On March 31, 2023, a 17-year-old female student from the suburbs was
brought to our center in Modarres Hospital in Tehran due to a suicide
attempt and chest trauma. Upon arrival at the emergency room, the
patient was alert but aggressive. She experienced mild respiratory
distress and pain while breathing.
Physical examination revealed an obese young girl, weighing 102 kg,
height 170 cm, blood pressure 120/70 mmHg, pulse rate = 107 bpm,
temperature 37°C, and respiratory rate = 12 breaths per minute. Lung
auscultation was relatively clear, and the trauma site was observed in
the lower anterior part of the left side of the chest. The patient had a
history of taking neurology medications
(fluoxetine-tiapride-imipramine). She had a history of similar chest
traumas and self-immolation on her forearm and right hand. She had a
history of attention deficit hyperactivity disorder (ADHD) and had been
taking methylphenidate since childhood. She had a history of
trichotillomania and had become increasingly aggressive over the past
six months. She displayed sleep-talking behaviors.