Prise en charge des adolescents hospitalisés à la suite d’un geste suicidaire ou d’une menace suicidaire

Kernier, Nathalie de; Canouï, Pierre; Golse, Bernard

doi:10.1016/j.arcped.2010.01.002

Cited by 10 publications

(5 citation statements)

References 9 publications

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“…To ensure the reliable coding of the data, the scoring of the protocols was checked by psychologists from the University of Paris Descartes who specialize in projective tests. We observed, among other elements, the evolution of identifications, the processing of loss, drive management, and defense mechanisms, as shown in our other publications (de Kernier, 2008(de Kernier, , 2012de Kernier, Canouï & Golse, 2010;de Kernier, Canouï & Thouvenin, 2010;de Kernier, Chambry, & Alvin, 2009;de Kernier, Marty, Chambry, & Laudrin, 2005). Our aim was to observe the patients' psychic evolution and whether this reorganization would appear or not in projective tests.…”

Section: Discussionmentioning

confidence: 59%

“…Each professional plays a part in containing the adolescent's destructive tendencies and in facilitating binding processes (de Kernier, Canouï, & Golse, 2010). If the therapist and the entire team have a function of holding (Winnicott, 1971), they help the adolescents restore their narcissistic defenses, thereby developing psychic containments of identity and increased capacity for mentalization.…”

Section: Restoring Narcissistic Containment and Therefore Mentalizatimentioning

confidence: 99%

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Restoring psychic containers of identity after a suicide attempt in adolescence

Kernier¹,

Marty²,

Devouche³

2012

Bulletin of the Menninger Clinic

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Suicidal acts during adolescence reveal narcissistic vulnerabilities. The author's observation concerns the quality of ego boundaries, as well as their evolution. Longitudinal studies were conducted on the basis of interviews and projective tests performed within 15 days after the suicide attempt and once again the following year. The quantitative analyses of Fisher and Cleveland's Barrier/Penetration scores on the Rorschach show the evolution of identity mechanisms. The results underscore the importance of restoring psychic containers of identity.

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Section: Discussionmentioning

confidence: 59%

Section: Restoring Narcissistic Containment and Therefore Mentalizatimentioning

confidence: 99%

Restoring psychic containers of identity after a suicide attempt in adolescence

Kernier¹,

Marty²,

Devouche³

2012

Bulletin of the Menninger Clinic

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“…Each professional involved (psychiatrist, psychologist, physician, nurse, etc.) plays a major part in containing the adolescent’s destructivity and in encouraging binding processes in the adolescents and their families (de Kernier, Canouï, & Golse, 2010). Nurses have an important function in helping the suicidal person move from a “deathoriented” position to a “life-oriented” one (Cutcliffe, Stevenson, Jackson, & Smith, 2007).…”

Section: Caring For Adolescents After a Suicide Attempt In A Parisian...mentioning

confidence: 99%

“…According to a longitudinal research based on clinical interviews and projective tests carried out in two Parisian hospitals 1 (de Kernier, Canouï, & Golse, 2010; de Kernier, in press), a large proportion of adolescents expressed melancholic identifications in the projective tests through attacks on thought processes, isolated representations of undifferentiated, undefined objects, and devitalized or dead objects. Melancholic identifications show a disorganization of mental functioning linked to the intensity of pressure from impulses and drives, the extreme dependence on parental imago with confused generational references.…”

Section: Introductionmentioning

confidence: 99%

Suicide Attempt During Adolescence

Kernier

2012

Crisis

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“…Despite the deprivation of liberty it implies, a French practice, or, at least, a Romance language country practice, is often proposed with suicidal children and adolescents: a period of separation. It refers to a protocol starting at the admission of children and adolescents presenting with suicidal behaviors (including suicide attempts and suicidal ideation), in which the child is kept away from his/her family and social environment for a given period, which can vary from one team to another (8). This intervention differs from seclusion or restraint.…”

Section: Introductionmentioning

confidence: 99%

Separation Practices in Children and Adolescents Admitted for Suicidal Behavior: A National Survey of French Psychiatrists

et al. 2022

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ObjectivesTo assess practices of French psychiatrists regarding their management of children and adolescents with suicidal behaviors, focusing on the use of a separation protocol in which the youths are separated from their relatives.MethodsIn 2017, we conducted an online cross-sectional survey of French psychiatrists caring for children and adolescents. Participants were asked to describe their practice of a separation protocol in children and adolescents admitted for suicidal behavior. Our main analysis followed a descriptive approach. We also explored whether participant characteristics were associated with the use of a separation protocol.ResultsThe response rate was 218/2403 (9,1%); 57.9 % of respondents worked in a University hospital, and 60% of respondents reported routinely hospitalizing children. A separation protocol was set up by 91.1% of survey participants (systematically 39.6%, on a case-by-case basis 51.5%). The mean age from which a separation protocol was indicated was above 11 years; 64% of participants reported a separation period of ≤ 48 h. The most common (87%) criterion cited for establishing a separation period was family relationship difficulties. The most common (80.9%) reason to justify the use of a separation protocol was to allow a better clinical assessment. Exploratory analyses did not identify any participant characteristics associated with the use of a separation protocol (p > 0.2 for all).ConclusionThe use of a separation protocol in children and adolescents admitted for suicidal behavior is a widespread practice in France, despite the deprivation of liberty it implies. This raises the question of the relevance and usefulness of such a practice.

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Prise en charge des adolescents hospitalisés à la suite d’un geste suicidaire ou d’une menace suicidaire

Cited by 10 publications

References 9 publications

Restoring psychic containers of identity after a suicide attempt in adolescence

Restoring psychic containers of identity after a suicide attempt in adolescence

Suicide Attempt During Adolescence

Separation Practices in Children and Adolescents Admitted for Suicidal Behavior: A National Survey of French Psychiatrists

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