Fatani Abrar N, Alasiri Nouf M, Gasem Osama A
Department of Psychiatry, Mental Health Hospital, Jeddah, SAU.
Department of Pediatrics, King Abdulaziz Hospital, Jeddah, SAU.
Cureus. 2024 Jul 13;16(7):e64451. doi: 10.7759/cureus.64451. eCollection 2024 Jul.
Autism spectrum disorder (ASD) and attention deficit hyperactivity disorder (ADHD) significantly impact mental health, increasing the risk of severe behaviors, including suicidality. This case report examines a 13-year-old boy with ASD and ADHD who presented to the emergency department with homicidal and suicidal ideations. Despite being prescribed risperidone and carbamazepine, his noncompliance with medication and therapy, combined with significant social stressors like physical abuse by his stepfather and his mother's mental health issues, exacerbated his condition. His aggressive actions toward siblings and self-harm attempts highlight the severe behavioral manifestations of these conditions. The case underscores the necessity for comprehensive and consistent intervention strategies, robust support systems, and regular follow-ups to manage ASD and ADHD effectively and mitigate the risk of severe outcomes.
自闭症谱系障碍(ASD)和注意力缺陷多动障碍(ADHD)对心理健康有重大影响,增加了包括自杀倾向在内的严重行为的风险。本病例报告研究了一名患有ASD和ADHD的13岁男孩,他因有杀人及自杀念头而前往急诊科就诊。尽管给他开了利培酮和卡马西平,但他不遵医嘱服药和接受治疗,再加上继父的身体虐待和母亲的心理健康问题等重大社会压力源,使他的病情恶化。他对兄弟姐妹的攻击行为和自残企图凸显了这些病症的严重行为表现。该病例强调了采取全面、一致的干预策略、强大的支持系统以及定期随访的必要性,以便有效管理ASD和ADHD并降低严重后果的风险。