psychiatric disorders in the past year, including major depression, aOR = 1.70, 95%CI [1.34, 2.17], which was present among 36.9% of participants who reported sexual violence exposure, 20.9% of those who reported exposure to nonsexual violence, and 7.1% of those exposed to neither. Compared to participants who were not exposed to sexual violence, victims of sexual violence were more likely to have contacted health care professionals due to a mental health problem and to have received psychotropic medication. However, a significant portion of individuals with psychiatric disorders did not report receiving potentially beneficial HCS. The present findings highlight the need to identify victims of violence and improve access to appropriate services for this population.

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Recours à la psychothérapie en France chez les adultes avec tentative de suicide : résultats d’une vaste enquête épidémiologique

Cited by 7 publications

References 21 publications

Factors associated with past-year medication use and psychotherapy in adults with suicidal ideation in France

Factors associated with past-year medication use and psychotherapy in adults with suicidal ideation in France

Psychological support in general population during the COVID-19 lockdown in France: Needs and access

Sexual and Nonsexual Interpersonal Violence, Psychiatric Disorders, and Mental Health Service Use

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