Le Recueil d’information médicalisé en psychiatrie (RIM-P) : un outil nécessaire pour la surveillance des hospitalisations suite à une tentative de suicide

BackgroundDepression and obesity are two major conditions with both psychological and somatic burdens. Some data suggest strong connections between depression and obesity and more particularly associated prevalence of both disorders. However, little is known about the geographical distribution of these two diseases. This study aimed to determine if there is spatial overlap between obesity and depression using data from the entire French territory.MethodsData for 5,627 geographic codes for metropolitan France were collected from the two national hospital databases (PMSI-MCO and RIM-P) for the year 2016. We identified people who were depressed, obese or both registered in the two public medico-administrative databases, and we assessed their location. In addition, a multivariable analysis was performed in order to determine geographic interactions between obesity and depression after controlling for age, sex, environmental and socio-economic factors (social/material deprivation, urbanicity/rurality).Results1,045,682 people aged 18 years and older were identified. The mapping analysis showed several cold and hot regional clusters of coinciding obesity and depression. The multivariable analysis demonstrated significant geographic interactions, with an increasing probability of finding a high prevalence of obesity in regions with major depression (OR 1.29 95% CI 1.13–1.49, p = 0.0002) and an increased probability of finding a high prevalence of depression in regions with a high ration of obesity (OR 1.32, 95% CI 1.15–1.52, p<0.0001).ConclusionOur study confirms the significant bidirectional relationships between obesity and depression at a group level. French geographic patterns reveal a partial overlap between obesity and depression, suggesting these two diseases can be included in a common approach. Further studies should be done to increase the understanding of this complex comorbidity.

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“…We used the same algorithms as other French studies which were conducted using national PMSI and RIM-P data [23,26].…”

Section: Methodsmentioning

confidence: 99%

Depression and obesity, data from a national administrative database study: Geographic evidence for an epidemiological overlap

et al. 2019

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“…Although females were overrepresented in our sample, the difference was not significant. Conversely, the existing literature provides strong evidence of self-harm being more frequent in females [11,13,15,[17][18][19][20][21][22]. This finding deserves further research because previous data from other cities in Switzerland showed contrasting results; for example, in Bern, the self-harm rate showed no difference between gender [26], unlike in Basel, where the self-harm rate was higher in females [21].…”

Section: Self-harm Ratesmentioning

confidence: 96%

“…In Switzerland, previous data showed a self-harm rate of 105 in Bern (2004-2010) [26] and of 164 in Basel (2003Basel ( -2006 for a population over age 15 [21]. International data from the WHO/EURO Multicentre Study on Suicidal Behaviour showed the self-harm rate ranging from 46 to 327 for males and from 72 to 542 for females [17], while more recent data from France showed a self-harm rate at 158 in 2012 [19] and at 206 in Ireland in 2016 [15]. Finally, although our monitoring system shares a common definition of self-harm with existing systems in the UK, our selfharm rates were substantially lower than those in Oxford (285 for males and 342 for females), Manchester (460/587) and Leeds (291/374), a finding that deserves further research.…”

Section: Self-harm Ratesmentioning

confidence: 99%

“…Ireland is one of the few countries with national registration [15,16]. Numerous existing systems were introduced in Europe, following the WHO's international programmes (Multicentre Study on Suicidal Behaviour, MONitoring SUicidal Behaviour in Europe, Suicide Prevention -Multisite Intervention Study on Suicidal Behaviours) [17,18], in, for example, some cities in France [19] and Italy [20].…”

Section: Introductionmentioning

confidence: 99%

“…Results of these monitoring systems showed, for instance, that females [11,13,15,[17][18][19][20][21][22], young people [13,17,18,21,23], single persons (especially men) [17,[24][25][26][27], immigrants [27][28][29], and people with a low level of education [30] or unemployed [1,30] are more at risk for self-harm. These systems also established remarkable gender differences [31,32] regarding the selection of methods: self-poisoning appears to be more likely in females than in males, whereas 'violent' methods such as hanging or jumping from a height are more common among males [19,31,32]. Identifying specific risk factors enables the development of recommendations for public health strategies and the implementation of new interventions.…”

Section: Introductionmentioning

confidence: 99%

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The implementation and first insights of the French-speaking Swiss programme for monitoring self-harm

et al. 2019

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AIMS OF THE STUDY: Self-harm is a major risk factor for suicide but remains poorly documented. No data on self-harm in French-speaking Switzerland exist. To address this deficiency, the Swiss Federal Office of Public Health commissioned a specific self-harm monitoring programme. We present and discuss its implementation and first findings. METHODS: Every patient aged 18-65 years presenting for self-harm to the emergency departments of the Lausanne and Neuchâtel general hospitals were included in the monitoring programme over a 10-month period (December 2016 to September 2017). Clinicians collected anonymous sociodemographic and clinical data. RESULTS: The sample included 490 patients (54.9% female and 45.1% male) for 554 episodes of self-harm, showing a higher proportion of patients aged 18-34 (49.2%) than older age groups (35-49, 33.7% and 50-65, 17.1%). Patients were mostly single (56.1%) and in problematic socioeconomic situations (65.7%). Self-poisoning was the most commonly used method (58.2%) and was preferred by women (71% of females and 42.5% of males, Fisher's exact test, p <0.001) and the majority of patients (53.3%) had experienced at least one previous episode of self-harm. The self-harm rate was 220 per 100,000 inhabitants in Lausanne and 140 in Neuchâtel. Suicidal intent was clear for 50.6% of the overall sample, unclear for 25.1% and absent for 24.3%. It differed significantly between sites (χ 2 (2) = 9.068, p = 0.011) as Lausanne reported more incidents of unclear intent (27.7% versus 17.4% in Neuchâtel) and Neuchâtel more incidents with absence of intent (33.1% versus 21.3% in Lausanne). In Lausanne, patients more frequently resorted to methods such as jumping from a height (11.4%) and hanging (9%) than in Neuchâtel (1.6% and 4.9%, Fisher's exact test, p = 0.006).CONCLUSIONS: Our results are globally consistent with previous research on self-harm. We found significant intersite differences in methods, suicidal intent and self-harm rates. Our findings highlight the importance of implementing local self-harm monitoring to identify specific at-risk groups and develop targeted preventive intervention.

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Suicide mortality in people with mental disorders: a register-based study in north France

Plancke

Coton

Amariei³

et al. 2020

Soc Psychiatry Psychiatr Epidemiol

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Le Recueil d’information médicalisé en psychiatrie (RIM-P) : un outil nécessaire pour la surveillance des hospitalisations suite à une tentative de suicide

Cited by 12 publications

References 18 publications

Depression and obesity, data from a national administrative database study: Geographic evidence for an epidemiological overlap

Depression and obesity, data from a national administrative database study: Geographic evidence for an epidemiological overlap

The implementation and first insights of the French-speaking Swiss programme for monitoring self-harm

Suicide mortality in people with mental disorders: a register-based study in north France

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