Gennaio 2011 - Volume XXX - numero 1
Pagine elettroniche ; Ricerca
1Struttura di Neuropsichiatria Infantile e Neurologia Pediatrica IRCCS Burlo Garofolo Trieste
2Servizio di Epidemiologia Clinica e Biostatistica IRCCS Burlo Garofolo Trieste
3Servizio di Neuropsichiatria dell’Infanzia e dell’Adolescenza - ASS 4 - Udine
Indirizzo per corrispondenza: carrozzi@burlo.trieste.it
Key words: Self-harm, Suicide attempt, Adolescence, Emergency Unit
Background - Deliberate self-harm and suicide attempts are recognised as a growing health problem in adolescence. Nevertheless, epidemiological studies show a considerable variability in rates due to the difficulties in defining and recognizing suicidal behaviours. Objectives - The present study aims at estimating the rate of self-harm and suicide attempts among adolescents and at describing the characteristics of suicidal behaviours. In this research the characteristics of the school population of two cities of the Region Friuli Venezia Giulia (Trieste and Udine), Italy have been analysed. Materials and Methods - In this school-based study, a sample of 1,171 students attending the first and second years of high school has been analysed using the Youth Self-Report (YSR). YSR is a screening instrument to collect information about the adolescent’s competencies and his/her behavioural/emotional problems. Results - 24.4% of adolescents have clinical scores in scales about anxiety/depression problems (internalizing syndrome), and 29.3% have clinical scores in oppositional/aggressive problems (externalizing syndrome). 18.8% of adolescents report self-harm/suicidal thoughts or behaviours in the last 6 months; adolescents of this group describe themselves with lower school performance and report significantly higher scores on all the scales. Conclusions - It is important to think about the possible meaning of the high percentage of adolescents obtaining clinical scores in behavioural and emotional problem scales. In a predictive perspective, the question is what is the actual psychopathological risk, particularly for those cases with suicidal thoughts or behaviours, associated with self-reported low school performance. From a preventive point of view, it is important to evaluate the need for providing adequate strategies that could help to find and support possible protective factors.
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Pagine elettroniche ; Caso Contributivo
Dipartimento Materno Infantile, Unità Clinica Pediatrica, Azienda Ospedaliero-Universitaria di Parma
Indirizzo per corrispondenza: giorgia-monti@alice.it
Key words: Stressful event, Syncope, Vagal iperreactivity with asystole, Pallor, 24 hrs Holter ECG
A 13 months-old girl was brought to our Department for several episodes characterized by the sequence: stressful event inducing pain, anger or frustration short period of crying pallor syncope spontaneous recovery of consciousness and muscle tone. In some of these episodes the syncope was followed by seizures. On the basis of medical history and clinical tests we put the diagnosis of " pallid breath-holding spells (BHS) with asystole”. They are severe forms of breath-holding spells in which the asystole lasts more than a few seconds, therefore anoxic seizures can occur. Having examined the treatment options, including a ventricular pacemaker implantation, we chose the association between an anticholinergic drug (glycopirrolate) and a positive chronotropic and stimulating the respiratory center drug (theophylline). During a follow-up period of 11 months we found that, although the patient still had many other episodes of BHS, neither syncope or seizures occurred.
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