Amaç: İntihar gençlerde en sık ölüm nedenlerindendir ve sıklığı giderek artmaktadır. Bu araştırmanın amacı, intihar girişiminde bulunan çocuk ve ergenlerin ruhsal tanıları ile klinik ve demografik özelliklerinin saptanmasıdırYöntem: Ocak-Aralık 2017 tarihleri arasında Erciyes Üniversitesi Çocuk Acil Servisine intihar girişimi nedeniyle başvuran 18 yaş altı çocuk ve ergenler retrospektif olarak incelenmiştirBulgular: İntihar girişiminde bulunan 50 olgunun 42’si (%84) kız ve 27’si (%54) 14-16 yaş aralığındaydı. Yüksek doz ilaç alımı en yaygın intihar girişimi yöntemiydi (%96). Girişimde bulunanların % 72’sinde ruhsal bozukluk saptandı. En sık belirlenen ruhsal bozukluklar yaygın anksiyete bozukluğu, majör depresif bozukluk, davranım bozukluğu ve obsesif-kompulsif bozukluktu. İntihar girişimi için en sık tetikleyici faktör aile içi problemlerdi. Olguların % 8’inde hala ölüm isteği mevcuttu. Sonuç: Çalışmamıza göre ergenlerde intihar girişiminde psikiyatrik hastalıklar, aile içi problemler, karşı cinsle ilgili sorunlar, sosyoekonomik durum, okul başarısı gibi faktörler etkilidir. İntihar girişimleriyle ilgili risk faktörlerinin belirlenmelidir. İntihar riski olan ergenler daha sık takip edilmelidir.Aim: Suicide is the most common cause of death in young people and the incidence is increasing day by day. The aim of this study was to investigate psychiatric diagnoses, clinical and demographic characteristics of children and adolescents who attempted suicide. Materials and methods: Patients admitted to Erciyes University Pediatric Emergency Department between January and December 2017 due to suicide attempt were evaluated retrospectively. Results 42 (84%) of the 50 suicide attempts were girls and 27 (54%) were between the ages of 14-16. Drug overdose was the most common way of attempting suicide (96%). Psychopathology was diagnosed in 72 % of these patients. The most frequent psychiatric disorders were generalized anxiety disorder, major depressive disorder, conduct disorder and obsessive-compulsive disorder. The most frequent trigger factor for attempted suicide was family problems. In 8% of the cases, there was still a death wish. Conclusion: According to our study, factors such as psychiatric illnesses, family problems, sexual problems, socioeconomic status, school success in adolescents are effective in suicide attempts. Risk factors for suicide attempts should be determined. Adolescents at risk of suicide should be monitored more frequently.

Background: The suicide rate among adolescents around the world has increased rapidly. There are many risk factors for attempting suicide, but not all have been clarified yet. Therefore, it is very important to identify risk factors. This study evaluated adolescents with a history of suicide attempts and their association with chronic diseases. Besides, to check whether they attempted suicide multiple times. Other clinical features related to multiple suicide attempts were investigated. Method: This study used a multicentre, retrospective cross-sectional design; 253 adolescents admitted to emergency departments in 2019 for suicide attempts were evaluated. Results: Adolescents with chronic disease were at greater risk for both single and multiple suicide attempts and patients had a 6.14 times higher risk of multiple attempts ( p = .013). The likelihood of multiple attempts did not differ according to the presence of somatic or psychiatric disease. Multiple attempters were more likely to poison themselves with their therapeutic drugs ( p = .002). Conclusion: When adolescents with a chronic disease present to the emergency services after a single suicide attempt using their therapeutic drugs, families should be informed regarding the potential for further attempts.

Objective: Poisoning is a substantial public health problem preventable with basic precautions. This study aims to contribute to the literature by analyzing the demographic variables, epidemiological characteristics, and prognosis of children brought to the pediatric emergency department of our center due to poisoning in the last five years. Methods: We retrospectively evaluated the medical records of 1928 patients who were under-18 years old and admitted with acute intoxication diagnosis to our tertiary hospital’s pediatric emergency department in Istanbul between 2016 and 2021. Patients were divided into two groups by poisoning factors: drug and non-drug substances. Results: We included all 1928 patients (55.1% male, 44.9% female). The median age was 30 (20-49) months, and 85.5% (n=1650) of patients were under 72 months old. There was a male gender dominance (62.4%) among patients aged 3-6, all of whom had accidental poisoning (100%). Poisonings among patients older than 12years of age were more common in girls (59.8%) and were mainly suicidal attempts (65.2%). We detected drug exposure in 58.9% (n=1047) of patients; the most common drugs were analgesics (13.5%, n=269), psychotropics (6.2%, n=102), and hormone preparations (4.5%, n=86). We also detected non-drug exposure in 41.1% (n=792) of patients; the most common non-drug substances were corrosive-caustic substances (14.6%, n=284), and detergent poisonings (5.5%, n=106). None of the patients died. Conclusion: Patients in the under 6 years old group admitted due to poisoning were predominantly male, and all cases were accidental. Whereas poisonings above the age of 12 were more common in girls and were usually due to suicide. Our study also showed that poisonings in children passed with milder symptoms, and we discharged most of the children after a short observation without the need for hospitalization. Well-balanced clinical management may prevent unnecessary hospitalization and unnecessary medical interventions.

Objective The most common childhood convulsive disorder happens to be febrile seizure (FS), which is an important health problem leading to economic burden and parental anxiety. Further investigation into the etiological causes of FS will guide us for appropriate measures during the follow-up period. The aim of study was to identify the percentage of viral and bacterial pathogens in the etiological causes of children with FS, and also if there is any difference between simple and complex FSs.Methods This prospective study randomly enrolled 100 pediatric patients with FS between January 2017 and July 2017. Nasopharyngeal swabs were obtained from all children at presentation. The respiratory panel was performed with a multiplex real-time polymerase chain reaction method to detect the 21 most common viruses. A complete blood count, absolute neutrophil count, absolute lymphocyte count, C-reactive protein, erythrocyte sedimentation rate, procalcitonin, blood culture, throat culture, urine analyses, urinary culture, and stool tests analysis were performed in all the patients.Results During the study period, at least one virus was detected in 87% of patients. Bacterial agents were detected in only 13% of patients. Coinfections of the viruses and bacterial pathogens were found in 24% of patients. The most frequently detected virus was influenza A (Inf A) (18%), followed by rhinovirus (12%). Coinfections of the viruses and bacterial pathogens, mixed viral infections, and Inf A were common in children who experienced complex FS. Inf A was detected in 16% of patients with simple FSs and 30% of patients with complex FSs and a significant difference between them (p < 0.01).Conclusion The results of this study showed that respiratory viral and bacterial pathogens are important in the etiology of FS in children. It is considered that complex FSs may be triggered by Inf A. The fact is viral pathogens are very common; therefore, antibiotics must be carefully prescribed. These results also draw attention to the use of the quadrivalent influenza vaccine in the prevention of FS related to the flu.