AutomedicationFrancoV1, Main, Exploration, bibRecord, 000361

[Epidemiological and clinical profile of suicide attempts in Tunisian children and adolescents after the revolution].

Identifieur interne : 000361 ( Main/Exploration ); précédent : 000360; suivant : 000362

[Epidemiological and clinical profile of suicide attempts in Tunisian children and adolescents after the revolution].

Auteurs : Fatma Charfi [Tunisie] ; Azza Harbaoui [Tunisie] ; Afef Skhiri [Tunisie] ; Zeineb Abbès [Tunisie] ; Ahlem Belhadj [Tunisie] ; Soumaya Halayem [Tunisie] ; Asma Bouden [Tunisie]

Source :

The Pan African medical journal [ 1937-8688 ] ; 2019.

RBID : pubmed:31312316

Descripteurs français

KwdFr :
- Adolescent (MeSH), Comportement auto-agressif (épidémiologie), Enfant (MeSH), Facteurs de risque (MeSH), Facteurs sexuels (MeSH), Femelle (MeSH), Humains (MeSH), Idéation suicidaire (MeSH), Maltraitance des enfants (statistiques et données numériques), Mâle (MeSH), Psychoanaleptiques (administration et posologie), Récidive (MeSH), Tentative de suicide (psychologie), Tentative de suicide (statistiques et données numériques), Trouble dépressif majeur (épidémiologie), Troubles de l'adaptation (épidémiologie), Troubles mentaux (épidémiologie), Tunisie (épidémiologie), Échelles d'évaluation en psychiatrie (MeSH), Études transversales (MeSH).
MESH :
- administration et posologie : Psychoanaleptiques.
- psychologie : Tentative de suicide.
- statistiques et données numériques : Maltraitance des enfants, Tentative de suicide.
- épidémiologie : Comportement auto-agressif, Trouble dépressif majeur, Troubles de l'adaptation, Troubles mentaux, Tunisie.
- Adolescent, Enfant, Facteurs de risque, Facteurs sexuels, Femelle, Humains, Idéation suicidaire, Mâle, Récidive, Échelles d'évaluation en psychiatrie, Études transversales.
Wicri :
- geographic : Tunisie.

English descriptors

KwdEn :
- Adjustment Disorders (epidemiology), Adolescent (MeSH), Child (MeSH), Child Abuse (statistics & numerical data), Cross-Sectional Studies (MeSH), Depressive Disorder, Major (epidemiology), Female (MeSH), Humans (MeSH), Male (MeSH), Mental Disorders (epidemiology), Psychiatric Status Rating Scales (MeSH), Psychotropic Drugs (administration & dosage), Recurrence (MeSH), Risk Factors (MeSH), Self-Injurious Behavior (epidemiology), Sex Factors (MeSH), Suicidal Ideation (MeSH), Suicide, Attempted (psychology), Suicide, Attempted (statistics & numerical data), Tunisia (epidemiology).
MESH :
- chemical , administration & dosage : Psychotropic Drugs.
- geographic , epidemiology : Tunisia.
- epidemiology : Adjustment Disorders, Depressive Disorder, Major, Mental Disorders, Self-Injurious Behavior.
- psychology : Suicide, Attempted.
- statistics & numerical data : Child Abuse, Suicide, Attempted.
- Adolescent, Child, Cross-Sectional Studies, Female, Humans, Male, Psychiatric Status Rating Scales, Recurrence, Risk Factors, Sex Factors, Suicidal Ideation.

Abstract

Background

Suicidal behaviors are increasing in Tunisia at younger and younger ages. This study aims to describe the sociodemographic and clinical profile of suicide attempts in children and adolescents.

Methods

We conducted a cross-sectional and descriptive study, including 50 suicidal individuals, recruited in the Child Psychiatry Department at the Razi Hospital in Manouba and in two Departments in Tunisia (Intensive Care and Reanimation Department and Department of Pediatrics) between July 2012 and June 2013. We identified the socio-demographic and clinical factors, the histories of abuse, subjects' education, the characteristics of the attempted suicides (TS), suicidal ideation assessed by the Suicidal Intent Scale and psychopathological disorders diagnosed using the Mini-International Neuropsychiatric Interview.

Results

The sex-ratio was 0.56, the average age was 12.4 years ranging from 7 to 16 years. School failure or dropout were found in 86% of suicidal individuals. In 38% of cases suicidal behavior was recurrent; the subjects had a history of self-mutilation to the same extent. A context of abuse was reported in 46% of cases. Drug ingestion was the most common means of suicide, psychotropic drugs were the most common substances used. There was a significant gender difference in the use of the means of suicide: the boys mainly used physical means (P=0.04) while the girls poisoning (P=0.001). Suicidal intent was high in 44% of cases. A major depressive episode and adjustment disorder were the most common disorders found (58% and 24% of cases respectively).

Conclusion

Depressive disorders and abuse are risk factors of TS in children and adolescents, these factors should be considered when implementing suicide prevention strategies for this population.

DOI: 10.11604/pamj.2019.32.204.15477
PubMed: 31312316
PubMed Central: PMC6620052

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000417
to stream Main, to step Curation: 000417

Le document en format XML

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<term>Cross-Sectional Studies (MeSH)</term>
<term>Depressive Disorder, Major (epidemiology)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
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<term>Risk Factors (MeSH)</term>
<term>Self-Injurious Behavior (epidemiology)</term>
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<term>Comportement auto-agressif (épidémiologie)</term>
<term>Enfant (MeSH)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Facteurs sexuels (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Idéation suicidaire (MeSH)</term>
<term>Maltraitance des enfants (statistiques et données numériques)</term>
<term>Mâle (MeSH)</term>
<term>Psychoanaleptiques (administration et posologie)</term>
<term>Récidive (MeSH)</term>
<term>Tentative de suicide (psychologie)</term>
<term>Tentative de suicide (statistiques et données numériques)</term>
<term>Trouble dépressif majeur (épidémiologie)</term>
<term>Troubles de l'adaptation (épidémiologie)</term>
<term>Troubles mentaux (épidémiologie)</term>
<term>Tunisie (épidémiologie)</term>
<term>Échelles d'évaluation en psychiatrie (MeSH)</term>
<term>Études transversales (MeSH)</term>
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<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Tunisia</term>
</keywords>
<keywords scheme="MESH" qualifier="administration et posologie" xml:lang="fr"><term>Psychoanaleptiques</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Adjustment Disorders</term>
<term>Depressive Disorder, Major</term>
<term>Mental Disorders</term>
<term>Self-Injurious Behavior</term>
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<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Tentative de suicide</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Suicide, Attempted</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Child Abuse</term>
<term>Suicide, Attempted</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Maltraitance des enfants</term>
<term>Tentative de suicide</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Comportement auto-agressif</term>
<term>Trouble dépressif majeur</term>
<term>Troubles de l'adaptation</term>
<term>Troubles mentaux</term>
<term>Tunisie</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Child</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Psychiatric Status Rating Scales</term>
<term>Recurrence</term>
<term>Risk Factors</term>
<term>Sex Factors</term>
<term>Suicidal Ideation</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Enfant</term>
<term>Facteurs de risque</term>
<term>Facteurs sexuels</term>
<term>Femelle</term>
<term>Humains</term>
<term>Idéation suicidaire</term>
<term>Mâle</term>
<term>Récidive</term>
<term>Échelles d'évaluation en psychiatrie</term>
<term>Études transversales</term>
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<front><div type="abstract" xml:lang="en"><p><b>Background</b>
</p>
<p>Suicidal behaviors are increasing in Tunisia at younger and younger ages. This study aims to describe the sociodemographic and clinical profile of suicide attempts in children and adolescents.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Methods</b>
</p>
<p>We conducted a cross-sectional and descriptive study, including 50 suicidal individuals, recruited in the Child Psychiatry Department at the Razi Hospital in Manouba and in two Departments in Tunisia (Intensive Care and Reanimation Department and Department of Pediatrics) between July 2012 and June 2013. We identified the socio-demographic and clinical factors, the histories of abuse, subjects' education, the characteristics of the attempted suicides (TS), suicidal ideation assessed by the Suicidal Intent Scale and psychopathological disorders diagnosed using the Mini-International Neuropsychiatric Interview.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Results</b>
</p>
<p>The sex-ratio was 0.56, the average age was 12.4 years ranging from 7 to 16 years. School failure or dropout were found in 86% of suicidal individuals. In 38% of cases suicidal behavior was recurrent; the subjects had a history of self-mutilation to the same extent. A context of abuse was reported in 46% of cases. Drug ingestion was the most common means of suicide, psychotropic drugs were the most common substances used. There was a significant gender difference in the use of the means of suicide: the boys mainly used physical means (P=0.04) while the girls poisoning (P=0.001). Suicidal intent was high in 44% of cases. A major depressive episode and adjustment disorder were the most common disorders found (58% and 24% of cases respectively).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>Conclusion</b>
</p>
<p>Depressive disorders and abuse are risk factors of TS in children and adolescents, these factors should be considered when implementing suicide prevention strategies for this population.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31312316</PMID>
<DateCompleted><Year>2019</Year>
<Month>07</Month>
<Day>24</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>02</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1937-8688</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>32</Volume>
<PubDate><Year>2019</Year>
</PubDate>
</JournalIssue>
<Title>The Pan African medical journal</Title>
<ISOAbbreviation>Pan Afr Med J</ISOAbbreviation>
</Journal>
<ArticleTitle>[Epidemiological and clinical profile of suicide attempts in Tunisian children and adolescents after the revolution].</ArticleTitle>
<Pagination><MedlinePgn>204</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.11604/pamj.2019.32.204.15477</ELocationID>
<Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">Suicidal behaviors are increasing in Tunisia at younger and younger ages. This study aims to describe the sociodemographic and clinical profile of suicide attempts in children and adolescents.</AbstractText>
<AbstractText Label="Methods" NlmCategory="UNASSIGNED">We conducted a cross-sectional and descriptive study, including 50 suicidal individuals, recruited in the Child Psychiatry Department at the Razi Hospital in Manouba and in two Departments in Tunisia (Intensive Care and Reanimation Department and Department of Pediatrics) between July 2012 and June 2013. We identified the socio-demographic and clinical factors, the histories of abuse, subjects' education, the characteristics of the attempted suicides (TS), suicidal ideation assessed by the Suicidal Intent Scale and psychopathological disorders diagnosed using the Mini-International Neuropsychiatric Interview.</AbstractText>
<AbstractText Label="Results" NlmCategory="UNASSIGNED">The sex-ratio was 0.56, the average age was 12.4 years ranging from 7 to 16 years. School failure or dropout were found in 86% of suicidal individuals. In 38% of cases suicidal behavior was recurrent; the subjects had a history of self-mutilation to the same extent. A context of abuse was reported in 46% of cases. Drug ingestion was the most common means of suicide, psychotropic drugs were the most common substances used. There was a significant gender difference in the use of the means of suicide: the boys mainly used physical means (P=0.04) while the girls poisoning (P=0.001). Suicidal intent was high in 44% of cases. A major depressive episode and adjustment disorder were the most common disorders found (58% and 24% of cases respectively).</AbstractText>
<AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">Depressive disorders and abuse are risk factors of TS in children and adolescents, these factors should be considered when implementing suicide prevention strategies for this population.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Charfi</LastName>
<ForeName>Fatma</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Service de Pédopsychiatrie, Hôpital Mongi Slim de La Marsa, Sidi Daoud 2046, Tunis, Tunisie.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Harbaoui</LastName>
<ForeName>Azza</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Service de Pédopsychiatrie, Hôpital Razi, rue des Orangers, 2010 La Manouba, Tunisie.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Skhiri</LastName>
<ForeName>Afef</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Institut National de la Santé, 5-7 rue Khartoum, 1002 Tunis, Tunisie.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Abbès</LastName>
<ForeName>Zeineb</ForeName>
<Initials>Z</Initials>
<AffiliationInfo><Affiliation>Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Service de Pédopsychiatrie, Hôpital Razi, rue des Orangers, 2010 La Manouba, Tunisie.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Belhadj</LastName>
<ForeName>Ahlem</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Service de Pédopsychiatrie, Hôpital Mongi Slim de La Marsa, Sidi Daoud 2046, Tunis, Tunisie.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Halayem</LastName>
<ForeName>Soumaya</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Service de Pédopsychiatrie, Hôpital Razi, rue des Orangers, 2010 La Manouba, Tunisie.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bouden</LastName>
<ForeName>Asma</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Faculté de Médecine de Tunis, Université Tunis El Manar, Tunis, Tunisie.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Service de Pédopsychiatrie, Hôpital Razi, rue des Orangers, 2010 La Manouba, Tunisie.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>fre</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<VernacularTitle>Profil épidémiologique et clinique des tentatives de suicide chez l'enfant et l'adolescent en Tunisie en post révolution.</VernacularTitle>
<ArticleDate DateType="Electronic"><Year>2019</Year>
<Month>04</Month>
<Day>26</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>Uganda</Country>
<MedlineTA>Pan Afr Med J</MedlineTA>
<NlmUniqueID>101517926</NlmUniqueID>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D011619">Psychotropic Drugs</NameOfSubstance>
</Chemical>
</ChemicalList>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000275" MajorTopicYN="N">Adjustment Disorders</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002649" MajorTopicYN="N">Child Abuse</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003865" MajorTopicYN="N">Depressive Disorder, Major</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001523" MajorTopicYN="N">Mental Disorders</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011569" MajorTopicYN="N">Psychiatric Status Rating Scales</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011619" MajorTopicYN="N">Psychotropic Drugs</DescriptorName>
<QualifierName UI="Q000008" MajorTopicYN="N">administration & dosage</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012008" MajorTopicYN="N">Recurrence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016728" MajorTopicYN="N">Self-Injurious Behavior</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D059020" MajorTopicYN="Y">Suicidal Ideation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D013406" MajorTopicYN="N">Suicide, Attempted</DescriptorName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014416" MajorTopicYN="N" Type="Geographic">Tunisia</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Suicide attempt</Keyword>
<Keyword MajorTopicYN="N">adolescent</Keyword>
<Keyword MajorTopicYN="N">child</Keyword>
<Keyword MajorTopicYN="N">mental disorders</Keyword>
</KeywordList>
<CoiStatement>Les auteurs ne déclarent aucun conflit d'intérêts.</CoiStatement>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year>
<Month>03</Month>
<Day>15</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2019</Year>
<Month>03</Month>
<Day>28</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
<Month>7</Month>
<Day>18</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>7</Month>
<Day>18</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2019</Year>
<Month>7</Month>
<Day>25</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>epublish</PublicationStatus>
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<ArticleId IdType="pii">PAMJ-32-204</ArticleId>
<ArticleId IdType="pmc">PMC6620052</ArticleId>
</ArticleIdList>
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<affiliations><list><country><li>Tunisie</li>
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<tree><country name="Tunisie"><region name="Gouvernorat de Tunis"><name sortKey="Charfi, Fatma" sort="Charfi, Fatma" uniqKey="Charfi F" first="Fatma" last="Charfi">Fatma Charfi</name>
</region>
<name sortKey="Abbes, Zeineb" sort="Abbes, Zeineb" uniqKey="Abbes Z" first="Zeineb" last="Abbès">Zeineb Abbès</name>
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<name sortKey="Belhadj, Ahlem" sort="Belhadj, Ahlem" uniqKey="Belhadj A" first="Ahlem" last="Belhadj">Ahlem Belhadj</name>
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<name sortKey="Bouden, Asma" sort="Bouden, Asma" uniqKey="Bouden A" first="Asma" last="Bouden">Asma Bouden</name>
<name sortKey="Charfi, Fatma" sort="Charfi, Fatma" uniqKey="Charfi F" first="Fatma" last="Charfi">Fatma Charfi</name>
<name sortKey="Halayem, Soumaya" sort="Halayem, Soumaya" uniqKey="Halayem S" first="Soumaya" last="Halayem">Soumaya Halayem</name>
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[Epidemiological and clinical profile of suicide attempts in Tunisian children and adolescents after the revolution].

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