title: [Suicidal ideas in psychiatric emergency departments: prospective study comparing self- and hetero-assessment].
abstract: OBJECTIVE
  Many suicide victims had contacts with an emergency department before their attempt. We aimed to determine whether patients coming to a psychiatric emergency department were well assessed concerning their suicidal risk, and to test an easy to fill in scale rapidly assessing suicidal risk.
  
  
  METHODS
  We conducted a descriptive epidemiological survey in Marseille. The source population was all patients admitted to the psychiatric emergency department. We used a booklet containing three questionnaires for "nurse", "psychiatrist" and "patient". We estimated the suicidal risk using both a visual analogue scale (similar for patients and caregivers), and validated scales on self-assessment (scale of suicidality SBQ-R and the Beck Hopelessness Scale).
  
  
  CONCLUSIONS
  The questionnaire results have shown that people who visited a psychiatric emergency department presented a significant suicidal risk on several criteria: socio-demographic criteria (social isolation, low level of education, low number of people with a job), psychiatric history (rate of pre-existing psychiatric disorders significantly higher than in the general population, high proportions of family and personal history of suicide attempts, psychiatric hospitalizations, and people with a psychiatrist). Six percent of patients claimed to have come to an emergency unit for suicidal ideas but they were ten times more with a suicidal risk, according to the SBQ-R score. The suicidal risk self-assessed by patients on our visual analogue scale was well correlated with SBQ-R scale and Beck Hopelessness scale, but was not well correlated with the evaluation of caregivers.
  
  
  CONCLUSIONS
  Hence, the analog scale we created is easy to use and seems to be a good tool for suicidal risk estimation when it is self-assessed by patients in our study population.
authors.affiliation: Service de psychiatrie de l'hôpital d'instruction des armées Laveran, boulevard Laveran, BP 60149, 13384 Marseille cedex 13, France. Electronic address: sophie.moroge@yahoo.fr.
authors.forename: S
authors.initials: S
authors.lastname: Moroge
authors.affiliation: Service de psychiatrie de l'hôpital d'instruction des armées Laveran, boulevard Laveran, BP 60149, 13384 Marseille cedex 13, France.
authors.forename: F
authors.initials: F
authors.lastname: Paul
authors.affiliation: Service de psychiatrie de l'hôpital d'instruction des armées Laveran, boulevard Laveran, BP 60149, 13384 Marseille cedex 13, France.
authors.forename: C
authors.initials: C
authors.lastname: Milan
authors.affiliation: Service de psychiatrie de l'hôpital d'instruction des armées Laveran, boulevard Laveran, BP 60149, 13384 Marseille cedex 13, France.
authors.forename: F
authors.initials: F
authors.lastname: Gignoux-Froment
authors.affiliation: Service des urgences du pôle psychiatrique centre, 147, boulevard Baille, 13385 Marseille cedex 5, France.
authors.forename: J-M
authors.initials: JM
authors.lastname: Henry
authors.affiliation: Service de psychiatrie de l'hôpital d'instruction des armées Laveran, boulevard Laveran, BP 60149, 13384 Marseille cedex 13, France.
authors.forename: M
authors.initials: M
authors.lastname: Pilard
authors.affiliation: Centre d'épidémiologie et santé publique des armées (CESPA), GSBdD Marseille-Aubagne, BP 40026, 13568 Marseille cedex 02, France.
authors.forename: C
authors.initials: C
authors.lastname: Marimoutou
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D017028:Caregivers / Q000523:psychology; D004637:Emergency Services, Psychiatric; D005260:Female; D005602:France; D006801:Humans; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D010348:Patient Care Team; D011446:Prospective Studies; D015203:Reproducibility of Results; D018570:Risk Assessment; D012647:Self-Assessment; D013223:Statistics as Topic; D059020:Suicidal Ideation; D011795:Surveys and Questionnaires; D064232:Visual Analog Scale; D055815:Young Adult
keywords: Assessment; Psychiatric emergency department; Risque suicidaire; Scale; Suicidal risk; Suicide; Urgences psychiatriques; Échelle; Évaluation