title: Attempt to suicide in young ages with epilepsy.
abstract: OBJECTIVE
  The suicidal rate among epileptic patients is up to 5 times more than general population and depression is the most common mood disturbance among them while usually under noticed. This study was performed to determine possible symptoms of psychiatric disorders for suicidal behavior in pediatric patients with epilepsy that had attempted suicide.
  
  
  METHODS
  Among medical records of 1169 patients under 17 years of age being admitted to the exclusive university hospital for poisoning in Tehran since April 2006 to Feb 2008 due to attempt to suicide, 31 cases (13 male and 18 female) with mean age 15.8±1.3 years had concomitant epilepsy. Mental status and epilepsy data sheet of these patients were analyzed.
  
  
  RESULTS
  The psychological evaluation of these 31 cases revealed long lasting symptoms of psychological disorder in 21 (91.4%) cases before their attempt to suicide while only 5(16%) cases had been noticed for psychiatric care and merely 3 of them had been under treatment.
  
  
  CONCLUSIONS
  Despite strong correlation between affective disorders and epilepsy it is unfortunately under-diagnosed or undertreated. Since overdose of antiepileptic drugs used for treatment of epilepsy may be lethal, dismissing suicidal behavior can be life threatening.
authors: Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran.
authors: Gholamreza
authors: G
authors: Zamani
authors: Mahshid
authors: M
authors: Mehdizadeh
authors: Payman
authors: P
authors: Sadeghi
keywords: Adolescent; Epilepsy; Psychosocial Factors; Suicide, Attempted
references: Epilepsia. 2002 Jun;43(6):644-51
references: 12060025
references: J Adolesc Health. 1996 Aug;19(2):153-6
references: 8863088
references: Epilepsy Behav. 2005 May;6(3):424-9
references: 15820353
references: Epilepsy Res. 2002 Oct;51(3):233-6
references: 12399073
references: Soc Psychiatry Psychiatr Epidemiol. 2005 Jan;40(1):64-71
references: 15624077
references: Epilepsia. 2009 Aug;50(8):1933-42
references: 19453718
references: J Neurol Neurosurg Psychiatry. 1980 Feb;43(2):168-70
references: 7359153
references: Neurology. 2006 Mar 28;66(6 Suppl 3):S5-12
references: 16567744
references: Epilepsy Behav. 2007 Nov;11(3):389-93
references: 17704005
references: Lancet Neurol. 2007 Aug;6(8):693-8
references: 17611160
references: Psychosomatics. 1981 Jun;22(6):515-24
references: 7255643
references: Neurology. 2002 Sep 24;59(6 Suppl 4):S48-55
references: 12270969
references: Death Stud. 2004 Nov;28(9):809-27
references: 15493076
references: J Epidemiol Community Health. 2012 Mar;66(3):247-53
references: 20947873
references: Epilepsy Behav. 2003 Oct;4 Suppl 3:S39-45
references: 14592639
references: Epilepsia. 2003 Apr;44(4):591-7
references: 12681010
references: Drug Saf. 2007;30(2):123-42
references: 17253878