| Contribution title | 3054 - Profile of Tunisian young suicide attempters’ in clinical population: Study of 159 cases identified between 2005 and 2015 |
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| Contribution code | PS01-76 (P) |
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| Form of presentation | Poster |
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| 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. |