Analysis of Suicidal Behavior Among Children and Adolescents in the Auvergne-Rhone-Alpes Region During the Covid 19 Pandemic Period

NCT07302295 | Not Yet Recruiting

• 2 other identifiers: 69HCL22_11752023-A02237-38
• Study Type: interventional
• Target: 6,500
• Locations: 1 country
• Sites: 4

Brief Summary

In 2020, the world is hit by a global health crisis due to a pandemic following the appearance of Sars-cov-2 or "covid-19". This pandemic was accompanied by a constant fear of contamination and death, relayed by the media. In France, the government proposed in response to the arrival of this virus on French territory. This policy was implemented in different ways over 3 distinct periods: strict containment at the start of the epidemic, then a "lighter" one, and finally a period of social restrictions without between these periods. This policy had a direct and rapid impact on the population's daily routines. Children and adolescents, are more susceptible to psychological trauma, as stress has a direct and psychic development. Studies have shown deleterious impact of the French health situation on the paediatric population. They point to an increase of psychological disorders such as depression and anxiety in the under -20s population, and an increase in suicidal gestures over the 2020-2021 period, with rates remaining higher than in previous years. Suicide is the 2nd leading cause of death in the population aged 15-24. Studies continue to focus on the incidence of suicidal gestures of suicidal gestures and psychological disorders, and few of them examine the factors linked to the increase in these incidences, the traumatic impact or the story of the trajectory. Similarly, the few studies focus only on the population aged 12 and over, and in some cases, do not distinguish between age groups (15-24 or under 20). Investigators believe that the various periods of social restrictions and eco-anxiety caused by the pandemic may have influenced suicidal behaviour in this population. The main objective of this study is to investigate the clinical and socio-economic characteristics of the pediatric population who experienced suicidal behaviors in the Auvergne Rhone Alpes region during the covid 19 pandemic.

Conditions

Suicidality; COVID -19

Keywords

suicide; pediatrics; covid-19

Outcome Measures

Primary Outcomes (1)

• Demographic and diagnostic characteristics

  The following demographic and diagnostic characteristics will be collected in aggregate form for the entire population of children and adolescents who engaged in suicidal behavior during the health crisis and in the two preceding years: * Age, gender, place of residence, * ICD-10 diagnosis and referral, * Type of suicidal behavior (ideation, self-harm, suicide attempt), * Periods of social restrictions (lockdown, curfew, vaccine pass).

  Baseline

Secondary Outcomes (6)

• Number of patients aged 8-17 and 11month admitted to pediatric emergency

  Baseline

• Psychopathological and socio-economic characteristics

  Baseline

• Scores to CRIES

  Up to 3 months

• CAS scale

  Up to 3 months

• Qualitative interview

  Up to 3 months

Study Arms (3)

Subjects with suicidal behaviors during the health crisis of covid-19 between 2020 and 2022 (group1)

EXPERIMENTAL

* Name : Group 1 * Subjects with Suicidal Behaviors (suicidal conduct, ideas, self-harm with suicidal intention) during the Health Crisis of Covid-19 and admitted to pediatric emergency services or hospitalized in a care unit (university hospital, general hospital) in the AURA region participating between 2020 and 2022. * Age ≥ 8 years old and \< 18 years old between 2020 and 2022.

Other: Aggregated data collection

Subjects with suicidal behaviors during covid-19 period with qualitative interviews (group 1b)

EXPERIMENTAL

* Name : Group 1b * Subjects with Suicidal Behaviors (suicidal conduct, ideas, self-harm with suicidal intention) during the Health Crisis of Covid-19 and admitted to pediatric emergency services or hospitalized in a care unit (university hospital, general hospital) in the AURA region participating between 2020 and 2022 and theirs parents * Age ≥ 8 years old and \< 18 years old between 2020 and 2022 for subjects. * One or both parents * Subjects who agreed to participate in interviews and/or focus groups and gave their consent to be part of the group of patients participating in a qualitative interview (volunteer subjects). * Parent's subjects agreed their consent to be part of the group This group is estimated to 150 subjects and 300 parents max.

Other: Data collection and qualitative interview

Subjects control with suicidal behaviors before the health crisis (Group 2).

EXPERIMENTAL

* Name: group 2 * Subjects with suicidal behaviors (suicidal conduct, ideas, self-harm with suicidal intention) before the health crisis of Covid-19 (2018 and or 2019) and admitted to pediatric emergency services or hospitalized in a care unit (university hospital, general hospital) in the AURA region * Age ≥ 8 years old and \< 18 years old between 2018 and 2019

Other: Aggregated data collection

Interventions

Aggregated data collection OTHER

The demographic and diagnostic characteristics will be collected in aggregate form nafrom digital services departments or medical information departments of participating hospitals.

Subjects control with suicidal behaviors before the health crisis (Group 2).; Subjects with suicidal behaviors during the health crisis of covid-19 between 2020 and 2022 (group1)

Data collection and qualitative interview OTHER

The psychopathological and socioeconomic characteristics will be collected. For subjects who agreed, they will participate in interviews and/or focus groups. Parent's subjects who agreed will be part of focus groups too.

Subjects with suicidal behaviors during covid-19 period with qualitative interviews (group 1b)

Eligibility Criteria

• Age: 8 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• The population (subjects and controls) will be divided into age categories:
• Pre-adolescents (≥ 8 years and \< 11 years)
• Adolescents (≥ 11 years and \< 15 years)
• Older adolescents (≥ 15 years and \< 18 years)
• Subjects with suicidal behavior during the health crisis (Group 1):
• Age \> 8 years and \< 18 years during the period 2020 to 2022.
• Admitted to pediatric emergency departments or hospitalized in a care unit (CHU, general hospitals) in the AURA region during 2020, 2021, and/or 2022 for suicidal behavior (defined as suicidal ideation and/or suicide attempt and/or self-harm/self-poisoning with suicidal intent).
• Subjects with suicidal behavior during the health crisis with qualitative interviews (Group 1b):
• Age \> 8 years and \< 18 years during the period 2020 to 2022.
• Admitted to pediatric emergency departments or hospitalized in a care unit (CHU, general hospitals) in the AURA region during 2020, 2021, and/or 2022 for suicidal behavior (defined as suicidal ideation and/or suicide attempt and/or self-harm/self-poisoning with suicidal intent).
• Randomly selected from the population of Group 1.
• For whom the parent(s) and/or the subject have signed informed consent.
• Controls with suicidal behavior before the health crisis (Group 2):
• Age \> 8 years and \< 18 years during the period 2018 to 2019.
• Admitted to pediatric emergency departments or hospitalized in a care unit (CHU, general hospitals) in the AURA region during 2018 and/or 2019 for suicidal behavior (defined as suicidal ideation and/or suicide attempt and/or self-harm/self-poisoning with suicidal intent).

You may not qualify if:

• \- Subjects with Suicidal Behavior during the Health Crisis with and without Qualitative Interviews (Group 1 and 1b):
• Admitted to pediatric emergency services or hospitalized in a healthcare facility (university hospital center, general hospital) in the AURA region for a psychiatric reason other than suicidal behavior during the period from 2020 to 2022.
• Controls with Suicidal Behavior before the Health Crisis (Group 2):
• Admitted to pediatric emergency services or hospitalized in a healthcare facility (university hospital center, general hospital) in the AURA region for a psychiatric reason other than suicidal behavior during the period from 2018 to 2019.
• Intercurrent illness with a life expectancy of less than 24 hours.
• For Group 1:
• Pregnant, postpartum, or breastfeeding women.
• Persons deprived of liberty by judicial or administrative decision.
• Adults subject to a legal protection measure (guardianship, curatorship).
• Persons not affiliated with a social security scheme or beneficiaries of a similar scheme.
• Persons who do not understand and do not speak French.

Sponsors & Collaborators

• Hospices Civils de Lyon: lead

Study Sites (4)

Hospices Civils de Lyon - Hôpital Femme Mère Enfant- Service de pédopsychiatrie de l'enfant et de l'adolescent

Bron, 69500, France

Location

CHU de Clermont-Ferrand - Service de psychiatrie de l'enfant et de l'adolescent

Clermont-Ferrand, 63000, France

Location

CHU de Grenoble - Service de psychiatrie de l'enfant et de l'adolescent

Grenoble, 38043, France

Location

CHU de Saint-Etienne - Urgences psychiatriques

Saint-Etienne, 42100, France

Location

MeSH Terms

Conditions

Suicidal Ideation; COVID-19; Suicide

Interventions

Data Collection

Condition Hierarchy (Ancestors)

Self-Injurious Behavior; Behavioral Symptoms; Behavior; Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases

Intervention Hierarchy (Ancestors)

Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Central Study Contacts

Elise MAMIMOUE, Dr

CONTACT

472129567; Elise.mamimoue@chu-lyon.fr

Sonia GALLETTI

CONTACT

427857739; Sonia.galletti@chu-lyon.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Multicenter descriptive study, involving retrospective data collection with a questionnaire and prospective qualitative evaluations. Research involving human subjects outside of health products as mentioned in Article L1121-1, 2° of the Public Health Code

Study Record Dates

• First Submitted: November 24, 2025
• First Posted: December 24, 2025
• Study Start: December 1, 2025
• Primary Completion: April 1, 2026
• Study Completion (Estimated): March 1, 2027
• Last Updated: December 24, 2025

Record last verified: 2025-11

Locations

FR (4)