Idéation et conduites suicidaires des migrants en situation de précarité : revue de la littérature et résultats d’une enquête qualitative réalisée auprès d’acteurs de terrain

Abstract : INTRODUCTION: Several recent studies report increased rates of suicidal behavior in some sub-populations of migrants, in particular asylum seekers and refugees. We studied perceptions and resources of field workers in the face of suicidal ideation and behavior among migrants in precarious situation within the Rhône-Alpes region. METHODS: This qualitative multicenter study was conducted between June and September of 2017. We studied perception of the issue and its determinants, practices of suicidal risk assessment, resources and actions to be taken when confronted with suicidal ideation or behavior, use of professional interpreting, experience of professionals and measures identified to help face the issue. The study included health care personnel, social workers and interpreters. RESULTS: We conducted 14 semi-structured interviews (10 focus groups and 4 individual interviews) between June and September of 2017, involving 61 field workers. DISCUSSION: We explored perceptions of field workers on the research issue, its frequency and its determinants. We identified difficulties: social context, cultural differences, communication barriers, healthcare access difficulties and training insufficiency. We also identified resources used by the professionals to deal with suicidal risk: partnership between healthcare and social structures and access to professional interpreting. Finally, this study led to improvement measures concerning healthcare access, strengthened dialogue between partners and training of field workers about suicidal risk assessment and impact of culture on suicidal behavior, risk assessment and care.
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Master Thesis
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Camille Queneau. Idéation et conduites suicidaires des migrants en situation de précarité : revue de la littérature et résultats d’une enquête qualitative réalisée auprès d’acteurs de terrain. Médecine humaine et pathologie. 2017. ⟨dumas-01958785⟩

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