1.LORAZEPAM FOR THE MANAGEMENT OF POSTERIOR FOSSA MUTISM: A CASE REPORT
Sulhi Alfakeh ; Alaa Alesa ; Abdulrahman J. Sabbagh ; Abdulaziz A. Basurrah
ASEAN Journal of Psychiatry 2024;25(4):1-5
LORAZEPAM FOR THE MANAGEMENT OF POSTERIOR FOSSA MUTISM: A CASE REPORT
Posterior Fossa Syndrome (PFS) is a condition that can develop in children and adults
following a cerebellar tumor resection surgery. The syndrome is characterized by multiple
symptoms, including mutism, personality changes, and mobility problems. We present a case
of a four-year-old boy diagnosed with posterior fossa tumor with secondary hydrocephalus
who underwent an uneventful total resection of the tumor and developed posterior fossa
syndrome, including mutism, was managed using lorazepam and made a full recovery of
almost all of the symptoms he developed. Posterior fossa syndrome has multiple symptoms,
most of which are usually transient. The exact pathophysiology and time to recovery are
still not fully known. Patients with posterior fossa syndrome are managed with a multidisciplinary approach. Mutism resulting from this syndrome is proven to be successfully managed by lorazepam. ASEAN Journal of Psychiatry, Vol. 25 (5) May, 2024; 1-5.
2.SUICIDE IDEATION AND ATTEMPTS AMONG UNIVERSITY STUDENTS
Sulhi Alfakeh ; Albatool Balkhair ; Felwa Alotaibi ; Ghaidaa Baothman ; Joud Alsolami ; Manar Alzahrani ; Refan Alsaeed ; Sarah Sultan
ASEAN Journal of Psychiatry 2023;24(9):1-7
Introduction: There are few limited studies on the rate of suicidal thoughts and attempts between students in the Middle East, especially in Saudi Arabia.
Aim: We sought to assess the rate of suicide ideation and attempts between students at King Abdulaziz University in Jeddah, Saudi Arabia
Materials and Methods: We conducted a cross-sectional study between 2019 and 2022, with 3,514 participants aged between 17 and 25 years. Data were obtained using an electroni questionnaire based on the Depression, Anxiety, and Stress Scale-21. All statistical analyses were performed using Statistical Package for the Social Sciences (SPSS) version 21.
Results and Discussion: Of the 3,514 students who completed the questionnaire, 1,324 were male and 2,190 were female; 8.4% had attempted suicide in the past year, and 23.4% had thought of suicide in the past year. We noted a strong relationship between depression level and suicidal thoughts. Over 68 respondents had been diagnosed with severe depression, and 58.8% had attempted suicide in the past year. Suicidal thoughts and attempts were also strongly related to anxiety; 246 students had been diagnosed with anxiety in the previous year.
Conclusion: One of the leading reasons of mortality among adolescents is suicide. Early follow-up can enhance mental health and quality of life.


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