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Yıl:2005; Cilt: 13; Sayı: 1>> Özet
TAM METİN
Kriz Dergisi; 2005;13(1):1-9
İntihar Girişiminde Bulunanlarda Sosyodemografik Özellikler, Stres Etmenleri ve Ruhsal Bozukluklar
A Deveci, Ö Aydemir, S Mızrak
Celal Bayar Üniversitesi, Tıp Fakültesi, Psikiyatri Anabilim Dalı, Manisa
Amaç: İntihar girişimi önemli bir halk sağlığı sorunudur. Bu araştırmada, intihar girişimi ile ilişkili risk etmenlerinin belirlenmesini amaçladık. Yöntem: Bu araştırma Celal Bayar Üniversite Hastanesi'nde Aralık 2002 ve Temmuz 2005 arasında yürütülmüştür. Veriler 114 bireyden toplanmıştır. İntihar girişiminde bulunan deneklere intihar girişimi ile ilgili bilgi lerin sorgulandığı "intihar girişimi özellikleri formu" uygulanmıştır. Hastalara DSM-IV I. eksen bozuklukları araştırmak için yapılandırılmış klinik görüşme çizelgesi klinik versiyonu (SCID-I) uygulanmıştır. Hastalarda Hamilton Depresyon Derecelendirme Ölçeği (HDDÖ) kullanılmıştır. İstatistiksel analiz SPSS for Windows 10.0 kullanılarak yapılmıştır. Bulgular: Bireylerin % 78.1'inin (n=89) kadın, %
41. Ulusal Psikiyatri Kongresi'nde (Erzurum)
poster bildiri olarak sunulmuştur. 59.6'sının (n=68) lise ve yüksekokul mezunu, % 28.9'unun (n=33) ev kadını olduğu saptanmıştır. Bireylerin yaş ortalaması 28.7±13.2 olarak bulunmuştur. İntihar girişimi yöntemi incelendiğinde en sık kullanılan intihar girişimi yöntemi % 81.6 (n=93) ile aşırı doz ilaç alımı olduğu bulundu. İntihar girişiminde bulunanların % 37.7'sinde (n=43) önceden intihar girişimi, % 8.8'inde (n=10) ailede intihar girişimi, % 15.8'iıide (n=18) yakın çevrede intihar girişimi olduğu saptanmıştır. İntihar girişiminde bulunanlarda en sık rastlanan ruhsal bozukluk % 52.6 ile majör depresif bozukluktur. Sonuç: İntihar girişimi majör depresif bozukluklu hastalarda dikkatli bir şekilde değerlendirilmelidir. Önceden intihar girişiminin olması intihar girişimi açısından önemli bir yordayıcıdır.
Sociodemographic Characteristics, Stress Factors and Psychiatric Disorders in Persons With Suicide Attempt
Objective: Suicide attempt is a major pub¬lic health problem. In this study, we aimed to determine suicide attempt and related risk fac tors. Method: This study was carried out in Celal Bayar University Hospital between December 2002 and July 2005. The data were collected from 114 persons. A form for suicide attempts was used to determine the charac teristics of suicide attempt. The trained clinical psychiatrists interviewed the persons with the Structural Clinical Interview for DSM-IV (SCID). The persons were applied to Hamilton Depression Rating Scale (HDRS). The results were transferred to SPSS for Windows 10.0 database. Results: Of the subjects 78.1% (n=89) were females, 59.6% (n=68) were grad uated from high school and university, 28.9% (n=33) were housewives. Mean age was 28.7±13.2. When suicide methods were evalu ated, 81.6% (n=93) was drug intake in exces sive doses. There was previous suicide attempt in 37.7% (n=43), family history of suicide in 8.8% (n=10) and suicide attempt in the neigbor hood in 15.8% (n=18) of suicide attempters. Major depressive disorder was found to be high among suicide attempters that computed our sample (52.6%). Conclusion: Suicide attempt must be carrefully evaluated in patients with major depressive disorder. Previous suicide history was considered as an important predictor of suicide attempt.

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