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Psychiatric Assessment of Cases with Self-inflicted Poisoning in a Sample of Egyptian Children and Adolescents

Published online by Cambridge University Press:  23 March 2020

H. El Rafei ,
M. Ghanem ,
H. Gamaluddin ,
M.M. Mohamed ,
A.M. Abdel Samiee’  and
N. Shaker
M. Ghanem
Affiliation:
Psyhciatry Institute, Ain Shams University, Cairo, Egypt, Psychiatry Department, Cairo, Egypt
H. Gamaluddin
Affiliation:
Psyhciatry Institute, Ain Shams University, Cairo, Egypt, Psychiatry Department, Cairo, Egypt
M.M. Mohamed
Affiliation:
Psyhciatry Institute, Ain Shams University, Cairo, Egypt, Psychiatry Department, Cairo, Egypt
A.M. Abdel Samiee’
Affiliation:
Psyhciatry Institute, Ain Shams University, Cairo, Egypt, Psychiatry Department, Cairo, Egypt
N. Shaker
Affiliation:
Psyhciatry Institute, Ain Shams University, Cairo, Egypt, Psychiatry Department, Cairo, Egypt

Abstract

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Introduction

Suicide in children and adolescents is commonly underreported and studied. It is an interplay area of multiple static (sociodemographic), and modifiable (impulsivity, psychiatric morbidities, adverse life events (ALE), abuse, bullying) variables.

Objectives and aim

To assess and identify relative significance of dependent and independent risk factors in youngsters attempting self-inflicted poisoning.

Methods

Consecutive recruitment of patients aged 7–18, with normal IQ, admitted to poison control centre over 13 continuous months, with self-induced poisoning. All were assessed after guardians’ written informed consent for different risk factors identified for suicidal behavior using appropriate scales (PPS, SRRS-Y, FSSCS, BIS-11, J-TCI, Mini-Kid). Controls with no history of suicidal attempt were matched for age, sex and sociodemographics among their families.

Results

One hundred and twenty cases (16.7 years ± 1.6 SD, 91% females) and 100 controls (age 16.4 years ± 1.7 SD, 90.8% females) were assessed. In cases, 90.8% were of low/middle socioeconomic status, 73.5% had previous attempt, average within 10 months, 17.5% planned their attempt, 10.8% had a witnessed attempt. Stressor within 2 days was reported in 75.9%, severe in 40%. Impulsivity was more in its cognitive, planning and motor components (P = 0.001 in each) among attempters. Cases scored more on Novelty seeking, harm avoidance and reward dependence than controls who had more persistence, self-directedness and cooperativeness. Attempters had significantly more past medical and psychiatric history (P = 0.001, 0.05 respectively), 77.5% had a working psychiatric illness, 2% in controls.

Conclusion

Repeated suicidal attempts were the majority, with impulsivity as a predictive risk, especially if psychiatric morbidity or ALE in youths were encountered.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster walk: Child and adolescent psychiatry–part 2
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S127
Copyright
Copyright © European Psychiatric Association 2017
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