To Disclose a Child Sexual Abuse Within Child & Adolescent Psychiatry Services

NCT06495502 | Recruiting

• 1 other identifier: CHVictorDupouy
• Study Type: observational
• Target: 90
• Locations: 1 country
• Sites: 5

Brief Summary

Mental health professionals investigating child sexual abuse (CSA) among children and adolescents is a major public health challenge. Many studies have shown the obstacles to disclose, with professionals having difficulties to address this issue and survivors having difficulties to disclose. Many children, old enough to tell what happened to them, would disclose this traumatic event only many years after, but they suffer from psychiatric and/or somatic disorders meanwhile. CSA survivors presenting psychiatric symptoms very often receive a psychiatric treatment within child \& adolescent psychiatric (CAP) departments. The investigators aim to better understand what is at stakes around the issue of disclosure of CSA by teenagers within CAP services, so to draw concrete implications to improve investigation efficacy and disclosure support by mental health professionals. To date, no study has ever explored these issues of investigating and disclosing CSA in CAP services. Qualitative methods are quite relevant here, aiming as they do, to in-depth explore complex issues, through the lived experience of the stakeholders. The main objective of this study is to explore the lived experience of disclosing CSA among (i) adolescents and young adults followed in a CAP service, (ii) parents, and (iii) child \& adolescent mental health professionals working in CAP services who have experienced a CSA disclosure. Crossing perspectives will bring answers to the complex question: "how to disclose a CSA within a CAP service?" and will lead to concrete implications to improve treatment of children and adolescents with an history of CSA. It is an exploratory qualitative multi-center design following the IPSE approach - Inductive Process to analyze the structure of lived experience-.

Conditions

Child Sexual Abuse

Keywords

qualitative research; disclosure; child & adolescent psychiatry

Outcome Measures

Primary Outcomes (1)

• Lived experience of disclosure of child sexual abuse

  Participant-reported experiences in child sexual abuse disclosure as assessed using the Inductive Process to analyze the Structure of lived Experience (IPSE)

  2 years

Study Arms (3)

patients

i. be in a well-identified care path ii. Age: 12-25 years old iii. have experienced CSA iv. Child \& adolescent psychiatry treatment prior to majority and after CSA, regardless the reason for this treatment v. No acute symptoms

Other: semi-structured interview

Parents

i. child on a well-identified care path ii. child victim of CSA iii. Child disclosure during child \& adolescent psychiatry treatment iv. not being the perpetrator in case of intrafamilial CSA perpetrated by the mother or the father (the other parent could be included).

Other: semi-structured interview

child & adolescent mental health professionals

i. have experienced, directly or indirectly, at least one situation of CSA disclosure by a minor patient.

Other: semi-structured interview

Interventions

semi-structured interview OTHER

Semi-structured interviews by qualitative health researchers

Parents; child & adolescent mental health professionals; patients

Eligibility Criteria

• Age: 12 Years - 25 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

The population under study is divided into three sub-groups * (1) adolescents and young adults aged between 12 and 25, CSA victims, who have been receiving child \& adolescent psychiatry treatment. * (2) victim parents with an history of disclosure within the child \& adolescent psychiatry treatment. * (3) Child \& adolescent mental health professionals who have experienced, directly or indirectly, at least one situation of CSA disclosure by a minor patient.

You may qualify if:

• Adolescents and young adults from four child \& adolescent psychiatric services in Argenteuil (SUPADO), Rouen, Lyon, Colombes and Rennes. T
• in a well-identified care path
• Age: 12-25 years old
• have experienced Child Sexual Abuse (CSA)
• Child \& adolescent psychiatry treatment prior to majority and after CSA, regardless the reason for this treatment
• Parents with a Son/daughter on a well-identified care path, victim of CSA, with a disclosure during child \& adolescent psychiatry treatment
• Child \& adolescent mental health professionals

You may not qualify if:

• for adolescents, acute symptoms
• for parents, in the situation of intrafamily CSA perpetrated by a parent, this parent will be excluded

Sponsors & Collaborators

• Anne Revah-Levy: lead

Study Sites (5)

Hôpital Louis Mourier

Colombes, Hauts De Seine, 92700, France

RECRUITING

Pôle Hospitalo-Universitaire de Psychiatrie de l'enfant et l'adolescent de Rennes

Rennes, Ille-et-Vilaine, 35703, France

RECRUITING

Hopital Femme Mère Enfant, Hospices Civils de Lyon

Bron, Rhone, 69500, France

RECRUITING

CHU Rouen/CH Rouvray

Rouen, Seine Maritime, 7600, France

RECRUITING

CHVictorDupouy

Argenteuil, Île-de-France Region, 95100, France

RECRUITING

Study Officials

• Jordan Sibeoni, MD PhD

  Centre Hospitalier Victor Dupouy

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Jordan Sibeoni, MD PhD

CONTACT

0033134232598; jordan.sibeoni@ch-argenteuil.fr

Anne Revah-Levy, MD PhD

CONTACT

0033134232598; anne.revah-levy@ch-argenteuil.fr

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Professor of child & adolescent psychiatry

Study Record Dates

• First Submitted: June 27, 2024
• First Posted: July 10, 2024
• Study Start: January 1, 2024
• Primary Completion: December 31, 2025
• Study Completion (Estimated): June 30, 2026
• Last Updated: July 10, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

FR (5)