Alcohol Withdrawal Presenting with Cut Throat Injury during COVID-19 Lockdown: Case Reports from Nepal.

Q4 Medicine Case Reports in Psychiatry Pub Date : 2023-10-27 eCollection Date: 2023-01-01 DOI:10.1155/2023/5514321
Dipesh Bhattarai, Shreeram Upadhyaya, Hemanta Banstola, Sagun Ballav Pant
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Abstract

Background: The relationship between alcohol dependence and suicidal tendency is well recognized. Self-harm by cut throat is an uncommon but is potentially life-threatening when attempted. We present a description and discussion of a series of three cases of alcohol dependence syndrome who presented with self-inflicted cut throat wounds during the lockdown period from 24th March to 7th July 2020 due to the COVID-19 pandemic at the largest tertiary care hospital in Nepal. Case description. During the three and a half months of COVID-19 lockdown, we had three cases of alcohol dependence syndrome presenting to emergency services with a self-inflicted cut throat injury. Two cases were diagnosed as having alcohol withdrawal delirium and one case as alcohol-induced psychotic disorder (alcoholic hallucinosis) as per the international classification of mental and behavioral disorders diagnostic criteria for research. All three cases were alcohol dependent for more than a decade, but with no prior self-harm attempts. Necessary surgical interventions were done by the Department of Otorhinolaryngology, and in liaison with the Department of Psychiatry, appropriate psychiatric management was done. All three cases had uneventful outcomes in regard to wound care and mental disorder.

Conclusion: Suicidal precautions should be taken in alcohol dependence during phases of consumption and abstinence. Screening for alcohol dependence and withdrawal should be a standard process in all self-harm cases that present to the emergency department during a crisis.

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新冠肺炎封锁期间出现割喉损伤的酒精戒断:尼泊尔病例报告。
背景:酒精依赖与自杀倾向之间的关系是公认的。割喉自残并不常见,但一旦尝试,可能会危及生命。我们对三例酒精依赖综合征患者进行了描述和讨论,他们在2020年3月24日至7月7日的封锁期间,由于新冠肺炎大流行,在尼泊尔最大的三级护理医院出现了自我感染的割喉伤口。案例描述。在新冠肺炎封锁的三个半月里,我们有三例酒精依赖综合征患者因自我感染的割喉损伤向急救服务部门提出。根据国际精神和行为障碍分类研究诊断标准,两例被诊断为酒精戒断性谵妄,一例被诊断为由酒精引起的精神病(酒精性幻觉症)。这三起案件都有十多年的酒精依赖性,但之前没有自残企图。耳鼻喉科进行了必要的手术干预,并与精神科联络,进行了适当的精神病管理。这三个病例在伤口护理和精神障碍方面都取得了平静的结果。结论:酒精依赖患者在饮酒和戒酒期间应采取自杀预防措施。在危机期间向急诊科提交的所有自残病例中,酒精依赖和戒断的筛查应该是一个标准程序。
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来源期刊
Case Reports in Psychiatry
Case Reports in Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
1.00
自引率
0.00%
发文量
49
审稿时长
12 weeks
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