Bellman Val, Abbass Zargham, Sohail Ramsa, Jafri Syed
Department of Psychiatry, University of Missouri-Kansas City, USA.
Shaikh Zayed Medical and Dental College, Lahore, Pakistan.
Case Rep Psychiatry. 2021 Oct 11;2021:2527261. doi: 10.1155/2021/2527261. eCollection 2021.
Prader-Willi syndrome (PWS) is a rare neurodevelopmental disorder which is often associated with significant behavioral challenges and poor intellectual functioning. Research has shown that individuals with PWS are more likely to experience mental health problems, have higher relapse rates, and are at risk of self-harming behavior. Although PWS is associated with mild intellectual disability, which in itself confers a higher mortality rate, suicidality in this population is so far unreported in the literature. We present the case of an 18-year-old male patient who was admitted to our facility following exogenous insulin administration with suicidal intent. The main clinical characteristics, self-harming behaviors, and suicide risk factors of patients with PWS are discussed in this report. The article's objective is to redirect clinicians' attention to carefully screen and treat the underlying behavioral problems in PWS patients.
普拉德-威利综合征(PWS)是一种罕见的神经发育障碍,常伴有严重的行为挑战和智力功能低下。研究表明,患有PWS的个体更容易出现心理健康问题,复发率更高,并有自伤行为的风险。虽然PWS与轻度智力残疾有关,而轻度智力残疾本身就会导致较高的死亡率,但该人群中的自杀行为在文献中迄今尚未有报道。我们报告一例18岁男性患者,其因有自杀意图自行注射胰岛素后被收治入我院。本报告讨论了PWS患者的主要临床特征、自伤行为和自杀风险因素。本文的目的是提醒临床医生注意仔细筛查和治疗PWS患者潜在的行为问题。