Suicide is a global phenomenon in all regions of the world affecting people of all age groups. It has detrimental consequences on patients, their families, and the community as a whole. There have been numerous risk factors described for suicide including mental illness, stressful life situations, loss of social support, and general despair. The association of suicide with Islam has not been extensively studied. The common impression from clinical practice is that being a practicing Muslim reduces the risk of suicide. Another factor associated with suicide is starting a patient on antidepressants. However, this has been questioned recently. This report describes a middle-aged man with depression and multiple social stressors who survived a serious suicide attempt. The discussion will focus on the factors that lead him to want to end his life and the impact of the assumed protective factors such as religious belief and family support on this act of self-harm. Such patients can be on the edge when there is an imbalance between risk factors (such as depression, insomnia, and psychosocial stressors) and protective factors (like religious affiliation and family support). All physicians are advised to assess the suicide risk thoroughly in patients with depression regardless of any presumed protective factor.

Tobacco smoking is common among psychiatric patients, a finding consistent with similar studies conducted in different parts of the world. Assessment of smoking status and its associated adverse health associations among patients with mental disorders is of paramount importance.

Background:Mandatory quarantine during COVID-19 has disrupted normal social and economic life and many people became trapped and isolated with increasing levels of anxiety and financial difficulties. Especially for vulnerable people, the COVID-19 pandemic had shown by many studies to increase the depressive and anxiety symptoms as well as suicidal ideation and suicidal attempts. Increased suicidal attempts had been associated with the increased burden of the health and economic impacts of the pandemic.Cases Presentation:Here, we report four cases of suicidal attempts during the COVID 19 outbreak due to the lockdown and related economic difficulties. Those cases were admitted to a general hospital from the period April 2020 to June 2020. All patients were males, tested negative for coronavirus and used violent methods of suicide. After receiving the appropriate treatment, all cases were discharged from the hospital.Conclusion:The COVID-19 pandemic and its economic and social impacts could result in significant consequences on vulnerable persons. As shown by many studies, Screening and early treatment are of paramount importance in preventing the mental health complications of the pandemic

Background: Mandatory quarantine during COVID-19 has disrupted normal social and economic life and many people became trapped and isolated with increasing levels of anxiety and financial difficulties. Especially for vulnerable people, COVID-19 pandemic had shown by many studies to increase the depressive and anxiety symptoms as well as suicidal ideation and suicidal attempts. Increased suicidal attempts had been associated with the increased burden of the health and economic impacts of the pandemic.Cases Presentation: Here, we report four cases of suicidal attempts during the COVID 19 outbreak due to the lockdown and related economic difficulties. Those cases were admitted in a general hospital from the period April 2020 to June 2020.All patients were males, tested negative for corona virus and used violent methods of suicide. After receiving the appropriate treatment, all cases were discharged from hospital.Conclusion: The COVID-19 pandemic and its economic and social impacts could result in significant consequences on vulnerable persons. As shown by many studies, Screening and early treatment are of paramount importance in preventing the mental health complications of the pandemic