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Sydenham's chorea is the most common cause of acute onset chorea in childhood; psychiatric signs and symptoms are often accompanied its clinic. After the clinical motor and cardiac symptoms, patients with Sydenham's chorea have also been presented with the obsessive-compulsive symptoms, anxiety, depression, attention problems and emotional lability. However, in the literature, it could not be reached on a case with the suicidal thoughts or suicide attempts. In addition, although there is not enough data on how to treat the signs and symptoms that accompany psychiatric clinic, the drugs used in the treatment are known to increase the risk of psychiatric signs and symptoms. In this case, 9-year-old male patient with a diagnosis of acute Sydenham Korea whose psychiatric signs and symptoms increased with treatment, who had attempted suicide, is going to be presented and we aimed to draw attention and to discuss these issues. [ABSTRACT FROM AUTHOR]