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Le Suicide HhDocteur Jean-Georges Rohmer Hpitaux Universitaires de Strasbourg jean-georges.rohmer@chru-strasbourg.friPi>O CAspects pidmiologiques des suicides et des tentatives de suicide (Un problme important de sant publique12000 suicides en France annuellement Plus de 150 000 tentatives de suicide Nombre invaluable de conduites risque autodestructrices (quivalents suicidaires)S C$Un problme important de dfinitionLes tudes pidmiologiques se fondent sur les cas dclars de suicide Dpendent donc des certificateurs Soit on considre tout acte d autodestruction Soit on restreint aux actes o la mort rsulte d une intentionnalit dlibre L incidence du suicide dans une socit reflte donc en partie l ide qu elle s en fait& Ceci rend problmatique les comparaisons entre divers pays\GZ"ZZ;ZG";(Importance du suicide dans la mortalitEn France la fiabilit des statistiques est conteste pour 2 raisons : La dissimulation du caractre suicidaire du dcs L incertitude quant l intentionnalit de l acte En France la sous-valuation des suicides est value 20% : Elle est plus importante dans les grandes zones urbaines : C est en Ile de France qu on relve le plus de dcs pour cause inconnue\Ge>Ge>  Incidence du suicide en FranceEn 1995 : 12041 suicides 8872 hommes 3169 femmes Le taux de suicide est donc de 31,5/100000 pour les hommes Le taux est de 10,7/100000 pour les femmes Soit 20,8 pour l ensemble de la population\g+ g+   La surmortalit masculineElle est manifeste tout ge  Surmortalit masculineElle connat un premier pic vers 45 ans Elle est majeure chez la personne ge x19 par rapport aux adolescents ! L augmentation chez la femme est moins importante et plus rgulire avec l ge,O#O 'Evolution des taux de suicide en France\Le taux de suicide a augment de manire significative depuis les annes 70 L importance relative du suicide dans la mortalit est maximum vers 30 ans cet ge c est la premire cause de dcs 20% des dcs masculins 15% des dcs fminins L importance relative du suicide dcrot rapidement aprs ce pic Moins de 1% chez les plus gs L importance relative du suicide a plus que doubl dans la mortalit gnrale entre 1950 et 2000 En 1995 ceci reprsente une perte d esprance de vie la naissance de 4,8 ans pour les hommes et 1,9 ans pour les femmesZ+Z/ZAZZZbZzZ+/A  bz  -Frquence du suicide dans les pays dveloppsL volution est similaire celle constate en France : L augmentation est graduelle depuis 1950 et touche +++ les moins de 35 ans Les taux de suicide masculins progressent quasiment partout plus vite La surmortalit masculine connat ainsi un ratio situ entre 2 et 4X8ZKZZZ8K   -Taux de suicide dans quelques pays dvelopps  (Hypothses sociologiques sur le suicideMoins une socit intgre ses membres, plus les taux de suicide augmentent Chmage, prcarit Communautarisme Diminution des liens familiaux&KBKB Importance des modes de suicideLa disponibilit des moyens a un impact sur l importance et l volution du suicide Aux USA, les tats la lgislation la plus permissive sur la possession des armes feu : Ont un taux de suicide par arme feu 6x plus lev Un taux global de suicide 40% plus lev que la moyenne nationale Il existe une corrlation fortement positive entre alcoolisme, toxicomanie et taux de suicide : Plus l alcoolmie est leve, plus les moyens employs sont violentsvSZ[ZwZ`ZEZS[w`  E $Incidence des tentatives de suicideJEnviron 150000 cas par an en France Avec une incidence de 220/100000 chez les hommes Et 450/100000 chez les femmes En Grande-Bretagne la TDS est la premire cause d admission hospitalire en urgence chez la femme jeune Le taux maximal est observ chez les adolescentes (16-19 ans) 780/100000x$ZOZZZ Z$O VEvolution rcente de l incidence de la TDS.Ralentissement gnral de l augmentation voire stabilisation des chiffres Incidence absolue trs variable d un pays l autre suivant le mode d enregistrement des TDS La prvalence vie entire de la TDS varie de 1,1 4,9% avec un rajeunissement significatif de la population&qq)Prvalence de la pathologie psychiatriqueLes chiffres connaissent des variations spectaculaires : De 25 prs de 100% ! Quoiqu il en soit, le risque de suicide est accru quelle que soit la pathologie considre L incidence du suicide est ainsi significativement augmente pour : Les troubles affectifs Les troubles de la personnalit Les tentatives de suicideh9ZZZQZ9[EQDpression et suicidex60 70% des suicids sont dprims au moment du passage l acte 15% des dprims finissent par se suicider Ce qui reprsente un risque relatif de 30 par rapport la population gnraleZAge, diagnostic et suicideLes diagnostics les plus souvent relevs chez les suicids jeunes sont : Psychose et dpendance Plus l ge s accrot, plus l incidence des troubles dpressifs augmentent Il existe une vulnrabilit spcifique du dprim g vis vis du suicidedIJKIJK1Tentative de suicide et pathologie psychiatriquev10 50% de dpression grave chez les suicidants Chez les dprims, le risque vie entire de faire une TDS est de 40%ww'Alcool, dpression, anxit et suicideLe risque de suicide est particulirement lev chez l alcoolique dprim : Risque relatif x2 par rapport au dprim non alcoolique Le risque est galement lev chez les patients anxieux ou prsentant un trouble panique XLZ8ZZ[ZL8[  Schizophrnies et suicideLe risque de suicide est particulirement lev dans ce groupe de pathologie Le taux de suicide vie entire est de 15% La prvalence des suicidants chez les schizophrnes est de 35% On retrouve souvent l association entre le dsespoir li la prise de conscience du dficit Une tentative de suicide est un facteur de risque important pour le suicide chez le schizophrne`MZiZZZMi  %Le devenir des tentatives de suicideC est le facteur de risque le plus significatif au suicide C est parfois le seul rellement prdictif 1% des suicidants se suicident dans l anne suivant leur TDS 15% des suicidants se suicident sur la vie entire 30 60% des suicids sont des rcidivistes >;;'Risques lis la tentative de suicideSur 10 ans, la surmortalit relative chez les suicidants est de 3,3 : Le risque de mortalit par causes naturelles est de 2,3 La surmortalit suicidaire est de 27 Le risque est majeur dans les 3 1res annes suivant la TDSPF^<F^<  /Risque en fonction de la typologie du suicidantLe devenir des suicidants est pjoratif chez : Les femmes schizophrnes (RR = X13) Les hommes dsocialiss alcooliques et femmes au long pass suicidaire (RR = X10) Le risque relatif de suicide est x 50 dans la premire anne de suivi aprs une TDSP/vT/vT  Rcidive de la TDS43% des suicidants sont des rcidivistes Les taux de rcidive 1 an ont peu diminu en 30 ans Le taux de rcidive est plus faible aprs une admission en psychiatrie Le risque de rcidive de la TDS est li : La jeunesse, les troubles de la personnalit, des parents traits en psychiatrie Le risque de rcidive de suicide est li : L ge et les troubles dpressifs)6sQ-!)6sQ-!  Prvention du risque suicidaireRsultats de l tude de l le de Gotland (1980) = amlioration de la dtection du trouble dpressif chez les gnralistes avec : Diminution des hospitalisations Diminution de la morbidit et des dpenses de sant Diminution de la consommation mdicamenteuse& sauf les antidpresseurs ! Ce rsultat positif ne concerne pas les hommes dprims Ils ne consultent pas leur mdecin pour leurs troubles& Aprs la fin de l tude, le taux de suicide sur l le a retrouv son niveau antrieur& tZZ8Z:ZWZ8:WAutres tudes de prvention L tude rtrospective des dossiers mdicaux des suicids retrouve une consultation mdicale motif psychologique dans le mois prcdant le passage l acte dans 75% des cas mais : Le risque suicidaire est exceptionnellement not La dpression n est identifie que dans 15% des cas Seuls 50% des dprims identifis bnficient d un traitement antidpresseur efficaceB Quelques rsultats ngatifsXLe rle des rseaux d coute n a jamais t clairement valu Les programmes de prvention en milieu scolaire n ont jamais fait la preuve de leur efficacit Aucun programme prventif sur des populations risque ne s est montr efficace Les programmes prventifs efficaces concernent : La dtoxification du gaz domestique La lgislation restrictive sur les armes feux La rduction des prescriptions mdicamenteuses inadaptes.ZZ!,Evaluation prospective du risque suicidaireC est une proccupation majeure sur un plan mdical mais qui a ses limites La mdecine ne peut uniquement s exprimer sur le plan individuel en terme de probabilit Il existe cependant des facteurs de risque suicidaire bien recenss et tays:KYNKYN"<Typologie de l acte suicidaireAntcdents de TDS (cf supra) La violence de l acte suicidaire La disponibilit des moyens La prparation et la dissimulation de l acteZu#Antcdents des sujetsDpression dans l enfance Maltraitance et/ou abus sexuels infantiles Perte des parents avant 10 ans Antcdents psychiatriques$Antcdents familiauxMajoration du risque suicidaire en cas d antcdents fam. de suicide Risque relatif multipli par 4 Risque augment galement en cas d antcdents familiaux de : Traitement psychiatrique pisode maniaque pisode dpressifnEZZZ>Z<ZE><% Aspects cliniques faisant voquer un risque imminent de passage l acteIIJIdes de mort obsdantes Perte d espoir/dsespoir +++ Ralentissement majeur Repli social et dsinvestissement important +++ Phase de renoncement L insomnie matinale L0  *&!/Symptmes dpressifs et risque suicidaire levAutoaccusations : signe trs alarmant Existence d ides dlirantes d indignit ou de culpabilit Agitation ou inhibition majeure Angoisse intense avec sentiment d hostilit de l ambiance Chez l adolescent : instabilit et impulsivit '"Un facteur majeur souvent nglig : la communication de l intention suicidaireOO$90% des suicids avaient averti leurs proches 45% communiquent leur intention leur mdecin L expression est le plus souvent spontane et directe Elle peut tre indirecte et masque : Ides de dpart, de sommeil, d oubli, de btises Lettre, testament*GG(#,Risque suicidaire et temps de la dpression40 70% des suicides ont lieu dans la premire anne d volution du trouble dpressif La sortie de l hpital est une priode risque +++)$Autres troubles haut risque .Alcoolisme : 25% des cas de suicide Troubles de la personnalit de type hystrique ou obsessionnel Les troubles des conduites de type psychopathique avec impulsivit et agressivit Les pharmacodpendances Les affections somatiques graves Retrouves dans 30% des cas de suicide chez les dprims graves*@@*%Prise en charge du suicidant^La tentative de suicide n est pas un danger imaginaire C est un passage l acte dangereux qui fait courir un risque vital au sujet La gravit est souvent sous-value par : Le sujet lui mme Par les proches qui minimisent le problme Par certains mdecins se limitant l abord somatique des problmesFZZ7N*+&Gravit du pronosticUne tentative sur deux est une rcidive Une rcidive sur deux survient dans l anne qui suit la TDS La prise en charge doit donc tre prcoce2eZ*Ze*,'(Sur les lieux de la tentative de suicidenOn doit toujours inciter la personne consulter un mdecin L appel au gnraliste est important mais ne peut constituer qu une tape vers la consultation psychiatrique La crise passe aussi bien le sujet que son entourage minimise, occulte les problmes ralisant ainsi toutes les conditions de la rptition Tout suicidant devrait tre orient vers un centre spcialis, car la gravit du geste n est pas corrl la gravit du risque~<ZmZVZ9ZZ<mV9-(Dans les services hospitaliersAccueil du suicidant Evaluation de l tat somatique Accueil rapide des proches Evaluation psychiatrique rapide ds que l tat de conscience le permet Trop tt l examen perd toute pertinence Trop tard et le sujet met en place ses dfenses psychologiques&gg.)DElments de l examen psychiatriqueLe premier entretien est primordial et productif On recueille des lments sur la suicidalit Dsespoir Retrait social Dsintrt Ruminations On recherche une pathologie psychiatrique associe On met en vidence les facteurs de risques socio-familiauxV^Z0ZnZ1-0n  R /*Analyse des motivations}Escapistes : fuite-deuil-chtiment Agressives : vengeance-crime-appel Oblatives : sacrifice-passage Ludiques : ordalie-jeu~Z~0+Entretien avec les prochesvaluation de l impact du geste Recherche des dysfonctionnements du systme familial Apprciation des blocages et des remaniements possibles Evaluation de la dramatisation et/ou de l indiffrenceZ1, OrientationPrise de contact avec le mdecin habituel du sujet Propositions thrapeutiques Sortie simple Hospitalisation Hospitalisation sous contrainte Rendez-vous prcoce aprs sortie simple&OjOj4-  /$789:;<=>?@ A B C D EFGHIJKLMNOPQRSTUVW X!Y"Z#[$\%]&^'_(`)a*b+c,d-e.  ` f [f f3̙` 999f~` ___` 33f3f` f33f 3f3̙` 33f̙3f>?" dd@,?Zd@  d " @ `"  n?" dd@   @@``PP   @ ` ` p>>  0    p(  |T   "   fxgֳgֳd?P < 2    `{gֳgֳ? < 2 Z  s *A?8  # lp~1 ?"   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̙33___PPT10.+} <D''  = @B D' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*HL%(D ' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*HM%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*H%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*H%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*H%(D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*H3%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*H3R%(D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*HS%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*H/%(+8+0+H +J     P\(  Px P c $DO     P c $@ P<$ 0  H P 0޽h ? ̙33  ___PPT10 .+} <Dz '  = @B D5 ' = @BA?%,( < +O%,( < +D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*P8%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*P8%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*P%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*P%(+8+0+P +    `$(  `x ` c $    l ` 0A ?? @H H ` 0޽h ? ̙33     X\(  Xx X c $ 7     X c $^  <$ 0  H X 0޽h ? ̙33___PPT10.+} <D'  = @B D' = @BA?%,( < +O%,( < +D ' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*XK%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*XKS%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*XSc%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*Xc%(+8+0+X +    h\(  hx h c $(]     h c $( <$ 0  H h 0޽h ? ̙33  ___PPT10h .+} <D '  = @B D ' = @BA?%,( < +O%,( < +D ' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*hS%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*hS%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*h%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*h$%(D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*h%%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*h%(+8+0+h +|    p\(  px p c $P     p c $PƵ <$ 0  H p 0޽h ? ̙33@ 8 ___PPT10 .+} <D '  = @B Dg ' = @BA?%,( < +O%,( < +Ds' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*p$%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*p$U%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*pUs%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*pt%(D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*p%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*p&%(+8+0+p +    @x\(  xx x c $     x c $p@`P<$ 0  H x 0޽h ? ̙33___PPT10.+} <D1'  = @B D' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*xJ%(D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*xJ%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*x%(+8+0+x +   `\(  x  c $      c $t <$ 0  H  0޽h ? ̙33___PPT10.+} <DE'  = @B D' = @BA?%,( < +O%,( < +D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*9%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*9P%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*P%(D ' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*'%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*'A%(+8+0+ +    \(  x  c $      c $  <$ 0  H  0޽h ? ̙33um___PPT10M.+} <D'  = @B D' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*B%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*Bm%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*n%(+8+0+ +    \(  x  c $X6m   m   c $87m <$ 0 m H  0޽h ? ̙33^ V ___PPT106 .+} <D'  = @B D' = @BA?%,( < +O%,( < +D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*I%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*I`%(D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*a%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(+8+0+ +h   \(  x  c $jp h     c $Xkp`p<$ 0  H  0޽h ? ̙33,$___PPT10.+} <D'  = @B DS' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*1%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*2w%(+8+0+ +    \(  x  c $pem   m   c $+B#style.visibility<*L%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*L%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(+8+0+ +    \(  x  c $wm   m   c $xm` <$ 0 m H  0޽h ? ̙33  ___PPT10 .+} <D '  = @B D ' = @BA?%,( < +O%,( < +Ds' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*M%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*Mw%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*w%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*v%(+8+0+ +     \(  x  c $Xm   m   c $$m  <$ 0 m H  0޽h ? ̙33G ? ___PPT10 .+} <D '  = @B Dn ' = @BA?%,( < +O%,( < +D' =%(DM' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*;%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*;f%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*f%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(+8+0+ +    @\(  x  c $0m   m   c $mp <$ 0 m H  0޽h ? ̙33^ V ___PPT106 .+} <D'  = @B D' = @BA?%,( < +O%,( < +Ds' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*F%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*F%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(+8+0+ +    `\(  x  c $m   m   c ${mp<$ 0 m H  0޽h ? ̙33^ V ___PPT106 .+} <D'  = @B D' = @BA?%,( < +O%,( < +Ds' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*/%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*/S%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*S%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(+8+0+ +   \(  x  c $m   m   c $`m  <$ 0 m H  0޽h ? ̙33___PPT10a.+} <D'  = @B D' = @BA?%,( < +O%,( < +D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*)%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*)_%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*_%(D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*#%(D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*#P%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*Pq%(+8+0+ +   \(  x  c $m   m   c $mP `<$ 0 m H  0޽h ? ̙33___PPT10.+} <DE'  = @B D' = @BA?%,( < +O%,( < +D ' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*S%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*S%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(+8+0+ +3    \(  x  c $\m   m   c $<m<$ 0 m H  0޽h ? ̙33  ___PPT10 .+} <Dc '  = @B D ' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*[%(D ' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*\%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*F%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*Fz%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*z%(+8+0+ +   \(  x  c $PXo   o   c $0Yo <$ 0 o H  0޽h ? ̙33___PPT10a.+} <D'  = @B D' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*>%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*>%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D ' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*C%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*Cs%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*s%(+8+0+ +    \(  x  c $o   o   c $|o`<$ 0 o H  0޽h ? ̙33___PPT10.+} <D1'  = @B D' = @BA?%,( < +O%,( < +D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*K%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*K%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(+8+0+ +     \(  x  c $o   o   c $lo` <$ 0 o H  0޽h ? ̙33  ___PPT10 .+} <D* '  = @B D ' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*@%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*A]%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*^%(+8+0+ +    @\(  x  c $`o   o   c $@o ` <$ 0 o H  0޽h ? ̙33  ___PPT10 .+} <D* '  = @B D ' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*E%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*Ed%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*d%(+8+0+ +    `\(  x  c $Do   o   c $+B#style.visibility<*E%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*Ed%(D ' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*e%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(+8+0+ + !  \(  x  c $o  o   c $o`<$ 0 o H  0޽h ? ̙33PH___PPT10(.+} <D'  = @B Dw' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*6%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*6L%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*L|%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*|%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(+8+0+ +C "  \(  x  c $To   o   c $op `<$ 0 o H  0޽h ? ̙33  ___PPT10 .+} <Ds '  = @B D. ' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*&%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*&a%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*a%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(+8+0+ +, #  \(  x  c $o   o   c $o <$ 0 o H  0޽h ? ̙33  ___PPT10 .+} <D\ '  = @B D ' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*.%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*.]%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*]%(Ds' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*%(+8+0+ +h $   \(   x   c $0o   o    c $ o  <$ 0 o H   0޽h ? ̙33,$___PPT10.+} <D'  = @B DS' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* W%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<* W%(+8+0+  + %  (\(  (x ( c $Q   Q  ( c $QP `<$ 0 Q H ( 0޽h ? ̙33___PPT10x.+} <D '  = @B D ' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*($%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*($d%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*(d%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*(%(D' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*(%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*(/%(+8+0+( +| &   0\(  0x 0 c $mp   p  0 c $xnp <$ 0 p H 0 0޽h ? ̙33@ 8 ___PPT10 .+} <D '  = @B Dg ' = @BA?%,( < +O%,( < +DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*07%(DA' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*07%(D ' =%(D' =%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*0%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*0%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*0%(D' =A@BBBB0B%(D' =1:Bvisible*o3>+B#style.visibility<*00%(+8+0+0 +  '  @H\(  Hx H c $|p   p  H c $p` <$ 0 p H H 0޽h ? 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&՜.+,0T      Affichage l'cranH.U.S. B// 4Times New RomanSymbol WingdingsCadenasGraphique Microsoft GraphPrsentation PowerPoint Le SuicideDAspects pidmiologiques des suicides et des tentatives de suicide)Un problme important de sant publique%Un problme important de dfinition)Importance du suicide dans la mortalitIncidence du suicide en FranceLa surmortalit masculineSurmortalit masculine(Evolution des taux de suicide en France.Frquence du suicide dans les pays dvelopps.Taux de suicide dans quelques pays dvelopps)Hypothses sociologiques sur le suicide Importance des modes de suicide%Incidence des tentatives de suicide,Evolution rcente de lincidence de la TDS*Prvalence de la pathologie psychiatriqueDpression et suicideAge, diagnostic et suicide2Tentative de suicide et pathologie psychiatrique(Alcool, dpression, anxit et suicideSchizophrnies et suicide&Le devenir des tentatives de suicide(Risques lis la tentative de suicide0Risque en fonction de la typologie du suicidantRcidive de la TDS Prvention du risque suicidaireAutres tudes de prventionQuelques rsultats ngatifs-Evaluation prospective du risque suicidaireTypologie de lacte suicidaireAntcdents des sujetsAntcdents familiauxIAspects cliniques faisant voquer un risque imminent de passage lacte0Symptmes dpressifs et risque suicidaire levOUn facteur majeur souvent nglig : la communication de lintention suicidaire-Risque suicidaire et temps de la dpressionAutres troubles haut risque Prise en charge du suicidantGravit du pronostic)Sur les lieux de la tentative de suicideDans les services hospitaliers#Elments de lexamen psychiatriqueAnalyse des motivationsEntretien avec les proches OrientationPrsentation PowerPoint Polices utilisesModle de conceptionServeurs OLE incorporsTitres des diapositives/_㿋mcrihadmcrihadm  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      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