Profile of pediatric medico-legal cases admitted in Department of Pediatrics at a tertiary care hospital in Eastern Uttar Pradesh
DOI:
https://doi.org/10.18203/2349-3291.ijcp20251858Keywords:
Pediatric, Suicidal, Medico-legal, Accidental injuries, OutcomeAbstract
Background: There is lack of data regarding medico-legal cases in paediatric population. To define the clinical, demographic and etiological profile of medico-legal cases admitted and managed in pediatric department of a tertiary care centre.
Methods: The prospective observational study is conducted over a period of 1 year; all children up-to age of 18 years admitted with medico-legal implications were included in study.
Results: Total 57 children were enrolled in study; mean age of study participants was 8.05±5.52 years. Majority of medicolegal cases were accidental (52.6%) followed by suicidal (28.1%), homicidal (10.5%) and intentional (8.7%). Accidental injuries are significantly associated with male sex and better outcome when compared suicidal injuries.
Conclusions: Most frequent type of injury was poisoning followed by abandoned baby. Poor outcomes are associated with poisoning in cases involving suicidal ingestion, the presence of stressors, and the need for respiratory/vasopressor support.
Metrics
References
Reddy KSN, Murthy OP. The Essentials of Forensic Medicine and Toxicology. 33rd Ed. Hyderabad, India: K. Sugunadevi. 2014:1-5.
Singi Y. A Study on the Profile of Poisoning in the Paediatric Population in a Tertiary Care Teaching Hospital of Chitradurga Region. Cureus. 2021;14(12):32369.
Mina SS, Basu S, Kumar V, Mina D. Profile of medico-legal cases registered at a tertiary care children’s hospital. Int J Contemp Pediatr. 2017;4:1345-8. DOI: https://doi.org/10.18203/2349-3291.ijcp20172663
Devaranavadagi RA, Patel S, Shankar P. A study on profile of poisoning in pediatric population. Int J Contemp Pediatr. 2017;4:810-5. DOI: https://doi.org/10.18203/2349-3291.ijcp20171511
Ramawat P, Jain N. A study about clinic-epidemiological pattern of acute poisoning in pediatric age group. Asian J Med Sci. 2021;12(4):87. DOI: https://doi.org/10.3126/ajms.v12i4.30701
Galagali PM, Dinakar C, Bala P. Indian academy of pediatrics consensus guidelines on prevention and management of suicidal behavior in adolescents. Indian Pediatr. 2022;59:553–62. DOI: https://doi.org/10.1007/s13312-022-2558-6
Sharma J, Kaushal RK. Profile of poisoning in children. Pediatric Oncall J. 2014;11(2):40-2. DOI: https://doi.org/10.7199/ped.oncall.2014.27
Dayasiri MBKC, Jayamanne SF and Jayasinghe YC. Patterns of acute poisoning with pesticides in the paediatric age group. Int J Emerg Med. 2017;10:22. DOI: https://doi.org/10.1186/s12245-017-0148-5
Gupta S, Basera D. Youth Suicide in India: A critical review and implication for the national suicide prevention policy. OMEGA-J Death and Dying. 2023;88(1):245-73. DOI: https://doi.org/10.1177/00302228211045169
Lalwani S, Sharma GA, Kabra SK, Girdhar S, Dogra TD. Suicide among children and adolescents in south Delhi (1991–2000). Indian J Pediat. 2004;71:701-3. DOI: https://doi.org/10.1007/BF02730657
Kumar S, Verma AK, Bhattacharya S, Rathore S. Trends in rates and methods of suicide in India. Egyptian J Forensic Sci. 2013;3(3):75-80. DOI: https://doi.org/10.1016/j.ejfs.2013.04.003
Grover S, Sarkar S, Chakrabarti S, Malhotra S, Avasthi A. Intentional Self-harm in Children and Adolescents: A Study from Psychiatry Consultation Liaison Services of a Tertiary Care Hospital. Indian J Psychol Med. 2015;37(1):12-6. DOI: https://doi.org/10.4103/0253-7176.150801
Downloads
Published
How to Cite
Issue
Section
