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Contribution title 3054 - Profile of Tunisian young suicide attempters’ in clinical population: Study of 159 cases identified between 2005 and 2015
Contribution code PS01-76 (P)
Authors
  1. Soumeyya Halayem Razi Hopsital Child and Adolescent Psychiatry Departement
  2. Haifa Ounalli Razi Hopsital Child and Adolescent Psychiatry Departement
  3. Ghofrane Ben Alaya Razi Hopsital Child and Adolescent Psychiatry Departement
  4. Malek Hajri Razi Hopsital Child and Adolescent Psychiatry Departement
  5. Zeineb Abbes Razi Hopsital Child and Adolescent Psychiatry Departement Presenter
  6. Asma Bouden Razi Hopsital Child and Adolescent Psychiatry Departement
Form of presentation Poster
Topic
  • Suicide
Abstract Objectives:
The aim of our study was to describe the epidemiological and clinical characteristics of young suicidals among a clinical population and to assess their potential evolution throughout years.

Methods:
It’s a descriptive retrospective study among a clinical population including 159 suicidals referred to the child psychiatric department of the Razi hospital between January 2005 and December 2015.

Results:
The mean age of our sample was 12.8 years with extremes from 5.8 to 17 years. It was composed of 74.2% of girls and 25.8% of boys. Medical intoxication was the most common mean (68.6%) followed by physical means (20.1%) and toxic products ingestion (12.6%). The suicide attempts were mainly impulsive (83.1%) and of intermediate severity (62.9%).
Our patients reported a previous suicide attempt in 25.8% of cases. Familial, psychiatric, psychological and social risk factors were found in respectively 90.6%, 42.1%, 66% and 69.2% of cases.
The use of violent means was associated with male gender (p=0.02). Previous suicide attempts were correlated with a greater severity of the actual attempt (p=0.039). Psychiatric and psychological risk factors as well as maltreatment were associated with the use of physical means. A higher score of severity of the suicide attempt was correlated with the presence of psychiatric and behavioral risk factors.
The chronological study highlighted some significant modifications starting from years 2013/2014, reflecting a recent trend: more children among suicide attempters (p=0.012), more patients reporting a previous suicide attempt (p=0.045), more frequent use of physical means (p=0.019) and a greater proportion of suicide attempts realized in winter (p=0.019).

Conclusions: These data are in part in accordance with local and foreign literature. However we can notice a trend toward a modification of the clinical profile since 2013. This challenges to more researches on the topic as well as new therapeutics interventions.