Suicide deaths in children is a significant health problem worldwide which needs proper assessment and interventions. Hence the current study was conducted to give an overview on pattern and risk factors of suicide mortalities in children among cases arrived at Menoufia university hospital, with psychiatric analysis and assessment for such cases through the Suicide Assessment Five-Step Evaluation and Triage (SAFE-T). This analytical cross-sectional study included all suicidal self-poisoned and self-injured children cases attended to poison control center or emergency department in Menoufia University hospital from 1st of March 2021 to the 31st of August 2022. Data were collected through questionnaire which involved demographic data and risk factors for suicidal attempt. Psychiatric data were collected through "SAFE-T". 613 cases were included and classified to survived (503) and dead cases (110). 82.7% of the cases were in the age group of 14-18 years with girls' predominance. Phosphide poisoning and burn were the most widely used methods among dead cases. Binary logistic regression revealed that boys, chronic diseases, child abuse, drug abuse, family troubles, previous suicide attempts, delayed arrival to hospital and phosphides use were significant risk factors for children's suicidal deaths. According to SAFE-T, 64.5% of the dead cases were high risk and the use of phosphides was more prevalent among them. Phosphides poisoning was among the most significant risk factors for suicide deaths in children, also it was confirmed to be the commonest among high-risk suicide deaths after assessment with SAFE-T hence more strict measures are required to prevent their availability.

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Background: Drug abuse and interpersonal violence are strongly linked to one another. The person's addiction to drugs increases the chances of being a perpetrator of violence or a victim to it. Illicit drugs use is recognized as a contributing factor to nearly all types of injuries due to the physical and mental impacts of illegal drugs on mind and behavior.Objectives: This work aimed to study the relation between alleged injuries due to violence and drug abuse in cases who attended to Menoufia University Hospital to take a medicolegal report; also to study the prevalence and pattern of drugs of abuse among these cases within six months period of the study.Subjects and methods: This cross sectional study was conducted on 500 individuals between 12 -55 years after taking informed consent. A clinical sheet was designed for all cases including: sociodemographic data, history taking, clinical assessment, type, site and severity of injury. Questionnaire on drug abuse was fulfilled by every case. Cases were divided according to the severity of injury to mild, moderate, serious and fatal cases. Urine samples were collected from every case for toxicological laboratory screening tests by using immunoassays rapid tests.Results: Males represented 90%of cases. 66 % of the cases were in the age group 18-40 years, most of them did not work (73.2%), and with an average qualification (38%) or illiterate (33.2% ), the majority of whom lived in rural areas (65%) and 70.8% of cases were involved in previous legal troubles. The highest percentage of injuries was due to blunt instruments (73.2%). Most of the injuries had moderate score of ISS (83.2%) and 14.4% of cases were admitted to the hospital.Conclusion: Cannabis represented the highest percent of drug abuse, followed by cannabis and tramadol, while morphine derivatives were the least commonly used. The study recommends urine screening for all cases of injures due to violence. Also more accurate equipment and techniques should be used to determine the level of the substances in blood; thus monitoring substance abuse trends and quickly identifying emerging problems.

All rights reserved. AbstractThere are numerous toxins and drugs that can cause, in overdose, ECG changes, even in patients without history of cardiac pathology. Theophylline intoxication results in substantial morbidity and mortality, particularly in those with chronic overmedication. The aim of this work was to study ECG changes in cases of poisoning by theophylline overdose that were admitted to MPCC over 2011 and the relation between ECG changes, theophylline blood level and poison severity score. In this study, theophylline overdose patients admitted to MPCC in the period from 1 st of January 2011 to 31 st of December 2011 were included. The total patients' number was 44 patients. Most cases of the study were females (77.2%) in the age group of (20-<40) years (40.9%), mainly from rural side (65.9%). Regarding relation between theophylline serum level and clinical manifestations, a significant relation was found between serum level and each of vomiting and dizziness, where both were noticed with majority of cases of minimal and moderate toxicity serum level. Regarding poison severity score, exactly one half of moderate and severe cases had minimal toxicity serum level, and the other half had moderate toxicity level. A significant negative correlation between theophylline serum level and PCO 2 was found. There was a non significant negative correlation between theophylline serum level and each of Na and K blood level. Concerning ECG changes, a significant relation was found between theophylline serum level and each of sinus tachycardia and second degree heart block.