Annales medico-psychologiques最新文献

{"title":"Vincent Van Gogh, son génie, pourquoi tant d’idées reçues à son propos ?","authors":"Joëlle Skriabine","doi":"10.1016/j.amp.2024.10.008","DOIUrl":"10.1016/j.amp.2024.10.008","url":null,"abstract":"<div><div>Van Gogh's letters to his brother Theo written in august 1872, he was 19 years old, until his death, testify to the detours he took before devoting to painting. Not to give up, to enter posterity, to offer to the eyes his paintings, to transmit, this is what arms, barricades his morale. Hence, the idea of bringing another look on Vincent Van Gogh described cursed, crazy, suicidal.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 452-459"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Cross-cultural exploration of problematic Internet use, pathological personality traits, defense mechanisms, coping strategies, and self-esteem in 14 countries","authors":"Stéphanie Laconi ,&nbsp;Argyroula Kalaitzaki ,&nbsp;Daniel Tornaim Spritzer ,&nbsp;Simone Hauck ,&nbsp;Augusto Gnisci ,&nbsp;Ida Sergi ,&nbsp;Zahir Vally ,&nbsp;Otilia Tudorel ,&nbsp;Mona Vintila ,&nbsp;Sadia Malik ,&nbsp;Jano Ramos-Diaz ,&nbsp;Niko Männikkö ,&nbsp;Ozkan Cikrikci ,&nbsp;Gonzalo Salas ,&nbsp;Ruben Ardila ,&nbsp;Danilo Zambrano ,&nbsp;Claudio Lopez-Calle ,&nbsp;Reza Nahid Sahlan","doi":"10.1016/j.amp.2022.09.008","DOIUrl":"10.1016/j.amp.2022.09.008","url":null,"abstract":"<div><h3>Objectives</h3><div>The primary objective of this study was to compare the estimates of Problematic Internet Use (PIU) from 14 countries around the world, considering gender. The second objective was to explore the relationships between PIU and personality-related variables (pathological personality traits, defense mechanisms, coping strategies, and self-esteem).</div></div><div><h3>Materials and methods</h3><div>Our total sample consisted of 7726 participants (30.8% male, <em>n</em> <!-->=<!--> <!-->2378), aged between 18 and 86 years old (M<!--> <!-->=<!--> <!-->25.55; SD<!--> <!-->=<!--> <span>9.8). Recruited online, they completed several scales about their Internet use, defense mechanisms and coping strategies, self-esteem, and pathological personality traits.</span></div></div><div><h3>Results</h3><div><span>The PIU accounted for between 20.5% and 75% of participants using the PIUQ-9, while “self-perception” of PIU with a single item revealed estimates from 2% to 60.1%, with gender differences. Systematically, PIU significantly correlated with two variables: borderline personality traits (from .09 at </span><em>P</em> <!-->&lt;<!--> <!-->.05 to .42 at <em>P</em> <!-->&lt;<!--> <!-->.01) and immature defense mechanisms (from .13 to .42 at <em>P</em> <!-->&lt;<!--> <!-->.01). Dependent, avoidant, narcissistic, histrionic, and antisocial personality traits were positive predictors of PIU and self-esteem, paranoid and schizoid personalities were negative predictors.</div></div><div><h3>Conclusions</h3><div>This research highlights the many cross-cultural differences. Its design also allows for a better understanding of gender differences.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 400-406"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87985532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"L’évaluation du risque suicidaire : enquête sur les pratiques des services d’urgences psychiatriques en Île-de-France","authors":"Léa Dalkilic ,&nbsp;Lise Flevaud ,&nbsp;Romain Perot ,&nbsp;Louise Todorov ,&nbsp;Raphaël Gourevitch ,&nbsp;Fabrice Jollant ,&nbsp;Alexandra Pham","doi":"10.1016/j.amp.2025.02.004","DOIUrl":"10.1016/j.amp.2025.02.004","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Suicide remains a significant public health issue, with the World Health Organization (WHO) estimating that 700,000 deaths worldwide occur each year. This issue is particularly concerning in France, where the suicide rate is 13.2 per 100,000 people, accounting for approximately 200,000 suicide attempts annually. Suicide risk assessment in psychiatry, especially in emergency services, is crucial, but complex, varying between clinical approaches and standardized tools. The clinical approach has the advantage of adapting to the patient's discourse, but lacks objectivity and induces considerable inter-assessor variability. Standardized tools have been in development for many years. For example, in France, the &lt;em&gt;Risque-Urgence-Dangerosité&lt;/em&gt; (RUD) have been developed to provide a structured framework and reduce the inter-evaluator variability. Although these tools’ aim is to improve risk prediction, they lack validation in the scientific literature, and their frequency of use is unknown. Furthermore, the integration of standardized SRA tools into daily clinical practice in French psychiatric emergency departments is unknown. This study aims to gain a better understanding of suicide risk assessment practices in psychiatric emergency services in the Île-de-France region, particularly the frequency of use and the extent to which standardized tools are employed compared to clinical approaches, and to know the perceptions of the psychiatrists about the different assessment methods.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Materials and methods&lt;/h3&gt;&lt;div&gt;The study was conducted in two phases. The first phase involved a literature review to identify the most commonly used standardized suicide risk assessment tools, focusing on their advantages, limitations, and applicability in the French context. The second phase involved semi-structured telephone interviews with psychiatrists working in psychiatric emergency services in Île-de-France. A structured interview guide was developed to collect both qualitative and quantitative data on suicide risk assessment practices. The interviews aimed to gather information on the psychiatrists’ experience and training, the frequency of tool use, and their perceptions of different assessment methods. Interviews were conducted with 25 psychiatrists representing 25 out of the 43 identified services. Non-responding psychiatrists were contacted again at least once. The average length of the interviews was 21&lt;!--&gt; &lt;!--&gt;minutes. Expert contributions, including insights from Professor Jollant, were integrated to provide additional perspectives on the challenges related to suicide risk assessment. Datas were collected by telephone between June 1st, 2024 and August 31st, 2024.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Among the 25 psychiatrists interviewed, nearly half (48%) reported that they did not use standardized tools for suicide risk assessment, relying instead on clinical evaluations based on their personal experience a","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 380-386"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical and mental implications of mobile phone addiction","authors":"Iqra Arooj ,&nbsp;Iqra Munir ,&nbsp;Humaira Yasmeen","doi":"10.1016/j.amp.2022.09.002","DOIUrl":"10.1016/j.amp.2022.09.002","url":null,"abstract":"<div><div><span>Cell phones have transitioned quickly from being a luxury to a necessity and today, it is hard to find someone who is not enjoying the amazing power of cell phones. However, with great powers come great responsibilities; most of the users are unaware of the harmful effects of mobile overuse. Today, we are on the brink of being a victim of technology-addiction and in this regard, psychiatrists, educationists, and psychologists have emphasized upon the physical, social, and mental health problems caused by cell phone overuse leading towards addiction. Addiction to </span>mobile phone usage reportedly results in physical as well as mental impairment and has emerged as the subject of extensive discussion and debate among sociologists and psychologists. This technology-addiction needs to be addressed and managed thoughtfully or it may become the second most serious pandemic of this century.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 394-399"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76131500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Les patients âgés et « très âgés » aux urgences psychiatriques : une revue systématique de la littérature","authors":"Hugo Tiercelin ,&nbsp;Alexandra Pham-Scottez","doi":"10.1016/j.amp.2025.02.012","DOIUrl":"10.1016/j.amp.2025.02.012","url":null,"abstract":"&lt;div&gt;&lt;div&gt;The subject of elderly and “oldest old” patients in psychiatric emergency services, especially when compared with the literature on child and adolescent psychiatry and young adults, is still largely unexplored. Yet, with socio-demographic changes in our country and around the world, psychiatric care increasingly involves elderly and “oldest old” patients. Psychiatric emergency services, as a real “portail of entry” to psychiatric care, are and will continue to be on the front line. We therefore decided to carry out a systematic review of the French and international literature on elderly and “oldest old” patients attending psychiatric emergency services. We conducted a systematic review of the literature according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standard until August 2023. We chose to include all articles reporting cohorts of patients considered “elderly” and/or “oldest old” (without defining an age threshold) attending psychiatric emergency services (whether or not integrated into an Emergency Department), and to exclude other psychiatric emergency facilities (such as outreach services) and studies focusing on a specific reason for consultation or on theoretical aspects of the management of elderly patients in psychiatric emergency services. We selected 14 articles on patients aged 60 and/or 65 and over in psychiatric emergency services published in the international literature and 1 article specifically on patients aged 80 and over in psychiatric emergency services published in French. These articles are mainly North American, and half of them date from before 1990. The number of patients generally ranged from a few dozen to a few hundred and they were generally recruited monocentrically from psychiatric emergency services with very different operating procedures. The results were highly varied and disparate, covering, among other things: the context and modes of consultation, triggering factors, personal and family psychiatric history, distribution of diagnoses, substance use disorders behavioural disorders, suicidal behaviour, whether the consultation is urgent and/or relevant, and hospitalization rates. Some articles also performed bivariate and multivariate analyses, and identified predictive factors of hospitalization. The small number of articles and their great diversity make the generalization of these results to the French population extremely complicated. The problems of age threshold and the term used to designate elderly and “oldest old” patients are probably the greatest limitation to medical research in this population. New studies on this promising subject are needed, particularly outside North America and based on more recent data. Over the coming weeks and months, Centre Psychiatrique d’Orientation et d’Accueil (CPOA, psychiatric emergency services of Sainte-Anne hospital) team plans to publish the results of two cohorts of 300 and 306 patients, the first aged 60 and ","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 369-375"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cyberbullying and mental distress among adolescents in secondary school: Tunisian cross sectional study","authors":"Ben Touhemi Donia ,&nbsp;Chaabane Maryam ,&nbsp;Khemakhem Khaoula ,&nbsp;Chiha Khadija ,&nbsp;Ayadi Hela ,&nbsp;Moalla Yousr","doi":"10.1016/j.amp.2024.11.013","DOIUrl":"10.1016/j.amp.2024.11.013","url":null,"abstract":"<div><h3>Purpose</h3><div>Our study aimed to describe the characteristics of adolescents who are victims of cyberbullying and to evaluate their psychological status.</div></div><div><h3>Methods</h3><div>This is a cross-sectional, descriptive, and analytical study which was conducted with a sample of adolescents attending 6 different schools in Sfax region (Tunisia) during the month of February 2022. A pre-established form containing socio-demographic and family information was used. Cyberbullying was assessed using the “Cyber-Harassment Student Survey”. Mental distress was evaluated using the Depression Anxiety Stress Scales (DASS-21), validated in Arabic.</div></div><div><h3>Results</h3><div>Data were collected from 396 adolescents where 54.8% were females. The average age of participants was 16.65 years. Cyberbullying was reported by 47% of the surveyed adolescents. The major factors associated with cyberbullying in our sample included residing in urban areas (<em>P</em> <!-->=<!--> <!-->0.017), experiencing relational problems with parents (<em>P</em> <!-->=<!--> <!-->0.001) or siblings (<em>P</em> <!-->=<!--> <!-->0.002), the presence of behavioral problems in school (<em>P</em> <!-->=<!--> <!-->0.009), and low academic performance (<em>P</em> <!-->=<!--> <!-->0.000). Among cyberbullying victims, 41.3% exhibited moderate to severe depressive symptoms; 47.8% had moderate to severe anxiety levels, and 29.5% had moderate to severe stress levels. Cyberbullying was strongly correlated with depression (<em>P</em> <!-->=<!--> <!-->0.000), anxiety (<em>P</em> <!-->=<!--> <!-->0.00), and stress (<em>P</em> <!-->=<!--> <!-->0.00).</div></div><div><h3>Conclusion</h3><div>The results of this study indicate that cyberbullying is widespread within schools and has negative consequences on the mental health of young individuals. Recognizing this prevalence is essential and calls for a prevention strategy against cyber-related issues.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 439-445"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Charles Grimbert (1885–1971) : membre de la Société médico-psychologique (1931) et psychopédiatre","authors":"Denis Tiberghien","doi":"10.1016/j.amp.2023.04.021","DOIUrl":"10.1016/j.amp.2023.04.021","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Charles Grimbert (1885–1971) was born in Caen. He did his primary and secondary education in this town. Then, he arrived at Paris and enrolled in a history degree program at the Institut Catholique de Paris (1907–1908). One year later, he reoriented himself to study medicine at the University of Paris. In 1922, he submitted his thesis entitled: the simple, generalized or elective, delay of the nervous functions. It was inspired and directed by André Collin (1879–1926) who was the founder of the psychopediatric. In his thesis, he distinguishes in the “abnormal children's group” those with a retardation from those with a simple retardation of the child's nervous and mental functions. His PhD work is focused on the development of the child or more specifically of psychopediatric. But, it is also representative of a medical and religious speech that was very present in the 19th century. Pupil of A. Collin, Grimbert is a psychopediatrician of the first time. Nevertheless, his writings contributed to the development of psychopediatrics and he assimilated this short-lived discipline to the child neuro-psychiatry. He invited his colleagues to practice early medical examinations in children. He insisted on the necessity to have an exact knowledge of the nervous development of the child because the infantile neurology ensures the essential basis of the mental prophylaxis. Therefore, he asked families and educators to encourage the creation of psychiatric consultations for children. Grimbert did not advocate an approach based on measurable responses in the professional orientation of the child like the psychologist J.-M. Lahy (1872–1943). He worked in a private practice in Paris (7&lt;sup&gt;e&lt;/sup&gt; Arr.) as soon as he became medical doctor; he will work there until his retirement. At the same time and at different moments of his professional career, he will participate in the medical-psychological examinations of minors from the Paris region who were in the prison of La Petite-Roquette. He will work in one of the Parisian consultations of child neuro-psychiatry: the Saint-Dominique dispensary located at 6 villa Saint-Jacques (Paris). During the Second World War, he worked at the Ville-Evrard psychiatric hospital (Neuilly-sur-Marne) with Roger Mignot (1874–1947) and Charles Chanès (1893–1971). At last, he will work as a physician assistant at the L’Haÿ-Les-Roses health center directed by Gaston Maillard (1876–1967). Grimbert was a member of the Society of the History of Medicine (1922) and of the Medico-Psychological Society (1931) but he published especially in journals relating to catholic tradition religious than in scientific journals because he was also a member of an association of catholic doctors: the Saint-Luc, Saint-Côme, Saint-Damien Medical Society (1922). Grimbert has always defended a Christian and French education. He attached to the very early interpsychology between the family and the child while taking into account the importance of co","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 460-469"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"As predictives of digital game addiction in early childhood; digital parenting, family relations and social competence","authors":"Mehmet Akif Kay ,&nbsp;Mehmet Sağlam","doi":"10.1016/j.amp.2024.11.003","DOIUrl":"10.1016/j.amp.2024.11.003","url":null,"abstract":"<div><div>In this study, it was aimed to determine the relationships between digital game addiction, digital parenting, intra-family relations, and social competence in early childhood. The research population consists of the parents of preschool children between 48–72 months old in Turkey. The convenient sampling method, one of the random variable sampling methods, was used in the study. To explain digital parent awareness, digital game addiction, social competence, relationships between parents, and the communication between parent and child in early childhood, the relational survey model, one of the quantitative research methods, was used. The data were analyzed using Structural Equation Modeling. According to the research findings, it was determined that digital parenting awareness direct and indirectly impressed positively the parent–child relationship and social competence in children while negatively digital game addiction. Also, digital parenting awareness directly affected wedlock positively and significantly level. The wedlock affected the parent–child relationship positively, digital game addiction negatively and significantly, and social competence positively and indirectly. Lastly, it was understood that social competence in children directly affects digital game addiction negatively at a significant level. It was concluded that digital game addiction, digital parenting, family relations, and social competence in early childhood have direct and/or indirect effects on each other.</div></div>","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 429-438"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effets d’une formation de type premiers secours en santé mentale sur les attitudes des étudiants en médecine : une étude mixte contrôlée non randomisée","authors":"Maxime Vieux ,&nbsp;Emmanuel Poulet ,&nbsp;Édouard Leaune","doi":"10.1016/j.amp.2024.11.019","DOIUrl":"10.1016/j.amp.2024.11.019","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Several studies have shown that medical students tend to have increasingly unfavorable attitudes towards people with mental disorders during their education, but there is little data on the effectiveness of programs aimed at improving these attitudes. Mental Health First Aid (MHFA) programs have been shown to bring mental health knowledge to the general population and to reduce stigmatizing attitudes towards individuals with mental disorders. In addition, it increases confidence in one's abilities and self-confidence to help an individual with a mental disorder. It therefore seems essential to evaluate the effects of MHFA-type programs in medical students.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;The aim of our study was to evaluate the effects of a MHFA-type program implemented in a French medical school on the attitudes of second-year medical students towards people with mental disorders.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;We used a mixed methodology including the collection of quantitative and qualitative data, involving comparative measurement of changes in social distance and stigma towards people with mental disorders between a control group and an intervention group that received the MHFA-type program. The quantitative data were collected using a self-administered questionnaire written, translated and adapted from English. This questionnaire is used to assess the impact of MHFA programs, using a Likert scale from 1 to 5 and open-ended questions. The questionnaire was divided into four parts: 1) sociodemographic characteristics, 2) self-confidence in the ability to help someone with mental health problems, 3) social distance and personal stigma toward people with mental disorders, and 4) satisfaction toward the MHFA program. The qualitative part of the study comprised semi-structured interviews with second-year medical students who received the MHFA program.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Our MHFA-type program significantly reduced social distance and stigmatization towards people with mental disorders (depression: &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.001 and &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;.01; psychosis: &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;0.01 and &lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;.01). It also led to a significant increase in the confidence of students who received the intervention in providing help to this population (&lt;em&gt;P&lt;/em&gt; &lt;!--&gt;&lt;&lt;!--&gt; &lt;!--&gt;.001). Medical students reported a high level of satisfaction with the training and a greater interest in mental health. The semi-structured interviews highlighted the three following themes: a) the benefits of the program, b) perception of the program and c) interest in mental health. Through these themes, social representations were found to play a predominant role in the stigmatization of people with mental disorders by medical students, which differs depending on mental disorders.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Our study demonstrated the positive impact o","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 349-357"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"La compétence psychiatrique au service d’une régulation pluridisciplinaire : à propos des SAS psychiatriques","authors":"Eve Bécache ,&nbsp;Christian Di Filippo ,&nbsp;Marion Ledieu ,&nbsp;Kévin Rossini","doi":"10.1016/j.amp.2025.01.001","DOIUrl":"10.1016/j.amp.2025.01.001","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To provide a comprehensive overview of the deployment of psychiatric SAS (Healthcare Access Service), focusing on the experiences of LIVE and PEGASE (Exchange program to improve interprofessional care access management), in the Rhone and Gironde regions, and on the PRISME project, in the North region.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Method&lt;/h3&gt;&lt;div&gt;The data presented in this article are based on oral presentations made at the AFERUP Congress in December 2023 (feedback from the LIVE, PÉGASE, and PRISME teams) and during the first day of the “psychiatric SAS's National Coordination”, which took place in Lyon in October 2024. For this event, the local organizing committee distributed a data collection form for each psychiatric SAS: it was filled out on-site when a team representative was present (Bordeaux, Créteil, Lille, Lyon, Paris, and Poitiers) and was sent to the doctors responsible for each psychiatric SAS when they were absent (Nantes, Rennes, Saint-Étienne, and Toulouse).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The onset of the Covid-19 pandemic led to numerous upheavals, with successive lockdowns remaining the most evocative illustration. The healthcare sector was also affected, with the reorganization of emergency services, the deprogramming of thousands of procedures, and the temporary closure of care facilities, including CMPs (medical-psychological center) and outpatient psychiatric care. Against this particularly anxiety-provoking backdrop, several hotlines were set up for the general public. Some of these prefigured the creation of phone platforms for information, assessment, and guidance in mental health, such as LIVE and Questions Psy, followed by psychiatric SAS, in partnership with the SAMU-Centre 15-SAS in their respective departments. Currently, there are 9 operating psychiatric SAS and 5 under construction. While the principles of a graduated response to callers’ needs and unscheduled care remain central and common to these different systems, they operate in heterogeneous ways. The experiences of LIVE and Questions Psy also highlight the need to develop numerous partnerships, both to publicize these lines and to build and maintain an up-to-date mapping of departmental resources. They also demonstrate the value of upstream regulation of emergency services to avoid default referrals and to offer genuine alternative care paths. However, the proportion of referrals from these services to emergency departments remains high, due in part to the saturation of ambulatory services and private practitioners, but also because of the identification and easier access to care for patients with more severe clinical conditions through calls to the SAMU-Centre 15-SAS.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;Deployment of psychiatric SAS represents a real opportunity both to guide users in the best possible way and to prevent this function from being taken over by emergency services. It also offers prescription assistance and tele-ex","PeriodicalId":7992,"journal":{"name":"Annales medico-psychologiques","volume":"183 4","pages":"Pages 358-368"},"PeriodicalIF":0.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}