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Mehrpour, Omid
- Factors Related to Suicide Attempts by Poisoning in Iranian Children
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Authors
Affiliations
1 Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR
2 Department of Medical Toxicology and Forensic Medicine, Ardabil University of Medical Sciences, Ardabil, IR
3 Department of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, IR
4 Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran
5 Medical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, IR
1 Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IR
2 Department of Medical Toxicology and Forensic Medicine, Ardabil University of Medical Sciences, Ardabil, IR
3 Department of Neurosurgery, Shahid Beheshti University of Medical Sciences, Tehran, IR
4 Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran
5 Medical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, IR
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 1 (2013), Pagination: 129-132Abstract
Objective: Suicide is a major health problem especially in children. Even a large proportion of healthy children have thought about suicide attempt. Some factors are suggested as risk factors for suicide attempt among children such as prior suicide attempt as the most important risk factor. This study was designed to find out why children attempt suicide.Methods: In a descriptive study we assessed all the 6-15 years old children with suicide attempt referred to Loghman Hakim Poison Centre. For each child a questionnaire consisted of demographic information, family information and Children's Suicide Questionnaire were completed by 2 psychiatrists and 2 psychologists.
Finding: 292 children were evaluated with the mean age of 12±1.46 years old ranging from 6 to 15 years old . 81.8% of subjects were female and 18.2% were male. It demonstrates that a higher proportion of the cases reported a history of mental illness in the family (41%). The survey of CSQ information indicated that 28% of the cases suffered from depression and 27.1% had an epileptic seizure. Family argument was present in 36.6% of the cases. 85.4% of the children attempted suicide by using pharmaceutical drugs and 55.5% of suicide attempts were at 6 p.m. to 12 p.m.
Conclusion: Mental or physical illness, living with a mentally ill family member, residing in an economically deprived neighborhoods and lack of access to proper psychiatric care in combination can induce a suicidal attempt so a multidisciplinary approach is necessary in evaluating a suicide attempt in a child.
Keywords
Children, Suicide, Iran. Children's Suicide Questionnaire. (CSQ)
References
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- Intravascular Haemolysis due to Glucose -6- Phosphate Dehydrogenase Deficiency in a Patient with Aluminum Phosphide Poisoning
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Authors
Fariba Farnaghi
1,
Hamid Owliaey
2,
Hossein Hassanian-Moghaddam
2,
Shahin Shadnia
2,
Nader Momtazmanesh
1,
Nasim Zamani
2,
Omid Mehrpour
3
Affiliations
1 Department of Pediatrics, Loghman-Hakim Hospital
2 Department of Clinical Toxicology, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR
3 Medical Toxicology and Drug Abuse Research Center (MTDRC), Pasdaran Avenue, Birjand University of Medical Sciences, Birjand, IN
1 Department of Pediatrics, Loghman-Hakim Hospital
2 Department of Clinical Toxicology, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IR
3 Medical Toxicology and Drug Abuse Research Center (MTDRC), Pasdaran Avenue, Birjand University of Medical Sciences, Birjand, IN
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 2 (2013), Pagination: 79-81Abstract
Aluminum phosphide (AlP) poisoning and glucose?6?phosphate dehydrogenase (G6PD) deficiency are two common clinical problems in Iran. However, hemolysis associated with AlP poisoning is extremely rare. We report a 24-year-old G6PD deficient patient with AlP poisoning presenting with intravascular hemolysis.Keywords
G6PD Deficiency, Aluminum Phosphide, HemolysisReferences
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- Mehrpour O, Singh S: Rice tablet poisoning: a major concern in Iranian population. Hum Exp Toxicol 2010, 29:701–2. 4. Mehrpour O, Keyler D, Shadnia S: Comment on Aluminum and zinc phosphide poisoning. Clin Toxicol (Phila) 2009, 47:838–9.
- Mehrpour O, Alfred S, Shadnia S, Keyler DE, Soltaninejad K, Chalaki N, Sedaghat M Hyperglycemia in acute aluminum phosphide poisoning as a potential prognostic factor. Hum Exp Toxicol 2008, 27:591–5.
- Shadnia S, Mehrpour O, Abdollahi M: Unintentional poisoning by phosphine released from aluminum phosphide. Hum Exp Toxicol 2008, 27:87–9.
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- Mehrpour O, Abdollahi M. Poison treatment centers in Iran.Hum Exp Toxicol. 2012;31(3): 303-304
- Glader, BE. Glucose-6-phosphate dehydrogenase deficiency and related disorders of hexose monophosphate shunt and glutathione metabolism. Wintrobe’s Clinical Hematology, 10th ed, Lee, GR, Foerster, J, Lukens, J, et al (Eds), Williams & Wilkins, Baltimore, pp. 1176-90.
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- Soltaninejad K, Nelson LS, Khodakarim N, Dadvar Z, Shadnia S. Unusual complication of aluminum phosphide poisoning: Development of hemolysis and methemoglobinemia and its successful treatment.Indian J Crit Care Med 2011;15 (2): 117-9.
- Srinivas R, Agarwal R, Jairam A, Sakhuja V. Intravascular haemolysis due to glucose-6- phosphate dehydrogenase deficiency in a patient with aluminium phosphide poisoning. Emerg Med J 2007;24 (1): 67-8.
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- Evaluation of Histopathological Changes in Fatal Aluminum Phosphide Poisoning
Abstract Views :234 |
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Authors
Affiliations
1 Department of Forensic Medicine, Faculty of Medicine, Medical Sciences/University of Tehran, IR
2 Department of Forensic Pathology, Scientific and Educational Research Center of Legal Medicine Organization of Iran, Tehran, IR
3 Department of Forensic Toxicology, Scientific and Educational Research Center of Legal Medicine Organization of Iran, Tehran, IR
4 Loghman Hakim Poison Center, Faculty of Medicine, Medical Sciences/University of Shaheed Beheshti, Tehran, IR
5 Autopsy Service, Scientific and Educational Research Center of Legal Medicine Organization of Iran, Tehran, IR
1 Department of Forensic Medicine, Faculty of Medicine, Medical Sciences/University of Tehran, IR
2 Department of Forensic Pathology, Scientific and Educational Research Center of Legal Medicine Organization of Iran, Tehran, IR
3 Department of Forensic Toxicology, Scientific and Educational Research Center of Legal Medicine Organization of Iran, Tehran, IR
4 Loghman Hakim Poison Center, Faculty of Medicine, Medical Sciences/University of Shaheed Beheshti, Tehran, IR
5 Autopsy Service, Scientific and Educational Research Center of Legal Medicine Organization of Iran, Tehran, IR
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 2, No 2 (2008), Pagination: 34-36Abstract
This study examines histopathological changes of human organs in cases with aluminum phosphide fatal poisoning. The cases with aluminum phosphide fatal poisoning in Tehran Legal Medicine Center over 12 month period starting in March 2006, were studied. Necropsy was performed for all cases and liver, lung, brain, kidney and spleen were collected from all cases and fixed in formaldehyde solution (37% formalin).Tissue specimens were taken from organs and processed by routine histological method. Then any histhopathological changes were recorded by pathologist. In gross examination, almost all the vital organs were found to be congested. In microscopic study, the most frequent histopathological findings in liver were central venous congestion, degeneration of hepatocytes and mononuclear infiltration. In lung, alveolar thickening, and dilated capillaries were detected. Findings in the brain tissue revealed degenerated Nissel granule in the cytoplasm and deeply stained degenerated eccentric nucleus in brain cortex. Changes in the kidney included glomerulus's and intraparanchymal congestion. These findings indicated that histopathological changes are common in aluminum phosphide fatal poisoning.Keywords
Aluminum Phosphide, Histopathology, Fatal Poisoning.References
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