Suicide is one of the leading causes of death worldwide and is an important socio-economic, public and mental health problem. An estimated 804000 suicide deaths occurred worldwide in 2012, representing an annual global suicide rate of 11.4 per 100000 populations (15.0 for malesand 8.0 for females). Gender is more significant variable for suicide study and many scientists noticed gender specific issues in suicide studies. Our goal was to identify the gender specific issues in suicide.This study is based on records provided by the local Health Centers of 21 provinces, particularly psychiatric-addiction care units; all local prosecution offices rural areas and 8 central organizations, which are registered suicide cases. We conducted the study by descriptive andretrospective design.Total of 6537 cases were registered at national level and 75.4% of the total cases were male. A sex ratio of male and female was 3:1. As noted, reported suicide cases were noticeably higher amongst males than females, this was most prominent in the 18-39 years age group. Most caseswere committed themselves by strangling and no difference for both sexes.The gender specific issues in suicide study are more significant variables.

Seasonality in suicide is one of those topics in epidemiology that we believe to know much about but understand fairly little in actuality. Since the 19th century many scholars have reported uniformly higher suicide frequencies in spring and summer than in autumn and winter. There had been very few studies on seasonality of Mongolian suicide. In this research, we wanted tofind the seasonal pattern and the relationship between behavioral characteristic and seasonal variation of suicide.This study is based on records provided by the local Health Centers of 21 provinces, particularly psychiatric-addiction care units; all local prosecution offices rural areasand 8 central organizations, which are registered suicide cases. We conducted the study by descriptive and retrospective design. Seasonal spring and early summer peak of suicide emerged in total suicide population. All concerned suicidecases were much more registered in spring time, and fatalsuicidalbehaviorcases registered fewer in autumn. National average percentage of fatal and non-fatalsuicidal behaviorcases was approximately in either seasons, but much more registered in spring time (x2=2.81; p≤0.000). Also most of fatal suicidal behavior cases were notedduring less human alertness hours in work days (x2=19.732a; p≤0.020).Seasonal variations of fatal suicidal behavioral haracteristic might play very important roles in suicide study.

Grand mal is the main characteristic of epileptic isorder. Other seizures that caused by non-epileptic disorders are called symptomatic epilepsy, epilepsy-like seizure and symptomatic seizure. The primary treatment of seizure patient is anticonvulsive medication. Therefore, adherence to medication regimen is important to reducing seizure incidence and preventing complications.Accreditation processes to study that how influence on the institution and individual developmentThe survey was conducted by descriptive cross-sectional design in outpatient clinic of NCMH. Morisky Medication Adherence Scales are used to assess adherence to medication regimen of seizure patient’s. Folstein rapid test is used to assess dementia. Overall, 70 patients, aged 20-71 years, 36 males and 34 females were participated our survey. 81.4% of total participants were patients with seizure syndrome caused by brain injure; 14.3% were patients suffering from congenital epilepsy and 4.3% of them could not described causes of their disease. 29.9% of all participants assessed as mild and moderate dementia, 34.3% of participants assessed non-adherent to medication regimen by scale 4 item and 77.1% ofparticipants assessed non-adherent to medication regimen by scale 8 item.29.9% of all participants have dementia, and 34.3%-77.1% of patients are non-adherent to medication regimen. Thus, our study suggests that there is a direct correlation between dementia and an adherence to medication regimen.

The Criminal Code of Mongolia, article 22.2 defines that a person who was imputable at the time of committing a crime but lost the ability to realize the socially dangerous nature of his/her act or omission or to control it due to chronic mental illness, temporary mental derangement, mental deficiency or another serious illness during the consideration of the case in court shall not be subject to criminal liability. A court shall apply to such a person compulsory measures of medical character and decide the matter of imposing punishment after his/her recovery.The Mental Health Law of Mongolia, article 3.1.13 also defines that socially endangered actions of persons with mental disorders means actions of persons who lost self control due to mental disorders by causing self harm, endangering safety of others and community. Therefore obvious need to study the causes of socially dangerous nature acts of patients to whom the court applied compulsory measures of medical character has been assessed.1. Study the diagnosis and mental states when the acts were committed.2. Study the ways of socially dangerous nature acts of mental health patients3. Duration of compulsory medical treatmentsStudy of medical history of those patients discharged from compulsory medical treatment shows that their mental illnesses were started from very young ages and continued in lengthy period of time. Patients with organic mental disorders (39.4%), schizophrenia, schizoid personalitydisorders and delusions (36.4%) were committed socially dangerous acts. Ways of socially dangerous acts were homicide, inflictions of bodily injuries to others including family members and hooliganism.30.3% of patients were in compulsory medical treatment for 10-12 months and 50% of them were with organic mental disorders. 18.2% of patients were in compulsory medical treatment for 25 months and over. 66.6% of them were diagnosed with schizophrenia, schizoid personalitydisorder and delusion.

Grand mal is the main characteristic of epileptic isorder. Other seizures that caused by non-epileptic disorders are called symptomatic epilepsy, epilepsy-like seizure and symptomatic seizure. The primary treatment of seizure patient is anticonvulsive medication. Therefore, adherence to medication regimen is important to reducing seizure incidence and preventing complications. Accreditation processes to study that how influence on the institution and individual development The survey was conducted by descriptive cross-sectional design in outpatient clinic of NCMH. Morisky Medication Adherence Scales are used to assess adherence to medication regimen of seizure patient’s. Folstein rapid test is used to assess dementia. Overall, 70 patients, aged 20-71 years, 36 males and 34 females were participated our survey. 81.4% of total participants were patients with seizure syndrome caused by brain injure; 14.3% were patients suffering from congenital epilepsy and 4.3% of them could not described causes of their disease. 29.9% of all participants assessed as mild and moderate dementia, 34.3% of participants assessed non-adherent to medication regimen by scale 4 item and 77.1% of participants assessed non-adherent to medication regimen by scale 8 item. 29.9% of all participants have dementia, and 34.3%-77.1% of patients are non-adherent to medication regimen. Thus, our study suggests that there is a direct correlation between dementia and an adherence to medication regimen.

WHO informed that across world an average of 565 young eople aged 10 to 29 die every day through interpersonal violence. Some studies mentioned that anxiety was most frequently occurred as one of the psychological onsequences among victims of child abuse. Recent research on effects of adverse early life experiences on central nervous system as stress systems (hypothalamus-pituitary-adrenal axis-HPA) has provided a greater understanding of the link between childhood abuse and susceptibility to anxiety disorder. Therefore, this research was done to study nxiety among abused adolescents, some physical parameters and level of cortisol in saliva.Total number of participants were 149 children aged between 11-16 years (number cases were 53, matched control subjects were 96). The Spence Children’s Anxiety Scale (SCAS; Spence, 1997) is a 38-item self-report uestionnaire that assesses multiple symptoms of childhood anxiety disorders based on current diagnostic criteria. All participants were measured the cortisol in the saliva by Cortisol ELISA kit, Sigma, USA. Average age of all subjects in the study was 13.52±1.57 and 102 of all subjects were female and 47 were male. All anxiety symptoms of case group was statistically significance higher (p<0.01) than control group. The average amount of salivary cortisol of case group was (21.3±8.1 ng/ml) statistically significantly lower (p<0.01) than average amount of control group (31.56±16.9 ng/ml). Anxiety was more frequently occurred among abused children and blunted cortisol responses might indicate a level of impaired HPA functioning that could constitute a vulnerability to psychopathology with exposure to anxiety.

Each suicide is a personal tragedy that prematurely takes the life of an individual and has a continuingripple effect, dramatically affecting the lives of families, friends and communities.Suicidal behavior maybe seen in all agegroups, but its incidence among young peopleand adolescentshas increased in recentyears. Suicide was the second leading cause of death among 15-29 year olds, globally. WHO AdolescentHealth Report disclose that major depression leads teenage boys and girls aged 10-19 to disability, andtotal 1.2 million teenagers were died due to the three leading causes of adolescent’s death such as roadtraffic accidents, HIV, and suicidal behavior. In Mongolia, up to now, a comprehensive study for definingprevalence, incidence, causes and influencing factors of fatal and non-fatal suicide cases among teenagershas not yet been conducted. Media broadcast shows increase in fatal and non-fatal suicidal behavior latelyin Mongolia’s society which worries the public. According to study results Global School based StudentHealth Survey 2013, 23 % of total 5393 students aged 12-17 were seriously considered attempt suicidalbehavior; 9.6% were did attempt suicidal behavior in the past one year, girls attempts were more than boysas reported. Thus social mental health disturbance require comprehensive study to identifyfatal and nonfatalsuicidal behavior causes and pathways among adolescents. There’s necessity to plan care servicein the near future.

Introduction. There is group of mental disorder characterized by several physical symptoms are not fully explained by general medical condition, individuals visit many doctors and undergo numerous physical examinations, diagnostic tests associated with their suffer but no physical cause can be found. A third somatoform pattern is somatization disorder, characterized by numerous and recurrent physical complaints that begin by age 30. The prevalence of this disorder is 1-2% among adult population and it is occurred more female than male. Goal. To study some clinical symptoms among people with somatization disorder. Materials and Methods. This study was conducted with quality research method semi-structure questionnaire among the 30 people, who admitted to state and private hospital and sanatorium in the Chingeltei, Songinokhairkhan, Khan-Uul, Sukhbaatar, Bayanzurkh and Bayangol district in Ulaanbaatar city province for medical care. We did random sampling for unexplained somatic symptom individuals by diagnostic criteria as followings: 1.Multiple, recurrent, clinically significant somatic complaints no physical cause can be found over the last 2 years. 2. There must be a history of a visit at least 3 times for professional medical help due to their constant suffer. 3. Did not accept their medical diagnose and conclusion, even though no evidence of somatic symptoms. Results. There were 20 female and 5 male patients in our study, aged 23-78 years old were involved into our interview, and the average age was 44±0.8. We were clarifying clinical symptoms, such as gastrointestinal, cardiovascular, sexual function and urinary tract for all participants. The most of participants occurred gastrointestinal symptoms, such as nausea, vomit and timpanists. Also, all of the participants experienced heart beat symptom. As four of the 5 males reported loss of libido and majority of the females occurred pollakuria and sensopathy symptoms.Conclusion. Gastrointestinal symptoms (nausea, vomit and timpanists), cardiovascular symptom (heart beat), sexual function and urinary tract (loss of libido and pollakuria) and sensor conversion (sensopathy) occur mostly for somatization disorder.

Introduction Violence is defi ned by the WHO as “the intentional use of physical force or power, threatened or actual, against oneself, another person, or against a group or community, which either results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation”. Violence can be divided into many types such as physical, psychological, sexual, neglect and economical etc. Violence against women and child is a manifestation of historically unequal power relations between men and women or child due to patriarchy in many countries of the world. Child maltreatment or violence is one of common public health problems in worldwide and psychologically harm in child’s later life. Objective To detect types, percent and some infl uencing factors of violence against child and adolescent among cases, which were involving into forensic psychiatric evaluation procedures. Materials and Methods We are analyzed all archive documents of NCMH, 2000-2014 by retrospective methodology on based ethical approval of NCMH administration (by ordering 2/189 Oct 28, 2015). Results Total 1067 cases of violence against child and adolescent were registered in 2000-2014 years and 84.7 percent of those (n=904) were sexual violence cases. Gender difference was defi ning among sexual violence cases (girls n=885, p<0.000; boys n=19, p<0.000) with statistically signifi cant. Sexual offender can be act his violence in drunken (OR=2.355; p<0.000; CI 95%; 1.601-3.463) or negative relationship between family members (OR=3.723; p<0.000; CI 95%-2.356-5.883) are more infl uenced to sexual violence against child and adolescent. Conclusion Sexual violence is more registered among child and adolescent maltreatment cases. Children and adolescents are more affected into sexual violence likely to have a negative relationship between the family members or offenders have used alcohol.

WHO informed that across world an average of 565 young people aged 10 to 29 die every day through interpersonal violence. Some studies mentioned that anxiety was most frequently occurred as one of the psychological consequences among victims of child abuse. Recent research on effects of adverse early life experiences on central nervous system as stress systems (hypothalamus-pituitary-adrenal axis-HPA) has provided a greater understanding of the link between childhood abuse and susceptibility to anxiety disorder. Therefore, this research was done to study anxiety among abused adolescents, some physical parameters and level of cortisol in saliva.There were selected 20 abused children and 40 non abused children aged between 11-16 years old and lived in Ulaanbaatar city. The Spence Children’s Anxiety Scale (SCAS; Spence, 1997) is a 38-item self-report questionnaire that assesses multiple symptoms of childhood anxiety disorders based on current diagnostic criteria. All participants were measured the cortisol in the saliva by Cortisol ELISA kit, Sigma, Average age of all subjects in the study was 13.52±1.57 and 59% of them were female and 41% were male. All anxiety symptoms of case group was statistically significance higher (p<0.01) than control group. The average amount of salivary cortisol of case group was (18.65±7.08) statistically significantly lower (p<0.01) than average amount of control group (32.15±20.99).Anxiety was more frequently occurred among abused children and blunted cortisol responses might indicate a level of impaired HPA functioning that could constitute a vulnerability to psychopathology with exposure to anxiety.