Dependance aux anxiolytiques profil et reactions a l'arret

Authors report the results of a controlled randomized study about 64 patients followed in the psychiatric external consultation of the university hospital center of Monastir. All the patients are using antianxiety drugs for a long time and correcpond to the DSM III R criteria of psycho-active substance dependence. The main psychiatric indications are affective disorders, domatoform disorders and anxiety disorders. The patients have been divided into 4 groups: the first and the second group have respectively been submitted to an immediate, entire substitution [G1], and progressive substitution [G2], of the tranquilliser with a placebo. The third group [G3] have undergone a progressive decrease without placebo, and the fourth group [G4] is a proof group. A quantitative assessment have been performed with Hamilton's anxiety scale at JO, J 15, J30. Level's anxiety remained at an average intensity for all the groups at J 15 and J 30. The analysis of the reactions at the arrest or at the progressive decrease of the treatment, allowed to observed 15 cases of bounce anxiety among G1, G2, G3 and 4 cases in the proof group. A preventive management is recommended to reduce the risk of chronic recourse to a tranquilliser treatment

Etude epidemiologique des tentatives de suicide hospitalisees au chu de monastir

Seventy five suicidal attempts were hospitalised in 1984 at the UHC of Monastir. Our work has permitted us to note the frequency of suicidal attempts among women [60%]. The average age of patients was 26 years with a frequency peak between 15 and 35 years. The unemployment the mediocrity of lite conditions, and the existence of pathological antecedent constituted a suicidal risk. Concerning the used method we concluded that the suicidal attempts were in 43% of our cases medicinal intoxication. As for the reason the family conflicts were the first. Those suicidal attempts were often benign 62%. The psychiatric diagnosis concluded that our suicidal attempts were reactional in 42% of the cases expressing how intense the current socio cultural changes are