fa اهمیت توجه به افکار و رفتار خودکشی در کودکان خردسال: «تهدید به خودکشی در یک کودک پنج‌ساله» روانپزشکی و روانشناسی Psychiatry and Psychology گزارش موردي Case report <!--stripped--><!--stripped--><w:trackmoves><w:trackformatting><w:punctuationkerning><w:validateagainstschemas><w:donotpromoteqf><w:browserlevel><m:mathpr><m:mathfont m:val="Cambria Math"><m:brkbin m:val="before"><m:brkbinsub m:val="--"><m:smallfrac m:val="off"><m:dispdef><m:lmargin m:val="0"><m:rmargin m:val="0"><m:defjc m:val="centerGroup"><m:wrapindent m:val="1440"><m:intlim m:val="subSup"><m:narylim m:val="undOvr"> </m:narylim></m:intlim></m:wrapindent></m:defjc></m:rmargin></m:lmargin></m:dispdef></m:smallfrac></m:brkbinsub></m:brkbin></m:mathfont></m:mathpr> <!--stripped--> <p class="a" dir="rtl" style="text-align: justify line-height: 18pt"><b><u><span lang="AR-SA">هدف</span></u><span lang="AR-SA">:</span></b><span lang="AR-SA"> هدف گزارش حاضر توجه </span><span lang="FA">به </span><span lang="AR-SA">افکار خودکشی در کودکان و ارزیابی این افکار بود.<b> </b></span><b><u><span lang="AR-SA">گزارش مورد</span></u><span lang="AR-SA">:</span></b><span lang="AR-SA"> این گزارش به معرفی کودک پنج‌ساله­ای می‌پردازد که با علائم تهدید به خودکشی و دیگرکشی با کارد، بی‌قراری، پرحرفی، تحریک‌پذیری و درگیری جسمی و کلامی با اطرافیان می‌پردازد. وی پیشتر، با تشخیص اختلال کمبود توجه و بیش‌‌فعالی، به‌طور کوتاه‌مدت و ناقص با متیل‌فنیدیت درمان شده بود و در زمان تهیه گزارش، در بخش روانپزشکی کودکان بیمارستان شهید بهشتی کرمان، برای نوبت دوم و با فاصله زمانی کوتاه از ترخیص نوبت اول، بستری بود.</span><span dir="ltr" lang="AR-SA"> </span><span lang="AR-SA">تفکر در مورد خودکشی، دیگر کشی و یا اقدام به آن، در این کودک به‌دلیل تفکر غیرانتزاعی مختص این دوران و بدون توانایی اندیشیدن به عواقب و کشندگی روش تصور می‌شود. </span><b><u><span lang="AR-SA">نتیجه‌گیری</span></u><span lang="AR-SA">:</span></b><span lang="AR-SA"> حتی در کودکان نیز باید در صورت احتمال وجود افکار خودکشی/دیگرکشی یا اقدام به خودکشی، مورد به‌طور دقیق ارزیابی و اقدامات 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<!--stripped--><!--stripped--> <style type="text/css">/* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal" mso-tstyle-rowband-size:0 mso-tstyle-colband-size:0 mso-style-noshow:yes mso-style-priority:99 mso-style-qformat:yes mso-style-parent:"" mso-padding-alt:0cm 5.4pt 0cm 5.4pt mso-para-margin:0cm mso-para-margin-bottom:.0001pt mso-pagination:widow-orphan font-size:11.0pt font-family:"Calibri","sans-serif" mso-ascii-font-family:Calibri mso-ascii-theme-font:minor-latin mso-fareast-font-family:"Times New Roman" mso-fareast-theme-font:minor-fareast mso-hansi-font-family:Calibri mso-hansi-theme-font:minor-latin mso-bidi-font-family:Arial mso-bidi-theme-font:minor-bidi} </style> <!--stripped--></w:browserlevel></w:donotpromoteqf></w:validateagainstschemas></w:punctuationkerning></w:trackformatting></w:trackmoves> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p></p> <p dir="ltr" style="text-align: justify"><strong><u>Objectives</u></strong><strong>:</strong> Considering and evaluation of suicidal thoughts in children.<br> <strong><u>Case report</u>: </strong>This report introduces a five years old child who presented with the signs and symptoms of threaten to suicide and homicide by knife, restlessness, verbosity, irritability, <a name="OLE_LINK4"></a><a name="OLE_LINK3">verbal </a>and physical aggression toward others. This child has been treated with methylphenidate, due to symptoms of attention deficit / hyperactivity disorder (ADHD) for a short period of time. During the preparation of this report, he was hospitalized in the children’s psychiatric ward of Shahid Beheshti Hospital of Kerman for the second time after a short interval from the first-time hospitalization. Suicidal and homicidal thoughts of this child and his attempts for suicide or homicide were possibly due to non-abstract thinking related to his age without ability to think about consequences of these actions. <strong><u>Conclusion</u>: </strong>Suicidal and homicidal thoughts or actions should be evaluated carefully even in the children, and also the appropriate interventions should be performed to reduce these behaviors.</p> خودکشی؛ دیگرکشی؛ کودکان پیش‌دبستانی؛ اختلال دوقطبی suicidal, homicidal, preschool children, bipolar disorder 75 78 http://ijpcp.iums.ac.ir/browse.php?a_code=A-10-1-757&slc_lang=fa&sid=1 Mahin Eslami Shahrbabaki مهین اسلامی شهربابکی 1800319475328460010475 1800319475328460010475 No Shahid Beheshti Hospital, Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran فوق تخصص روانپزشکی کودک و نوجوان، استادیار دانشگاه علوم پزشکی کرمان. مرکز تحقیقات مغز واعصاب، بیمارستان روانپزشکی شهید بهشتی، دانشکده پزشکی افضلی‌پور Mansoureh Nasirian منصوره نصیریان E-mail:nasirian90@gmail.com 1800319475328460010476 1800319475328460010476 Yes Psychiatry Department, Shahid Sadoughi University of Medical Sciences, Yazd, Iran, IR Fax: +983532351200 روانپزشک، دانشگاه علوم پزشکی شهید صدوقی. یزد، دانشگاه علوم پزشکی شهید صدوقی، گروه روانپزشکی. دورنگار: 03532351200