title: Neurogenic speech sequelae following suicide attempt by hanging: a case report.
abstract: BACKGROUND
  Attempting suicide by hanging has become one of the most preferred means among adolescents. Individuals who survive a suicide attempt by hanging have a range of deficits, including neuropsychological, neuropsychiatric, pulmonary and even speech and language deficits. Literature regarding speech and language deficits in cases of near hanging is especially limited.
  
  
  OBJECTIVE
  This study aimed to demonstrate the sequelae of neurogenic speech deficits following a suicide attempt by hanging, the treatment strategies, and prognostic issues in one such case.
  
  
  METHODS
  We report of Patient X who attempted suicide by hanging. The patient was admitted and a detailed speech and language evaluation was completed.
  
  
  RESULTS
  Patient X was diagnosed with hypoxic-ischemic encephalopathy with organic amnesic syndrome. Consequent to the neurogenic insult, the patient demonstrated speech deficits that were characterized by moderate flaccid dysarthria and neurogenic stuttering. Patient X underwent a week of treatment, subsequent to which there was an improvement in certain speech subsystems. However, the neurogenic stuttering symptoms did not resolve completely even post therapy.
  
  
  CONCLUSIONS
  Individuals who survive a suicide attempt by hanging have a range of deficits, including speech deficits that need to be addressed by a speech language pathologist. This case report is an eye opener for speech language pathologists regarding their role in such cases.
authors.affiliation: University of Western Ontario Alumnus, London, Ontario.
authors.forename: Manal Muhammed
authors.initials: MM
authors.lastname: Wazeer
authors.affiliation: Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka.
authors.forename: Sunila
authors.initials: S
authors.lastname: John
authors.affiliation: Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka.
authors.forename: Bellur
authors.initials: B
authors.lastname: Rajashekhar
mesh_terms: D000293:Adolescent; D004401:Dysarthria / Q000209:etiology* / Q000628:therapy; D006801:Humans; D020925:Hypoxia-Ischemia, Brain / Q000150:complications*; D009422:Nervous System Diseases / Q000209:etiology; D009483:Neuropsychological Tests; D013064:Speech Disorders / Q000209:etiology / Q000628:therapy; D013342:Stuttering / Q000209:etiology* / Q000628:therapy; D013406:Suicide, Attempted
keywords: dysarthria; stuttering; suicide attempt