Dergi Ara >>
Yıl:2007; Cilt: 20; Sayı: 1>> Özet
TAM METİN
Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi; 2007;20(1):38-47
Psikiyatrik Bozukluklarda Gözlenen İntihar Davranışları
B Bakım, B Özçelik, O Karamustafalıoğlu
Şişli Etfal Eğt. Hastanesi
İntihar çoğu kişinin tahmin ettiğinden daha yaygın olarak gözlenmektedir. İntiharların çoğunluğu genç erişkinlikte ve erkeklerde gözlenmekte olup, gençlerde en sık ikinci ölüm nedeni olarak görülmektedir. Hiçbir belirti olmadan ya da çok az uyarıcı belirti ile başlayan dürtüsel nitelikli intiharlar olabildiği gibi, tamamlanan intiharların çoğunda risk artışını işaret eden birden çok karakteristik belirti bulunmaktadır. İkili tanıların varlığı ve genç erkek olmak gibi yüksek riske sahip hastalara girişimlerde öncelik verilerek, bu kişiler belirlenmeye ve odaklanmaya çalışılmalıdır. İntihara yöneliş nedenleri ve süreç çok karmaşık olsa da, psikiyatrik bozukluklar ile olan kuvvetli ilişkisi inkâr edilemez. Bu bozukluklar özellikle major depresyon (MD), bipolar bozukluk, şizofreni, alkol-madde kötüye kullanımı/bağımlılığı ve ağır kişilik bozukluklarını içermektedir. Psikiyatrik bozukluk nedeniyle ayaktan tedavi alan hastalar, yatış yapılan hastalara göre daha düşük riske sahiptir, ancak duygu durum bozukluğu olmayan genel nüfusla karşılaştırıldığında daha yüksek riske sahiptir. Yatış esnası ve sonrasında intihar girişimi açısından yüksek riskli hastalar yakın izlem gerektirmektedir. Erken tanı ve etkin tedavi bu bozukluklara bağlı intihar riskinin önlenmesinde büyük öneme sahiptir.
Suicidal Behavior in Psychiatric Disorders
Suicide is far more common than most people believe. The largest number of suicides is in males in younger adulthood, and suicide is the second most common cause of death in the very young. Although there are cases of impulsive suicide with few or no warning signs, the majority of successful suicides occur in individuals who present with more than one characteristic and/or symptom that would indicate an increased risk. High-risk patients for priority intervention, such as dual diagnoses patients and young males, need to be identified and targeted. While suicide is a complex phenomenon in terms of the causes and processes that lead up to it, the extremely strong link to psychiatric disorders is undeniable. These disorders especially include depression, bipolar disorder, schizophrenia, and alcohol and drug abuse/dependence, and severe personality disorders. Psychiatric outpatients are at lower risk than inpatients but are at higher risk than those in the general population who do not have an affective diagnosis. Patients with high risk during the hospitalization and after should be closely followed for suicide attempts. Early diagnosis and effective treatment are of paramount importance to in prevention of the suicide risk associated with these disorders.

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