<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2184-0628</journal-id>
<journal-title><![CDATA[Gazeta Médica]]></journal-title>
<abbrev-journal-title><![CDATA[Gaz Med]]></abbrev-journal-title>
<issn>2184-0628</issn>
<publisher>
<publisher-name><![CDATA[Círculo Médico]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2184-06282020000100030</article-id>
<article-id pub-id-type="doi">10.29315/gm.v7i1.289</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Atypical Suicide Attempt with Jugular Vein Laceration During Adolescence: A Case Report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Tentativa de Suicídio Atípica com Laceração da Veia Jugular na Adolescência: A Propósito de um Caso Clínico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardoso]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Pediátrico de Coimbra Serviço de Pedopsiquiatria ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Pediátrico de Coimbra Serviço de Pedopsiquiatria ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>7</volume>
<numero>1</numero>
<fpage>30</fpage>
<lpage>33</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2184-06282020000100030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2184-06282020000100030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2184-06282020000100030&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Self-harm is a common finding during adolescence and skin-cutting a frequent method of non-suicidal self-injury. However, suicide attempts with severe neck cutting injuries are infrequently reported. Here, we report in detail the case of an adolescent with no prior psychiatry history or self-harm behaviours who had a first suicide attempt with complete external jugular vein laceration. Careful psychiatric evaluation and history reveal exposure to significant adverse childhood experiences. Our aim with this case report is to illustrate and discuss the influence of trauma during early childhood and dissociative symptomatology in suicidal behaviour during adolescence.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A automutilação é um achado comum durante a adolescência, sendo os cortes da pele um método frequente de autoagressão na ausência de intencionalidade suicida. No entanto, tentativas de suicídio com graves lesões cortantes do pescoço são relatadas com pouca frequência. Aqui, descrevemos em detalhe o caso de um adolescente sem antecedentes psiquiátricos ou comportamentos de automutilação prévios que teve uma primeira tentativa de suicídio com laceração completa da veia jugular externa. Uma avaliação e história psiquiátrica cuidadosa revelam a exposição a experiências adversas significativas na infância. O nosso objetivo neste relato de caso é ilustrar e discutir a influência do trauma durante a infância precoce e a sintomatologia dissociativa no comportamento suicidário na adolescência.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Adolescent]]></kwd>
<kwd lng="en"><![CDATA[Jugular Veins/injuries]]></kwd>
<kwd lng="en"><![CDATA[Self-Mutilation]]></kwd>
<kwd lng="en"><![CDATA[Suicide, Attempted]]></kwd>
<kwd lng="pt"><![CDATA[Adolescente]]></kwd>
<kwd lng="pt"><![CDATA[Automutilação]]></kwd>
<kwd lng="pt"><![CDATA[Tentativa de Suicídio]]></kwd>
<kwd lng="pt"><![CDATA[Veias Jugulares/lesões]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brunner]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Kaess]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Parzer]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Fischer]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Carli]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Hoven]]></surname>
<given-names><![CDATA[CW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Life-time prevalence and psychosocial correlates of adolescente direct self-injurious behavior: a comparative study of findings in 11 European countries]]></article-title>
<source><![CDATA[J Child Psychol Psychiatry]]></source>
<year>2014</year>
<volume>55</volume>
<page-range>337-48</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Walsh]]></surname>
<given-names><![CDATA[BW]]></given-names>
</name>
</person-group>
<source><![CDATA[Treating self-injury : a practical guide]]></source>
<year>2012</year>
<edition>2nd ed</edition>
<publisher-loc><![CDATA[New York ]]></publisher-loc>
<publisher-name><![CDATA[The Guilford Press A Division of Guilford Publications]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Brodsky]]></surname>
<given-names><![CDATA[BS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Early Childhood Environment and Genetic Interactions: the Diathesis for Suicidal Behavior]]></article-title>
<source><![CDATA[Curr Psychiatry Rep]]></source>
<year>2016</year>
<volume>18</volume>
<page-range>86</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cohen]]></surname>
<given-names><![CDATA[LJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ardalan]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Yaseen]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Galynker]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Suicide Crisis Syndrome Mediates the Relationship Between Long-term Risk Factors and Lifetime Suicidal Phenomena]]></article-title>
<source><![CDATA[Suicide Life Threat Behav]]></source>
<year>2018</year>
<volume>48</volume>
<page-range>613-23</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jonsson]]></surname>
<given-names><![CDATA[PV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complex trauma, impact on development and possible solutions on an adolescent intensive care unit]]></article-title>
<source><![CDATA[Clin Child Psychol Psychiatry]]></source>
<year>2009</year>
<volume>14</volume>
<page-range>437-54</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Levinger]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Somer]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Holden]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The importance of mental pain and physical dissociation in youth suicidality]]></article-title>
<source><![CDATA[J Trauma Dissociation]]></source>
<year>2015</year>
<volume>16</volume>
<page-range>322-39</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
