Suicide is the second leading cause of death among 15-25 year olds, with the highest rate of hospitalization for SC of any age group. The psychopathology of suicidal behavior in adolescents and young adults (AYA) is homogeneous: risk factors, precipitating factors, representations. Parents occupy a central place in care. They are i) involved in the care decision; ii) actively involved in care; and ii) a source of motivation for trust and adherence to care.~However, if the psychopathology of suicidal crisis is homogeneous, the transition between pediatric and adult care implies very different management in the emergency department (ED). In France, three situations can be described:~<16yo: admission to a child ED by a team trained to receive the youngest patients.~16-18yo: admission to an adult ED by team devoted to adult care, no exit without parents' authorization.~>18yo: admission to an adult ED by team devoted to adult care, no right to contact the parents in case of patient opposition.~Before 16 years of age: admission to the children's UAS, care by a team trained to receive the youngest patients.~16-18 years: admission to the adult UAS, care by adult professionals, clinical and legal particularities of care for minors.~After 18 years old: admission to adult UAS, legal constraints of the adult care setting.~The objectives of this qualitative observational study is to build guidelines for the involvement of the parents in the care in these three situations.~The study will include adolescents and young adults from the three situations, their parents and the professionals who take care of them. Individual semi-structured interviews will be organized to collect their experiences. Qualitative analyses will be conduct, following Interpretative Phenomenological Analysis. A pre-approved guideline will be construct and a Delphi approach will be conducted to approved the final version of the guideline.
Parents occupy a central place in the emergency care of suicidal adolescents and young adults. However, from 15 to 25yo, three different administrative situations exist in France:~<16yo: admission to a child ED by a team trained to receive the youngest patients.~16-18yo: admission to an adult ED by team devoted to adult care, no exit without parents' authorization.~>18yo: admission to an adult ED by team.~Laying on qualitative observational protocol and a Delphi approach, this study will explore the perspective of adolescents and young adults following a suicidal attempt, the perspective of their parents, and the perspective of their healthcare professionals to build guidelines for parental involvement in care of suicidal youths.