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Yıl:2004; Cilt: 12; Sayı: 3>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 2004;12(3):203-208
Yatarak tedavi gören major depresif bozukluklu hastalarda intihar girişimi ile ilişkili etkenler
A Deveci, F Yurtsever, Ö Aydemir
Amaç: Bu retrospektif araştırmada bir üniversite hastanesi Psikiyatri Kliniği’nde major depresif bozukluk tanısı ile izlenmiş hastalarda intihar girişimi ile ilişkili sosyodemografik ve klinik özelliklerin araştırılması amaçlanmıştır. Yöntem: Bu araştırmada Celal Bayar Üniversite Hastanesi Psikiyatri Kliniği’nde Ağustos 1998 ve Temmuz 2003 tarihleri arasında DSM-IV tanı ölçütlerine göre major depresif bozukluk tanısı konan, yatarak tedavi edilen 148 hasta değerlendirilmiştir. İntihar girişimi olan hastalar değerlendirilmiştir. Verilerin istatistiksel değerlendirilmesinde ki kare testi ve diskriminant analiz kullanılmıştır. Bulgular: Bu araştırmanın örneklemini oluşturan major depresif bozukluklu hastalarda intihar girişimi öyküsüne yüksek oranda rastlanmıştır (%25). İntihar girişimi için risk etkenleri demografik etkenler (15-24 yaş grubu, %43.3; evlenmemişler, %51.5), stresli yaşam olayları (eş ile anlaşmazlık, %27), psikomotor retardasyon ve ilgi-istek azalmasıdır. Tartışma: Araştırmanın sonuçları, major depresif bozukluklu hastalarda intihar girişimi öyküsünün ayrıntılı olarak değerlendirilmesi gerektiğini ve bu olgulara tanı açısından farklı yaklaşılması gerektiğini göstermektedir. İntihar girişimi ile ilişkili klinik ve sosyodemografik özellikleri bilmek gerekir.

The factors involved in suicidal attempt of inpatients with major depressive disorder
Objective: In this retrospective study, it is aimed to investigate sociodemographic and clinical features related to the suicide attempt among major depressive disorder who applied to the psychiatry department of an university hospital. Method: This study was carried out in inpatient clinic at Psychiatry Department of Celal Bayar University Hospital between August 1998 and July 2003. The data were collected from 148 patients which diagnosed as major depressive disorder according to DSM-IV Diagnostic Criteria. The inpatients with suicide attempt were evaluated. Chi square test and discriminant analysis was used for the statistical analysis of the data. Results: Suicide attempt history was found to be high among major depressive disorders person that computed our sample (25.2%). Risk factors for suicide attempt include demographic factors (age of 15-24, 43.3%; unmarried, 51.5%), stressful life events (marital problems, 27%), clinic signs (psychomotor retardation and anhedonia). Conclusion: Results of the study suggest that, suicide attempt history must be carefully evaluated in inpatients with major depressive disorder and special interventions must be taken with these subjects according to diagnosis. It is necessary to know the clinical and sociodemographic features related to suicide attempts.

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