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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Wissenschaftlicher Beirat: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel


CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

Online
ISSN
2191-0278
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Band 29, Heft 2

Hefte

Neurogenic speech sequelae following suicide attempt by hanging: a case report

Manal Muhammed Wazeer / Sunila John
  • Korrespondenzautor
  • Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India
  • E-Mail
  • Weitere Artikel des Autors:
  • De Gruyter OnlineGoogle Scholar
/ Bellur Rajashekhar
  • Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India
  • Weitere Artikel des Autors:
  • De Gruyter OnlineGoogle Scholar
Online erschienen: 11.09.2015 | DOI: https://doi.org/10.1515/ijamh-2015-0039

Abstract

Background:

Attempting suicide by hanging has become one of the most preferred means among adolescents. Individuals who survive a suicide attempt by hanging have a range of deficits, including neuropsychological, neuropsychiatric, pulmonary and even speech and language deficits. Literature regarding speech and language deficits in cases of near hanging is especially limited.

Objective:

This study aimed to demonstrate the sequelae of neurogenic speech deficits following a suicide attempt by hanging, the treatment strategies, and prognostic issues in one such case.

Methods:

We report of Patient X who attempted suicide by hanging. The patient was admitted and a detailed speech and language evaluation was completed.

Results:

Patient X was diagnosed with hypoxic-ischemic encephalopathy with organic amnesic syndrome. Consequent to the neurogenic insult, the patient demonstrated speech deficits that were characterized by moderate flaccid dysarthria and neurogenic stuttering. Patient X underwent a week of treatment, subsequent to which there was an improvement in certain speech subsystems. However, the neurogenic stuttering symptoms did not resolve completely even post therapy.

Conclusion:

Individuals who survive a suicide attempt by hanging have a range of deficits, including speech deficits that need to be addressed by a speech language pathologist. This case report is an eye opener for speech language pathologists regarding their role in such cases.

Keywords: dysarthria; stuttering; suicide attempt

References

  • 1.

    Farmer R, Rohde J. Effect of availability and acceptability of lethal instruments on suicide mortality. An analysis of some international data. Acta Psychiatr Scand 1980;62:436–46.PubMedCrossrefGoogle Scholar

  • 2.

    World Health Organization. Mental Health. Available from: http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/. [Last accessed on March 27, 2012].

  • 3.

    Zabel TA, Slomine B, Brady K, Christensen J. Neuropsychological profile following suicide attempt by hanging: two adolescent case reports. Child Neuropsychol 2005;11:373–88.CrossrefPubMedGoogle Scholar

  • 4.

    Medalia AA, Merriam AE, Ehenreich JH. The neuropsychological sequelae of attempted hanging. J Neurol Neurosurg Psychiatry 1991;54:546–8.CrossrefPubMedGoogle Scholar

  • 5.

    Caine D, Watson JD. Neuropsychological and neuropathological sequelae of cerebral anoxia: a critical review. J Int Neuropsychol Soc 2000;6:86–9.PubMedGoogle Scholar

  • 6.

    Costache VS, Renaud C, Brouchet L, Toma T, Le Balle F, et al. Complete tracheal rupture after a failed suicide attempt. Ann Thorac Surg 2004;77:1422–3.PubMedCrossrefGoogle Scholar

  • 7.

    Kumar S, Chatterjee I, Kumar N, Kumari A. Management of flaccid dysarthria in a case of attempted suicide by hanging. East J Med 2011;16:66–71.Google Scholar

  • 8.

    Deal JL. Sudden onset of stuttering: a case report. J Speech Hear Disord 1982;47:301–4.PubMedCrossrefGoogle Scholar

  • 9.

    Martin MJ, Weng J, Demetriades D, Salim A. Patterns of injury and functional outcome after hanging: analysis of the National Trauma Data Bank. Am J Surg 2005;190:838–43.CrossrefGoogle Scholar

  • 10.

    Berlyne N, Strachan M. Neuropsychiatric sequelae of attempted hanging. Br J Psychiatry 1968;114:411–21.CrossrefPubMedGoogle Scholar

  • 11.

    Enderby P, Palmer R. Frenchay’s Dysarthria Assessment. Austin, TX: Pro-Ed, 1983.Google Scholar

  • 12.

    Riley GD. Stuttering severity instrument for children and adults. Austin, TX: Pro-Ed, 1983.Google Scholar

  • 13.

    Kertesz A. The Western Aphasia Battery. New York: Grune and Sratton, 1982.Google Scholar

  • 14.

    Hodges JR. The Addenbrooke’s cognitive examination – revised and supplementary test suggestions. In: Hodges JR, editor. Cognitive assessment for clinicians, 2nd ed. New York, NY: Oxford University Press, 2007:157–66.Google Scholar

  • 15.

    Rabinstein AA, Resinick SJ. Hypoxic-ischemic brain damage. In: Rabinstein AA, Resinick SJ, editors. Practical neuroimaging in stroke: a case-based approach. Philadelphia, PA: Elsevier, 2009:1–16.Google Scholar

Artikelinformationen

Corresponding author: Sunila John, Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India, E-mail: sunila.john@manipal.edu


Erhalten: 05.05.2015

Angenommen: 02.07.2015

Online erschienen: 11.09.2015

Erschienen im Druck: 01.04.2017


Quellenangabe: International Journal of Adolescent Medicine and Health, Band 29, Heft 2, 20150039, ISSN (Online) 2191-0278, ISSN (Print) 0334-0139, DOI: https://doi.org/10.1515/ijamh-2015-0039.

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