Suicide and COVID-19: what we learned?
ESCMID eAcademy. Chkirbene Y. 03/01/23; 376565
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Suicide and COVID-19 : what we learned?
Y. Nouma1, Y. Chkirbène2, W. Thaljaoui3, S. Frigui4, Y. Chebbi4, W. Achour4
1Forensic medicine department, University hospital of Medenine, Faculty of medicine of Sfax,
2Forensic medicine department, Regional hospital of Zaghouan, Faculty of Medicine of Tunis,
3Forensic medicine department, University hospital of Sidi Bouzid, Faculty of medicine of Sousse, 4Laboratory department, National Bone Marrrow Transplantation Center - LR18ES39, Faculty of Medicine of Tunis
ABSTRACT
The COVID-19 pandemic, associated to lockdown and global socio-economic changes, had global effect on people’s mental health. As a severe disease, it can be associated with anxiety, depression, and psycho-emotional disruption leading sometimes to autolytic behavior. Furthermore, it is hypothesized that SARS-CoV-2 interacts with multiple biological processes that underlie suicidal behavior. We report here 3 cases of suicide in covid-19 positive persons who had not any known psychiatric history.
The 1st case is about a 39-year-old man who was found hanged by a hanging by rotational movement in the hospital room, using the bedsheet from his hospital bed 12 hours after his admission. A minimal-invasive forensic autopsy was performed. Lung and …… histological examination and toxicological expertise have been requested.
The 2nd case is about a 64 year-old man who had a drug induced suicide attempt. He was treated in intensive care unit (no systematic pre-admission covid-19 PCR). Two days later, the covid-19 infection was diagnosed. He passed away a week later. A minimally invasive autopsy was performed without further tests.
The 3rd case is about a suicidal behavior in a 72 year-old man. It was a fatal oxygen related fire with smoking in hospital isolation room. A minimally invasive forensic autopsy was carried out. Histological examination and toxicological analysis were performed. No significant microscopic changes in the brain tissue were highlighted.
Neuropathological changes have been found in patients with COVID-19. Their substrate remains uncertain and there is not enough data to correlate these changes with SARS-CoV-2 infection.
In conclusion, SARS-CoV-2 can open a new window for understanding the suicidal process by investigating deeply suicide cases during COVID-19 infection.
Y. Nouma1, Y. Chkirbène2, W. Thaljaoui3, S. Frigui4, Y. Chebbi4, W. Achour4
1Forensic medicine department, University hospital of Medenine, Faculty of medicine of Sfax,
2Forensic medicine department, Regional hospital of Zaghouan, Faculty of Medicine of Tunis,
3Forensic medicine department, University hospital of Sidi Bouzid, Faculty of medicine of Sousse, 4Laboratory department, National Bone Marrrow Transplantation Center - LR18ES39, Faculty of Medicine of Tunis
ABSTRACT
The COVID-19 pandemic, associated to lockdown and global socio-economic changes, had global effect on people’s mental health. As a severe disease, it can be associated with anxiety, depression, and psycho-emotional disruption leading sometimes to autolytic behavior. Furthermore, it is hypothesized that SARS-CoV-2 interacts with multiple biological processes that underlie suicidal behavior. We report here 3 cases of suicide in covid-19 positive persons who had not any known psychiatric history.
The 1st case is about a 39-year-old man who was found hanged by a hanging by rotational movement in the hospital room, using the bedsheet from his hospital bed 12 hours after his admission. A minimal-invasive forensic autopsy was performed. Lung and …… histological examination and toxicological expertise have been requested.
The 2nd case is about a 64 year-old man who had a drug induced suicide attempt. He was treated in intensive care unit (no systematic pre-admission covid-19 PCR). Two days later, the covid-19 infection was diagnosed. He passed away a week later. A minimally invasive autopsy was performed without further tests.
The 3rd case is about a suicidal behavior in a 72 year-old man. It was a fatal oxygen related fire with smoking in hospital isolation room. A minimally invasive forensic autopsy was carried out. Histological examination and toxicological analysis were performed. No significant microscopic changes in the brain tissue were highlighted.
Neuropathological changes have been found in patients with COVID-19. Their substrate remains uncertain and there is not enough data to correlate these changes with SARS-CoV-2 infection.
In conclusion, SARS-CoV-2 can open a new window for understanding the suicidal process by investigating deeply suicide cases during COVID-19 infection.
Suicide and COVID-19 : what we learned?
Y. Nouma1, Y. Chkirbène2, W. Thaljaoui3, S. Frigui4, Y. Chebbi4, W. Achour4
1Forensic medicine department, University hospital of Medenine, Faculty of medicine of Sfax,
2Forensic medicine department, Regional hospital of Zaghouan, Faculty of Medicine of Tunis,
3Forensic medicine department, University hospital of Sidi Bouzid, Faculty of medicine of Sousse, 4Laboratory department, National Bone Marrrow Transplantation Center - LR18ES39, Faculty of Medicine of Tunis
ABSTRACT
The COVID-19 pandemic, associated to lockdown and global socio-economic changes, had global effect on people’s mental health. As a severe disease, it can be associated with anxiety, depression, and psycho-emotional disruption leading sometimes to autolytic behavior. Furthermore, it is hypothesized that SARS-CoV-2 interacts with multiple biological processes that underlie suicidal behavior. We report here 3 cases of suicide in covid-19 positive persons who had not any known psychiatric history.
The 1st case is about a 39-year-old man who was found hanged by a hanging by rotational movement in the hospital room, using the bedsheet from his hospital bed 12 hours after his admission. A minimal-invasive forensic autopsy was performed. Lung and …… histological examination and toxicological expertise have been requested.
The 2nd case is about a 64 year-old man who had a drug induced suicide attempt. He was treated in intensive care unit (no systematic pre-admission covid-19 PCR). Two days later, the covid-19 infection was diagnosed. He passed away a week later. A minimally invasive autopsy was performed without further tests.
The 3rd case is about a suicidal behavior in a 72 year-old man. It was a fatal oxygen related fire with smoking in hospital isolation room. A minimally invasive forensic autopsy was carried out. Histological examination and toxicological analysis were performed. No significant microscopic changes in the brain tissue were highlighted.
Neuropathological changes have been found in patients with COVID-19. Their substrate remains uncertain and there is not enough data to correlate these changes with SARS-CoV-2 infection.
In conclusion, SARS-CoV-2 can open a new window for understanding the suicidal process by investigating deeply suicide cases during COVID-19 infection.
Y. Nouma1, Y. Chkirbène2, W. Thaljaoui3, S. Frigui4, Y. Chebbi4, W. Achour4
1Forensic medicine department, University hospital of Medenine, Faculty of medicine of Sfax,
2Forensic medicine department, Regional hospital of Zaghouan, Faculty of Medicine of Tunis,
3Forensic medicine department, University hospital of Sidi Bouzid, Faculty of medicine of Sousse, 4Laboratory department, National Bone Marrrow Transplantation Center - LR18ES39, Faculty of Medicine of Tunis
ABSTRACT
The COVID-19 pandemic, associated to lockdown and global socio-economic changes, had global effect on people’s mental health. As a severe disease, it can be associated with anxiety, depression, and psycho-emotional disruption leading sometimes to autolytic behavior. Furthermore, it is hypothesized that SARS-CoV-2 interacts with multiple biological processes that underlie suicidal behavior. We report here 3 cases of suicide in covid-19 positive persons who had not any known psychiatric history.
The 1st case is about a 39-year-old man who was found hanged by a hanging by rotational movement in the hospital room, using the bedsheet from his hospital bed 12 hours after his admission. A minimal-invasive forensic autopsy was performed. Lung and …… histological examination and toxicological expertise have been requested.
The 2nd case is about a 64 year-old man who had a drug induced suicide attempt. He was treated in intensive care unit (no systematic pre-admission covid-19 PCR). Two days later, the covid-19 infection was diagnosed. He passed away a week later. A minimally invasive autopsy was performed without further tests.
The 3rd case is about a suicidal behavior in a 72 year-old man. It was a fatal oxygen related fire with smoking in hospital isolation room. A minimally invasive forensic autopsy was carried out. Histological examination and toxicological analysis were performed. No significant microscopic changes in the brain tissue were highlighted.
Neuropathological changes have been found in patients with COVID-19. Their substrate remains uncertain and there is not enough data to correlate these changes with SARS-CoV-2 infection.
In conclusion, SARS-CoV-2 can open a new window for understanding the suicidal process by investigating deeply suicide cases during COVID-19 infection.
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