0000000000122025
AUTHOR
Fabrice Jollant
Risque augmenté de ré-hospitalisation chez les personnes atteintes de diabète de type 1 et de schizophrénie
Introduction La morbidite et mortalite associees au diabete comme a la schizophrenie suggerent que leur combinaison puisse generer de graves problemes. L’objectif de l’etude etait d’estimer le risque de re-hospitalisation pour complications aigues du diabete et tentative de suicide a trois ans chez des personnes atteintes de diabete et de schizophrenie. Methodes A partir des donnees nationales d’hospitalisation, l’etude en population s’est interessee aux personnes âgees de 15 a 35 ans pour lesquelles une hospitalisation mentionnait un diabete de type 1, entre 2009 et 2012. Pour identifier les personnes atteintes de schizophrenie, un code correspondant a ete recherche pendant ou dans les deu…
Hospitalization for self-harm during the early months of the Covid-19 pandemic in France: a nationwide study
ABSTRACTIntroductionLittle is known to date about the impact of Covid-19 pandemic on self-harm incidence.MethodsThe number of hospitalizations for self-harm in France (mainland and overseas) from January to August 2020 (which includes the first confinement from March 17th to May 11th) was compared to the same period in 2019-2017. Hospital data with the ICD-10 codes X60-84 were extracted from the national administrative database (PMSI).ResultsThere were 53,583 hospitalizations for self-harm in France between January and August 2020. Compared to the same period in 2019, this represents an overall 8.5% decrease. This decrease started the first week of the confinement and the number of hospital…
Mortalité à un an post-hospitalisation pour lésion auto-infligée: une étude nationale française
Introduction Les personnes qui se presentent a l’hopital pour un acte auto-inflige non mortel courent un risque accru de deces premature. Dans la presente etude, nous avons cherche a consolider et a etendre les resultats anterieurs sur la base d’un tres grand echantillon d’individus extraits des registres nationaux. Methodes Les donnees ont ete extraites du projet AMPHI, consistant en la collecte des bases de donnees PMSI et CepiDC. Nous avons extrait des donnees sur les personnes hospitalisees pour lesions auto-infligees (codes X60 a X84 de la CIM-10) du 1er janvier 2008 au 31 decembre 2009. Nous avons considere la premiere hospitalisation durant la periode etudiee comme l’acte index. La m…
Hospitalization for self-harm during the early months of the COVID-19 pandemic in France: A nationwide retrospective observational cohort study
ABSTRACT Background Little is known to date about the impact of COVID-19 pandemic on self-harm. Methods The number of hospitalizations for self-harm (ICD-10 codes X60-X84) in France from 1st January to 31st August 2020 (including a two-month confinement) was compared to the same periods in 2017–2019. Statistical methods comprised Poisson regression, Cox regression and Student's t-test, plus Spearman's correlation test relating to spatial analysis of hospitalizations. Outcomes There were 53,583 self-harm hospitalizations in France during January to August 2020. Compared to the same period in 2019, this represents an overall 8·5% decrease (Relative Risk [95% Confidence Interval] = 0·91 [0·90–…
Increased Risk of Rehospitalization for Acute Diabetes Complications and Suicide Attempts in Patients With Type 1 Diabetes and Comorbid Schizophrenia
OBJECTIVE The aim of this large retrospective cohort study was to estimate the supplementary morbidity and mortality risks conferred by the co-occurrence of schizophrenia among young people with type 1 diabetes. RESEARCH DESIGN AND METHODS This nationwide population-based study included individuals aged 15–35 years hospitalized in France for type 1 diabetes from 2009 to 2012 with or without schizophrenia. For assessment of the occurrence of rehospitalization for acute diabetes complications, suicide attempts, and hospital mortality, multivariate logistic regressions and survival analysis adjusted for age, sex, and Charlson comorbidity index scores were performed. The association between ho…
Étude de l’association entre les troubles des conduites alimentaires et le risque suicidaire chez les adolescents et jeunes adultes
Introduction Alors que le suicide represente la seconde cause de mortalite chez les 15–24 ans, l’adolescence apparait comme la periode charniere de decollage du nombre de cas de suicide. Il est clairement etabli que les pathologies mentales peuvent augmenter le risque de suicide. Toutefois, en raison de la relative rarete du suicide, la connaissance des facteurs de risque de mortalite par suicide durant l’adolescence ou le debut de l’âge adulte reste limitee. Les donnees du Systeme national des donnees de sante (SNDS) en population nous offrent l’opportunite d’etudier des evenements rares, difficilement accessibles par des etudes cliniques impliquant les personnes. L’objectif de notre etude…