Dergi Ara >>
Yıl:2003; Cilt: 11; Sayı: 1>> Özet
TAM METİN
Kriz Dergisi; 2003;11(1):13-24
İntihar girişimlerinde sorun alanları ve tetikleyiciler
HD Özgüven, Ç Soykan, S Haran
Ankara Üniversitesi, Psikiyatrik Kriz Uygulama ve Araştırma Merkezi
Amaç: Bu çalışmanın amacı intihar girişi­minde bulunan ve bulunmayan kriz vakalarında tabloyu ortaya çıkardığı düşünülen nedenlerin, tetıkleyıcılerın ve bu vakaların psikiyatrik değer­lendirme sonuçlarının betimlenmesi ve karşılaş-tırılmasıdtr Yöntem: 2001 yılı boyunca Ankara Üniversitesi Tıp Fakültesi Ibn-ı Sına Hastanesi Acil Servısı'ndekı Kriz Birimine yapılan tüm baş­vurular değerlendirilmiş, bunlar arasından inti­har girişimi olan 83 ve olmayan 64 kriz vakası ardışık olarak çalışmaya alınmış ve bunlar birbiri ile karşılaştırılın ıştır Bulgular: Her iki grupta kadın sayısı erkeklerden daha fazladır Intthar girişiminde bulunan grupta diğer kriz grubuna gore, yaş ortalaması daha duşuk, bekarların, ana-babasıyla birlikte yaşayanların, ekonomik bakımdan bağımlı kişilerin ve işsizlerin sıklığının daha yüksek olduğu görülmüştür İntihar gru­bundaki deneklerin girişimlerini daha çok ilaç içerek, önceden düşünmeden gerçekleştirdikleri ve her ıkı cinsiyet için tekrarlayıcı intihar girişimi sıklığının az olduğu görülmektedir İntihar girişi­mi grubunda anne-baba ile ilişki sorunu ve giri­şimin hemen öncesinde fiziksel şiddet olgusu­nun sıklığı dikkati çekmektedir Daha sonra ya­pılan psikiyatrik değerlendirmede intihar girişimi grubunda hastaların % 22 9'unun major depres­yon tanısı aldığı ve bu grupta kişilik bozukluğu tanısının diğer gruba gore daha sık olduğu gö­rülmüştür Sonuç: Çalışmada elde edilen so­nuçlar koruyucu sağlık hizmetleri açısından tar­tışılmıştır
Problem Areas and Precipitant Factors in Suicide Attempts
Objective: The aim of the present study was to evaluate and compare cases of crisis with or without suicidal behavior in terms of precipitants, causes and the presence of psychiatric diagnosis. Method: 83 suicidal and 64 non-suicidal cases who were under crisis situation, applied to Ankara University Ibn-i Sina Hospital Emergency Service Crisis Unit were included in the study. Results: Female ratios were higher in suicidal and non-suicidal patients. In the suicidal group, mean age was lower, more patients were single and living with their parents, were economically dependency and unemployed. The most prevalent method of suicide attempts was self-poisoning and most of attempters were impulsive. Repetitive suicide attempts were uncommon. Problems with parents and physical violence prior to suicide attempt were significantly higher in suicidal patients. The frequency of major depression was 22.9 % in suicide attempt group and personality disorders was more common in suicidal patients compare to other group. Conclusion: The results are discussed from a preventive health approach

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