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Article Dans Une Revue Psychiatry Research Année : 2023

Clinical characteristics associated with discrepancies between self- and clinician-rated suicidal ideation in patients with bipolar disorder (FACE-BD cohort)

Bénédicte Nobile (1, 2, 3) , Raoul Belzeaux (4, 5, 1) , Bruno Aouizerate (3, 6, 7) , Caroline Dubertret (8, 3, 9, 10) , Emmanuel Haffen (3, 11, 12) , Pierre-Michel Llorca (3, 13, 14, 15) , Paul Roux (3, 16, 17) , Mircea Polosan (18, 19, 3) , Raymund Schwan (3, 20, 21) , Michel Walter (3, 22) , Romain Rey (3, 23, 24) , Dominique Januel (3, 25) , Marion Leboyer (26, 3, 27) , Frank Bellivier (28, 3, 29) , Bruno Etain (3, 29, 28) , Philippe Courtet (2, 3, 1) , Émilie Olié (2, 3, 1)
1 CHRU Montpellier - Centre Hospitalier Régional Universitaire [Montpellier]
2 IGF - Institut de Génomique Fonctionnelle
3 Fondation FondaMental [Créteil]
4 INT - Institut de Neurosciences de la Timone
5 APHM - Assistance Publique - Hôpitaux de Marseille
6 Centre hospitalier Charles Perrens [Bordeaux]
7 NutriNeuro - Nutrition et Neurobiologie intégrée
8 IPNP - U1266 Inserm - Institut de psychiatrie et neurosciences de Paris
9 Hôpital Louis Mourier - AP-HP [Colombes]
10 AP-HP - Assistance publique - Hôpitaux de Paris (AP-HP)
11 Inserm CIC 1431 - Centre d'Investigation Clinique de Besançon
12 UFC - Université de Franche-Comté
13 CHU Clermont-Ferrand
14 UCA - Université Clermont Auvergne
15 IP - Institut Pascal
16 CHV - Centre Hospitalier de Versailles André Mignot
17 CESP - Centre de recherche en épidémiologie et santé des populations
18 GIN - [GIN] Grenoble Institut des Neurosciences
19 CHUGA - Centre Hospitalier Universitaire [CHU Grenoble]
20 UL - Université de Lorraine
21 CPN - Centre Psychothérapique de Nancy [Laxou]
22 CHU - BREST - Hopital de Bohars - CHRU Brest
23 CRNL - Centre de recherche en neurosciences de Lyon - Lyon Neuroscience Research Center
24 Centre Hospitalier le Vinatier [Bron]
25 URCVE - Unité de Recherche Clinique de l'Hôpital de Ville-Evrard [Neuilly-sur-​Marne]
26 IMRB - Institut Mondor de Recherche Biomédicale
27 Hôpital Henri Mondor
28 OPTeN (UMR_S 1144 / U1144) - Optimisation thérapeutique en Neuropsychopharmacologie
29 Hôpital Lariboisière-Fernand-Widal [APHP]

Résumé

Suicidal ideation (SI) is a major suicide risk factor; therefore, it is crucial to identify individuals with SI. Discrepancies between the clinicians and patients' estimation of SI may lead to under-evaluating the suicide risk. Yet, studies on discrepancies between self- and clinician-rated SI are lacking, although identifying the patients' sociodemographic and clinical characteristics associated with such discrepancies might help to reduce the under-evaluation risk. Therefore, the aim of this study was to identify features associated with SI rating discrepancies in patients with bipolar disorder (BD) because of the high prevalence of suicide in this population. Among the patients recruited by the French network of FondaMental expert centers for BD, patients with SI (i.e. ≥2 for item 12 of the Quick Inventory of Depressive Symptomatology-Self Report and/or ≥3 for item 10 of the clinician-rated Montgomery and Åsberg Depression Rating Scale) were selected and divided in concordant (i.e. SI in both self- and clinician-rated questionnaires; n = 130; 25.6%), and discordant (i.e. SI in only one questionnaire; n = 377; 74.4%). Depression severity was the feature most associated with SI evaluation discrepancy, especially in patients with SI identified only with the self-rated questionnaire. Clinician may under-evaluate SI presence in patients with low depression level.
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Dates et versions

hal-03956592 , version 1 (25-01-2023)

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Bénédicte Nobile, Raoul Belzeaux, Bruno Aouizerate, Caroline Dubertret, Emmanuel Haffen, et al.. Clinical characteristics associated with discrepancies between self- and clinician-rated suicidal ideation in patients with bipolar disorder (FACE-BD cohort). Psychiatry Research, 2023, 321, pp.115055. ⟨10.1016/j.psychres.2023.115055⟩. ⟨hal-03956592⟩
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