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Yıl:2015; Cilt: 16; Sayı: 3>> Özet
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Anadolu Psikiyatri Dergisi; 2015;16(3):164-172
Psikiyatri kliniğinde yatan hastalarda intihar olasılığı ve etkileyen etkenler
S Sabancıoğulları, D Avcı, S Doğan, M Kelleci, EAta
Cumhuriyet Üniversitesi, Sivas
Amaç: Bu çalışmanın amacı, psikiyatri kliniğinde yatarak tedavi gören hastaların intihar olasılığı düzeylerini ve etkileyen etkenleri incelemektir. Yöntem: Tanımlayıcı ve kesitsel tipte olan araştırma Cumhuriyet Üniversitesi Eğitim ve Araştırma Hastanesi Psikiyatri Kliniği’nde yatarak tedavi gören 155 hastayla yürütülmüştür. Veriler Tanıtıcı Bilgi Formu ve İntihar Olasılığı Ölçeği (İOÖ) ile toplanmıştır. İOÖ Ölçeği umutsuzluk, intihar düşüncesi, kendini olumsuz değerlendirme ve düşmanlık alt boyutlarından oluşmaktadır. Ölçekten alınan puanların yüksek olması intihar olasılığının yüksek olduğunu göstermektedir. İstatistiksel değerlendirmede tanımlayıcı istatistikler t testi, tek yönlü varyans analizi ve Kruskall Wallis testi kullanılmıştır. Bulgular: Hastaların İOÖ toplam puan ortalaması 82.54±14.76 olup orta düzeydedir. Hastaların yaş, cinsiyet, medeni durum, ekonomik durum özellikleri açısından İOÖ puan ortalamaları arasında anlamlı bir fark saptanmamıştır. Depresyon tanısı olan, daha önce kendisini öldürmeyi düşünen ve intihar girişiminde bulunan, şu anda intihar düşüncesi olan hastaların İOÖ puan ortalamaları diğerlerine göre anlamlı derecece yüksek saptanmıştır. Tartışma: Hastaların intihar olasılığı genel puan ortalamaları orta düzeydedir. Daha önce intihar etmeyi düşünen ve intihar girişimi olan hastaların intihar etme olasılığı daha yüksektir. Sonuçlar psikiyatri kliniğinde hasta güvenliğini tehdit eden intihar potansiyelinin yüksek olduğunu göstermektedir.
Suicide probability and affecting factors in psychiatric inpatients
Objective: The aim of this study is to examine suicide probability and affecting factors in psychiatric inpatients. Methods: This descriptive and cross-sectional study was conducted with 155 psychiatric inpatients at Cumhuriyet University Training and Research Hospital. Data was collected using the Descriptive Information and the Suicide Probability Scale (SPS). The SPS includes the following subscales: hopelessness, suicidal thoughts, negative self-evaluation, and hostility. Higher scores obtained from the SPS indicate elevated suicide probability. In statistical analyses, descriptive statistics, t test, one way analysis of variance, and the Kruskall Wallis test were used. Results: Mean SPS total score of the patients was found to be 82.54±14.76, which indicates moderate suicide probability. There were no significant differences in SPS total scores according to age, gender, marital status, and economic status. The mean SPS scores of patients who were diagnosed with depression, had previous thoughts about committing suicide and previous suicide attempts, and had suicidal thoughts at the time of the study were found to be significantly higher. Discussion: Mean suicide probability scores of the patients were at moderate levels. Patients who had previous suicidal thoughts and had previous suicide attempts have higher suicide probability. Our results show that suicide potential, which is a threat against patient safety in the psychiatry clinic, is high.

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