\u00c0 l\u2019occasion de la Journ\u00e9e mondiale de pr\u00e9vention du suicide du 10 septembre, le Groupement d\u2019\u00e9tudes et de pr\u00e9vention du suicide (Geps) a publi\u00e9 une nouvelle recommandation consacr\u00e9e \u00e0 la pr\u00e9vention du suicide et des gestes auto-inflig\u00e9s dans les \u00e9tablissements sanitaires et m\u00e9dico-sociaux en France. Le document rappelle que 15,1 % des actes suicidaires d\u00e9clar\u00e9s \u00e0 la Haute Autorit\u00e9 de sant\u00e9 (HAS) entre 2017 et 2021 sont survenus dans un \u00e9tablissement m\u00e9dico-social, ce qui souligne l\u2019enjeu pour ce secteur.<\/p>\n
\u00c9labor\u00e9es \u00e0 partir d\u2019une revue syst\u00e9matique de la litt\u00e9rature et d\u2019un consensus d\u2019experts, ces recommandations promeuvent une approche globale de la pr\u00e9vention qui ne se limite pas \u00e0 la prise en charge clinique. Elles couvrent l\u2019organisation des \u00e9tablissements, l\u2019am\u00e9nagement et la s\u00e9curisation des locaux, la formation des professionnels, la transmission des informations, la coordination des \u00e9quipes et la continuit\u00e9 des soins, depuis l\u2019admission du patient jusqu\u2019aux semaines suivant sa sortie. Elles sont pr\u00e9sent\u00e9es comme une ressource pour les professionnels du champ social et m\u00e9dico-social afin de questionner les pratiques, renforcer les coop\u00e9rations et structurer une politique de pr\u00e9vention du risque suicidaire.<\/p>\n
Dix axes op\u00e9rationnels sont formul\u00e9s pour les \u00e9tablissements sanitaires et m\u00e9dico-sociaux : conduite syst\u00e9matique de revues de mortalit\u00e9 et morbidit\u00e9 apr\u00e8s un acte suicidaire ; d\u00e9finition et mise en \u0153uvre d\u2019un plan d\u2019\u00e9tablissement de pr\u00e9vention du suicide et des gestes auto-inflig\u00e9s, incluant un plan de post-vention institutionnelle ; s\u00e9curisation de l\u2019ensemble des lieux de soins ; garantie d\u2019une formation ad\u00e9quate des personnels soignants, en nombre suffisant et disponibles, ainsi que de relations de soins de qualit\u00e9 et de d\u00e9cisions partag\u00e9es ; d\u00e9pistage r\u00e9gulier des pens\u00e9es suicidaires et \u00e9laboration de plans de surveillance et de protection ; facilitation de la transmission interne et externe des informations sur le patient durant l\u2019hospitalisation ; organisation de la psychiatrie de liaison dans les services de m\u00e9decine, chirurgie, obst\u00e9trique (MCO) ; prise en charge des troubles psychiatriques et des usages de substances, avec discussion des interventions pharmacologiques et psychosociales en situation de crise suicidaire ; pr\u00e9paration des p\u00e9riodes de transition (transferts, permissions, sorties) afin d\u2019assurer la continuit\u00e9 des soins et un re-contact apr\u00e8s la sortie ; am\u00e9lioration du signalement des suicides et tentatives de suicide en \u00e9tablissement.<\/p>\n
Les acteurs cl\u00e9s mentionn\u00e9s sont le Geps, en tant qu\u2019\u00e9metteur des recommandations, et la HAS comme organisme destinataire des d\u00e9clarations d\u2019actes suicidaires servant de base \u00e0 la quantification du ph\u00e9nom\u00e8ne. Les enjeux de politique publique portent principalement sur la structuration institutionnelle de la pr\u00e9vention du suicide dans les \u00e9tablissements, le renforcement des dispositifs de s\u00e9curit\u00e9 et de rep\u00e9rage, l\u2019organisation des soins psychiatriques en lien avec les services somatiques et la qualit\u00e9 du suivi lors des transitions de parcours.\u00a0(contenu r\u00e9sum\u00e9 par l’IA)\u200bLire la Suite<\/a>\u200b<\/p>","protected":false},"excerpt":{"rendered":" \u00c0 l\u2019occasion de la Journ\u00e9e mondiale de pr\u00e9vention du suicide du 10 septembre, le Groupement d\u2019\u00e9tudes et de pr\u00e9vention du suicide (Geps) a publi\u00e9 une nouvelle recommandation consacr\u00e9e \u00e0 la […]<\/p>\n","protected":false},"author":1,"featured_media":4388,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[5],"tags":[70,227],"class_list":["post-17352","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sante-mentale-et-psychiatrie","tag-santementale-fr","tag-ia"],"_links":{"self":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/17352","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17352"}],"version-history":[{"count":0,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/posts\/17352\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=\/wp\/v2\/media\/4388"}],"wp:attachment":[{"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17352"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17352"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/veilles-affaires-sociales.fr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17352"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}