Tentatives de suicide de l’enfant et de l’adolescent à Brazzaville

Okoko, A.R.; Bowassa, G. Ekouya; Oko, Aymar Pierre Gildas; Mbika-Cardorelle, A.; Dzalamou, Michel; Moyen, G.

doi:10.1016/j.arcped.2011.04.018

Cited by 4 publications

(2 citation statements)

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“…The boys, however, used more phlebotomy, and violent means [8]. The use of drug ingestion was found in work and for people from different cultures: Tunisia [9], France [12] and Congo [13]. This modality was, in our work, specific to girls, which is also consistent with the literature [14].…”

Section: Discussionsupporting

confidence: 89%

Epidemiological aspects of suicide attempts among Moroccan children

Mekaoui¹,

Karboubi²,

Ouadghiri³

et al. 2016

Pan Afr Med J

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Suicidal behavior among children has significantly increased in Morocco. We conducted a study on the epidemiological aspect to propose a treatment strategy. Descriptive retrospective study over a period of 3 years (April 2012-April 2015) involving children who visited pediatric medical emergencies of the Children Hospital of Rabat after an autolysis attempt. We observed epidemiological parameters, history, social and family context, the means used, the presumed cause, clinical manifestation, and the management. 66 patients were identified. A female predominance was found (sex =15). The average age was 13 years old. This was a first episode in 97% of cases. Psychiatric history was found in 6 patients. The causes of suicide attempt were unidentified in 65%. The most frequent cause was family conflict (35%). The most frequent method was pharmaceutical drug ingestion (54.4%). Children were asymptomatic (57.6%). Neurological manifestations (30%) were most frequent. Digestive symptoms (12%) and hemodynamic (3%) were also discovered. Patients were hospitalized in a general pediatric service 92.4% of the times, admitted to intensive care 4.5% of the times, and two patients refused to be hospitalized. The treatment consisted of gastric lavage (18%) supplemented by symptomatic measures. The outcome was favorable in 95.4% of cases. We recorded 2 deaths by rat poison poisoning. All patients were advised in writing after leaving to follow up with a psychological treatment. Suicide attempts are the result of an ill being, mostly among children living in a family with conflict. Upstream treatment is essential to identify children at risk. Additionally, a psychiatric care in hospital is essential to avoid recurrences.

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Section: Discussionsupporting

confidence: 89%

Epidemiological aspects of suicide attempts among Moroccan children

Mekaoui¹,

Karboubi²,

Ouadghiri³

et al. 2016

Pan Afr Med J

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“…Beyond the difference in frequency, adolescence, a period characterized by an impulse irruption with an easy passage to action and a tendency to impulsiveness explains why attempts to suicides are more common. But their psychological vulnerability is largely related to environmental attitudes and reactions [25].…”

Section: Clinical Aspectsmentioning

confidence: 99%

Morbidity and Mortality in Adolescents at the University Hospital of Brazzaville

Moyen¹,

Ouemeyi-Enani²,

Okoko³

et al. 2021

OJPed

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Introduction: Adolescent morbidity and mortality is a health concern. Objective: To determine morbidity, identify the causes of morbi-mortality and the factors associated with adolescent mortality in Brazzaville. Patients and Methods: A retrospective, descriptive and analytical study was carried out at the Brazzaville Hospital and University Center between January 2015 and December 2016. Adolescents hospitalized in clinical services whose records were workable were included. The Epidemiological, clinical and evolutionary variables were analyzed. The statistical test used was the khi-two, the significance level set at 0.05. Results: In total, Out of 67,488 hospitalized patients, 2062 were adolescents: 3% including 891 (43.2%) boys and 1171 (56.8%) girls mean age 14.8 ± 2.92 years, seen in average 9.38 days after the onset of symptoms. Childbirth 415 (20.1%), malaria 309 cases (14.9%), major sickle cell crisis 223 (10.8%) and traumatic injuries 166 cases (8.05%) are the main causes of morbidity. One death was recorded in n = 193 (9.4%), of which n = 104 (5.0%) in the first 48. Tumors, malaria and status epilepticus are the leading causes of death. The female sex, the age between 15 and 19 years, the young age of the father, the higher level of education of the adolescent and the low socio-economic level of the parents are associated with the death. Conclusion: Adolescent morbidity is worrying and mortality is significant. It is important that policies on this issue be developed with an emphasis on the main causes of morbi-mortality, including malaria control and sex education.

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