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Yıl:2017; Cilt: 54; Sayı: 1>> Özet
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Nöropsikiyatri Arşivi; 2017;54(1):28-32
Klinikte İhmal Edilen Bir Konu: Transseksüel Bireylerde İntihar Riski
Ş Yüksel, BA Ertekin, M Öztürk, PS Bıkmaz, Z Oğlağu
İstanbul Üniversitesi, İstanbul
Amaç: Bu çalışmanın amacı transseksüel bireylerde özellikle ergenlik öncesi ve ergenlik dönemlerindeki intihar düşüncelerinin ve girişimlerinin yaygınlığını belirlemektir. Yöntem: Bu çalışmaya 141 transseksüel birey alındı. Yarı yapılandırılmış görüşme formuyla katılımcılarda halen intihar düşünceleri varlığı ve yaşam boyu intihar girişimi ya da düşüncesi olup olmadığı bilgisi alındı. Bu bulgular katılımcıların sosyodemografik özellikleri ve aile içinde cinsellik ve dinle ilgili tutum ve inançlara dair verilen bilgiler ile karşılaştırıldı. Araştırmaya katılan transseksüel bireylerin 101’i en az bir yıl boyunca grup psikoterapisine katıldılar. Grup psikoterapilerinde aile ve partner ilişkileri, mesleki ve maddi sorunlar, tıbbi konular, dini kaygılar sıklıkla çalışıldı. Bulgular: Katılımcılar arasında intihar girişimi olduğunu bildirenlerin oranı %29,8’di. Halen ve yaşam boyu intihar düşüncesi olduğunu bildirenlerin oranı ise sırasıyla %9,2 ve %55,3 olarak saptandı. İntihar girişimlerinin %76,7’si 21 yaşından önce gerçekleşmişti. Sonuç: Transseksüel bireyler özellikle ergenlik dönemlerinde yüksek oranda intihar riski taşırlar. Bu sonuç cinsel kimlik sorunları yaşayan bireylerle çalışırken özellikle ergenlik döneminde koruyucu önlemler almamız gerektiğine dair bir işaret olarak değerlendirilebilir.
A Clinically Neglected Topic: Risk of Suicide in Transgender Individuals
Introduction: The aim of this study was to determine whether adolescence of transgender individuals is characterized by a high risk of suicide. Methods: In total, 141 participants with transgenderism were questioned using a semi-structured interview to determine whether participants had current suicidal thoughts, had a lifetime history of such thoughts, or had attempted suicide. These findings were cross-referenced to the participants’ sociodemographic characteristics, and information about their families’ general attitudes toward sexuality, gender identity, and commitment to religious views. In total, 101 participants attended group psychotherapy sessions for at least a year. In these sessions, family and partner relationships, occupational problems, financial problems, medical issues, and religious concerns were discussed. Results: The incidence of suicide attempts, current suicidal thoughts, and lifetime suicidal thoughts were 29.8%, 9.2%, and 55.3%, respectively. In total, 76.7% of the suicide attempts occurred before the age of 21. Conclusion: Transsexual individuals present a high risk of suicide, particularly during adolescence. This finding may be considered a sign for taking action to prevent suicide when working with transgender individuals, particularly during adolescence.

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