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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

EV0244

Can puberty be fatal? Examining the impact of menstrual irregularities and gynecological pathology on the risk of suicide attempts

CAN PUBERTY BE DEADLY? EXPLORING THE IMPACT OF MENSTRUAL IRREGULARITIES AND GYNECOLOGIC PATHOLOGY ON THE RISK OF ATTEMPTED SUICIDE

In two adolescent cases, early menarche, severe menstrual symptoms, and co-occurring gynecological pathology were associated with mental health crises culminating in suicide attempts.

The aim is to discuss the relationship between early menarche, menstrual irregularities, gynecological pathology, and suicide attempts in adolescents through two cases. The poster reports that suicide is the second leading cause of death among people aged 15 to 24, that suicidal ideation and suicide attempts are disproportionately more common in adolescent girls than in boys, and that this is largely associated with higher rates of depression and anxiety. The study is a case series involving two adolescents. The first case is a 17-year-old girl admitted following a suicide attempt by intentional medication overdose during menstruation; she reported a history of an ovarian cyst two months earlier, depressed mood coinciding with menarche at age 8, and severe menstrual pain accompanied by frequent fainting and vomiting. Suicidal thoughts involving a plan to end her life had begun 6 days before menstruation. She was diagnosed with major depressive disorder (MDD), stabilized without medication, and discharged with psychological follow-up. The second case is a 14-year-old girl who presented with a three-day history of vaginal bleeding, discharge, and pelvic pain and was admitted following a suicide attempt by drowning in a bathtub that required cardiopulmonary resuscitation (CPR); she had a history of menarche at age 9, heavy menstrual bleeding, pain and nausea, and depression. She reported having planned to end her life because she believed she had become pregnant and miscarried. She was diagnosed with chlamydial pelvic inflammatory disease and treated with antibiotics, psychiatrically stabilized with escitalopram, and discharged with outpatient follow-up. Both cases involved early menarche, severe physical symptoms accompanying menstruation, and depressive symptoms; however, depression also persisted outside the premenstrual period. In conclusion, the authors recommend that clinicians remain vigilant when screening menstruating adolescents for depression and suicidality and that patients and families be informed of the risk of poorer psychiatric outcomes in the presence of early menarche. They note that the predictive value of menstrual irregularities for suicide attempts remains insufficiently understood and that further studies are needed.

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