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Des tentatives de suicide à leur prise en charge à l'hôpital : une sociologie des urgences

Abstract : The aim of this Ph.D thesis is to understand the contemporary issues about French suicidality. Two different dimensions have been investigated. First, we interrogated the dynamic of suicidal process, considering both individual motives and social causes of suicidal behaviors. Second, we studied emergency departments of the French public hospitals, that take care of the majority of suicide attempts known in France. The methodological and theoretical principles adopted in this work articulate our understanding of suicidal process with our analysis of its medical treatment. In this work, we will suggest that suicidality and its medical treatment are shaped by normative transformations of contemporary societies, which place autonomy, independence, authenticity and responsibility as preeminent values. Yet, such values enhance a new type of social bound. This individualization changes the type of problems that actors have to solve with their own economic, cultural and social resources, which are sometimes not sufficient. Thus, this new normativity tends to affect suicidal issues. In summary, we propose to enlighten a new economy of suicides and attempted suicides. To do so, we conducted an ethnographic investigation of general and psychiatric emergency services. The main hypothesis of this approach precisely supports that this new type of problems shaped through individualization arises in a specific manner in the medical treatment of suicidal behaviors.
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Florian Pisu. Des tentatives de suicide à leur prise en charge à l'hôpital : une sociologie des urgences. Sociologie. Université Sorbonne Paris Cité, 2018. Français. ⟨NNT : 2018USPCB105⟩. ⟨tel-02514855⟩



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