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Yıl:2014; Cilt: 15; Sayı: 1>> Özet
TAM METİN
Anadolu Psikiyatri Dergisi; 2014;15(1):24-30
İntihar girişimi ile başvuran bireylerde kişilik bozukluğu ve bazı klinik değişkenler
HD Yalvaç, B Kaya, S Ünal
Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Ankara
Amaç: Bu çalışmada intihar girişiminde bulunan bireylerde kişilik bozuklukları, psikososyal stresler gibi risk etkenlerini saptamak, bu etkenler, bazı sosyodemografik değişkenler ve kişilik arasındaki ilişkiyi araştırmak amaçlanmıştır. Yöntem: 2005 yılı Ocak-Nisan ayları arasında Turgut Özal Tıp Merkezi Acil Servis veya diğer servislere intihar girişimiyle başvuran, ayaktan veya yatırılarak izlenen ve araştırmaya katılmayı kabul eden 50 olguya SCID-II, İntihar Niyeti Ölçeği, İntihar Düşüncesi Ölçeği uygulandı. Bulgular: Olguların %90’ı SCID-II ölçeğine göre herhangi bir kişilik bozukluğu tanı ölçütlerini karşıladı. Olguların %66’sında sınır kişilik bozukluğu, %56’sında obsesif-kompulsif kişilik bozukluğu, %42’sinde ise paranoid ve edilgen saldırgan kişilik bozukluğu vardı. Olgular birden fazla kişilik bozukluğu ölçütlerini karşılamaktaydılar. Antisosyal kişilik bozukluğu ve bağımlı kişilik bozukluğu erkeklerde daha fazla görülmekteydi. Sonuç: İntihar girişimlerini önleme açısından intihara yatkınlık oluşturan kişilik bozukluklarının tanınması, tedavi edilmesi, özellikle bazı kişilik bozukluklarında intihar riskinin daha dikkatli değerlendirilmesi gerekmektedir.
Personality disorders and some clinical variables in suicidal individuals
Objective: The aim of this study is to investigate the risk factors such as personality disorders, psychosocial stresses and the relationship between these factors along with some sociodemographic variables and personality in suicide attempters. Methods: Between January and April 2005, SCID-II, Suicide Intention Scale, Suicide Ideation Scale was applied to 50 patients who attended to the Emergency Department or other medical departments of Turgut Özal Medical Center with suicide attempt and was on follow up either in or outpatient setting, and agreed to participate in the study. Results: The rate of patients fitting the personality disorder criteria due to SCID-II scale was 90%. Of these patients, 66% had borderline personality disorder, 56% had obsessive-compulsive personality disorder, and 42% had paranoid and passive-aggressive personality disorders. These cases were fit for multiple personality disorder criteria. Antisocial and dependent personality disorders were more common in male patients. Conclusion: It is essential to recognize and treat the personality disorders with a predisposition to suicide; especially those with a higher risk must take a greater attention.

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