https://orcid.org/0000-0003-2787-9564
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Abstract
Objective
Assessment of suicidal risk is one of the most challenging tasks faced by health professionals, notably in emergency care. We compared telephone suicide risk assessment at prehospital Emergency Medical Services Dispatch Center (EMS-DC), with subsequent face-to-face evaluation at Psychiatric Emergency Service (PES), using French national Risk-Urgency-Danger standards (RUD).
Method
Data were collected for all suicidal adult patients (N = 80) who were addressed by EMS-DC to PES between December 2018 and August 2019 and benefited from RUD assessment at both services. Suicidal risk was given a score of 1, 2, 3 or 4, in order of severity.
Results
Mean of the differences between the RUD score at EMS-DC and PES was −0.825 (SD = 1.19), and was found to be significant (p < 0.01). The average time between RUD assessments was 420 min (SD = 448) and was negatively correlated with the difference in the RUD score (r = −0.295, p = 0.008). Associated suicide attempt increased the odds of a decrease in the RUD score (OR = 2.989; 95% CI = 1.141–8.069; p < 0.05).
Conclusions
Telephone evaluation of suicidal risk using RUD at EMS-DC yielded moderately higher scores than those obtained by a subsequent face-to face evaluation at PES, with this difference partially explained by the time between assessments, and by clinical and contextual factors.
ACKNOWLEDGMENTS
We would like to thank all the participants and the multidisciplinary teams of Versailles General Hospital who gave their time to this work and their everyday dedication to patients.
DISCLOSURE STATEMENT
No potential conflict of interest was reported by the author(s).
Additional information
Funding
Notes on contributors
Cyrille Norotte
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Laure Zeltner
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Julia Gross
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Marc Delord
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Caroline Richard
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Marie-Caroline Bembaron
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Jean-Marie Caussanel
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Annie Herbillon
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Christine Rousseau
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Carole Chiquet
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Christine Ehly
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Amandine Pain
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Fernando Vadillo
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Laure Morisset
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Paul Roux
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Christine Passerieux
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Yves Lambert
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Mehrsa Koukabi-Fradelizi
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Nadia Younes
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.
Olivier Richard
Cyrille Norotte, Laure Zeltner, Julia Gross, Marc Delord, Caroline Richard, Marie-Caroline Bembaron, Jean-Marie Caussanel, Annie Herbillon, Christine Rousseau, Carole Chiquet, Christine Ehly, Amandine Pain, Fernando Vadillo, Laure Morisset, Paul Roux, Christine Passerieux, Yves Lambert, Mehrsa Koukabi-Fradelizi, Nadia Younes, and Olivier Richard, Cellule d’urgence médico-psychologique, SAMU des Yvelines, Centre Hospitalier de Versailles, Le Chesnay, France.