Attempted suicide by hanging in a pregnant adolescent with psychiatric illness: A case report

Author:

Atreya Alok1ORCID,Chaudhary Sneha2,Sapkota Binisha2,Aryal Angila2,Shrestha Deepak3,Acharya Bishnu4

Affiliation:

1. Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal

2. Lumbini Medical College, Palpa, Nepal

3. Department of Obstetrics and Gynaecology, Lumbini Medical College, Palpa, Nepal

4. Department of Psychiatry, Lumbini Medical College, Palpa, Nepal

Abstract

Cases of mental illnesses and suicide attempts while pregnant are of grave concern because they negatively affect both the mother and her fetus. Here we report a case of an 18-year-old woman, who was found at 35 weeks into her pregnancy. She was unconscious when her sister-in-law rescued her. Upon arrival, she was agitated and had respiratory distress. She went into spontaneous labor the next day and delivered a premature infant who succumbed within 24 h. She had a history of mental illness in the past and previous suicide attempts. The reason for her suicide stemmed from conflicts within her family and disagreement with her husband. Various psychosocial elements play a role in suicide risk, such as young age, having a history of mental health issues, experiencing trauma facing domestic violence, and dealing with financial stress. This underlines the need for mental health screening in the course of antenatal visits for a complete risk assessment.

Publisher

SAGE Publications

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