NDLI: Epidemiological aspects of suicide attempts among Moroccan children.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Mekaoui, Nour Karboubi, Lamiae Ouadghiri, Fatima Zahra Dakhama, Badr Sououd Benjelloun
Description	Country affiliation: Morocco Author Affiliation: Mekaoui N ( Pediatric Medical Emergencies, Children's hospital of Rabat, Morocco.); Karboubi L ( Faculty of Medicine and Pharmacy of Rabat, Mohamed V University Morocco, Morocco.); Ouadghiri FZ ( Pediatric Medical Emergencies, Children's hospital of Rabat, Morocco.); Dakhama BS ( Pediatric Medical Emergencies, Children's hospital of Rabat, Morocco.)
Abstract	Suicidal behavior among children has significantly increased in Morocco. We conducted a study on the epidemiological aspect to propose a treatment strategy. Descriptive retrospective study over a period of 3 years (April 2012-April 2015) involving children who visited pediatric medical emergencies of the Children Hospital of Rabat after an autolysis attempt. We observed epidemiological parameters, history, social and family context, the means used, the presumed cause, clinical manifestation, and the management. 66 patients were identified. A female predominance was found (sex =15). The average age was 13 years old. This was a first episode in 97% of cases. Psychiatric history was found in 6 patients. The causes of suicide attempt were unidentified in 65%. The most frequent cause was family conflict (35%). The most frequent method was pharmaceutical drug ingestion (54.4%). Children were asymptomatic (57.6%). Neurological manifestations (30%) were most frequent. Digestive symptoms (12%) and hemodynamic (3%) were also discovered. Patients were hospitalized in a general pediatric service 92.4% of the times, admitted to intensive care 4.5% of the times, and two patients refused to be hospitalized. The treatment consisted of gastric lavage (18%) supplemented by symptomatic measures. The outcome was favorable in 95.4% of cases. We recorded 2 deaths by rat poison poisoning. All patients were advised in writing after leaving to follow up with a psychological treatment. Suicide attempts are the result of an ill being, mostly among children living in a family with conflict. Upstream treatment is essential to identify children at risk. Additionally, a psychiatric care in hospital is essential to avoid recurrences.
File Format	HTM / HTML
e-ISSN	19378688
Journal	Pan African Medical Journal
Volume Number	24
Language	English
Publisher	African Field Epidemiology Network
Publisher Date	2016-01-01
Publisher Place	Uganda
Access Restriction	Open
Content Type	Text
Resource Type	Article

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