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Yıl:2017; Cilt: 20; Sayı: 2>> Özet
TAM METİN
Klinik Psikiyatri Dergisi; 2017;20(2):121-128
Tunceli İlinde 2005-2015 Yıllar Arasında Gerçekleşen İntihar Vakalarına İlişkin Retrospektif Bir İnceleme
A Günderci, G Karatay, S Gökçe, B Güler
İstanbul Fizik Tedavi ve Rehabilitasyon Ve Eğitim Araştırma Hastanesi, İstanbul
Amaç: Bu çalışmanın amacı, Tunceli' de 2005-2015 yılları arasında meydana gelmiş olan tamamlanmış intihar ve intihar girişiminde bulunan olgulari bazı özellikler açısından incelemektir. Yöntem: Bu çalışmada 2005-2015 yılları arasında Tunceli' de intihar eden veya intihara teşebbüs eden toplam 435 vakaya ait dosya incelendi. Bulgular: Intihar vakaları en fazla 24 yaş altındaki bireylerde saptandı. Intihar nedenleri değerlendirildiğinde; bilinmeyen nedenleri (%51.5) ailevi sorunlar (%21.1) ve psikiyatrik hastalıklar (%18.2) takip etmiştir. Intihar yöntemleri arasında ilaç intoksikasyonu, kesici/delici alet kullanımı ve ası yöntemleri ilk üç sırayı oluşturmaktaydı. Vakaların %91.3'ü intihar girişimi, %8.7'si tamamlanmış intiharlardan oluşmaktaydı. Erkeklerde tamamlanmış intihar oranının (%17.1), kadınlarda ise intihar girişiminin (%95.6) anlamlı olarak daha fazla görüldüğü bulundu (p<0.05). Ayrıca intihar vakalarının en fazla ilkbahar ve yaz mevsimlerinde ve daha çok kentsel alanda görüldüğü bulundu. Sonuç: Tunceli'de gerçekleşen intihar olaylarının yarısına yakın kısmının nedenleri bilinmemektedir. Genç olmak, erkek cinsiyet, işsizlik, kentsel alanda yaşıyor olmak, ruhsağlığı bozulmuş olmak ve aile içi sorunlar yaşıyor olmak intihar için en önemli risk faktörü olarak saptandı. Tunceli'de intihar olaylarını kapsamlı olarak değerlendiren çalış- maların yapılması ve risk faktörlerine yönelik koruyucu önlemlerin alınması uygun olacaktır.
A Retrospective Investigation Into Suicides Between 2005 And 2015 In Tunceli
Objective: The study aims to investigate the phenomena in suicides and attempted suicides that have occurred in Tunceli during 2005-2015, with respect to certain characteristics. Method: The files for 435 suicides and attempted suicide incidents in total, which have been recorded in Tunceli during 2005-2015, have been examined in this paper. Results: The suicide incidents have been determined most frequently among individuals under 24 years of age. In the evaluation of the causes for suicide, unknown reasons (51.5%) have been followed by family problems (21.1%) and psychiatric disorders (18.2%). Drug intoxications, use of stabbing instruments and hanging methods have taken the top three ranks among the suicide methods. 91.3% of the incidents consisted of suicide attempts and 8.7% completed suicides. While the ratio of completed suicides has been determined to be meaningfully higher in males (7.1%), the ratio of attempted suicides has been determined to be higher in females (95.6%) (p<0.05). Furthermore, it has been determined that the suicide incidents were observed more frequently during the spring and summer seasons and more in urban zone. Conclusion: Our findings indicate that the causes of almost half of the suicide incidents in Tunceli are not known.The most important risk factors for suicide have been identified as young age, male gender, unemployment, urban life, impaired mental health and in-family problems. Further comprehensive studies are recommended as aimed to assess the suicide incidents in Tunceli and take protective measures for the risk factors.

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