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Yıl:2007; Cilt: 44; Sayı: 3>> Özet
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Nöropsikiyatri Arşivi; 2007;44(3):86-90
Gaziantep Üniversitesi Tıp Fakültesi Adli Psikiyatri Birimine Gönderilen Olguların İncelenmesi
A Kalenderoğlu, M Yumru, S Selek, HA Savaş
Gaziantep Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı
Amaç: Ülkemizde psikiyatri polikliniğine başvuran adli olguların tanı dağılımı ve suç ilişkisi ile ilgili yeterli sayıda yayın bulunmadığı gözlenmektedir. Bu çalışma­da mahkemeler tarafından hastanemize gönderilen adli psikiyatri olgularının tanı dağılımları, sosyodemografik özellikleri ve bunların suç tipi ile ilişkisinin incelen­mesi amaçlanmıştır.
Yöntem: 1 Ocak 2004-31 Aralık 2006 yılları arasında hastanemize ilgili mahkeme-lertarafından gönderilen 314 olgunun tıbbi dosya ve raporları geriye dönük olarak incelenmiştir. Olguların geçmişte DSM-IV tanı ölçütlerine göre konulmuş olan ta­nıları sınıflandırılmış ve sosyodemografik veriler ile SPSS 10,0 programında ista­tistiksel olarak değerlendirilmiştir.
Bulgular: %74,2'si (n=233) erkek, %25,8'i (n=81) kadın olmak üzere 314 olgu değer­lendirilmiştir. Olguların yaş ortalaması 36.89+15.85'dir. Olguların %52,2'sinin (n=164) ceza hukuku, %47,8'i (n=150) medeni hukuk kapsamında incelenmesi is­tenen olgulardı, %35,4'ü (n=111) madde kullanımının iptila düzeyinde olup olmadı­ğının değerlendirilmesi, %14,3'ü (n=45) TCK 32. maddeleri gereği ceza ehliyetleri­nin saptanması amacıyla gönderilmiştir.
Tartışma: 2001-2004 yılları arasında Gaziantep Üniversitesi Tıp Fakültesi psikiyat­ri polikliniğine civardaki mahkemeler tarafından 100 olgu gönderilmiş iken bu sa­yının 2004-2006 yılları arasında 314'e çıktığı ayrıca medeni hukuk kapsamındaki olguların sayısının da arttığı ve olguların geçmiş yıllara oranla çeşitlilik gösterdiği dikkati çekmektedir. Psikiyatrik hastalıklar ile suç ilişkisi, neden olduğu toplumsal, ekonomik ve tıbbi sorunlar nedeniyle ciddi bir biçimde araştırılması ve önlemeye yönelik girişimlerin yapılması gereken bir durumdur. Gelişmiş ülkelerde bu konu­da çok sayıda araştırma yapılmasına rağmen bu sorun ülkemizde yeterince ilgi görmemektedir.
Evaluation of Cases, Referred to Forensic Psychiatry Unit in Gaziantep University
Objective: There are few studies evaluating the relationship between the crime and psychiatric diagnosis of the forensic cases, referred to psychiatry outpatient units in our country. In this research, diagnostic distributions, sociodemographic characteristics of civil law and criminal law cases, referred via courts to our cli­nic and relations of crime type are aimed to be evaluated. Method: Between 1 January 2004 - 31 December 2006, 314 cases' medical files and reports, having been referred via the courts to our hospital, were evaluated retrospectively. Diagnosis that were made according to the criteria of DSM IV are classified and the other sociodemographic data are evaluated statistically via SPSS 10.0 program.
Results: Of 314 cases, the mean of age was 36.89±15.85, %74.2'(n=233) were ma­le and % 25.8 (n=81) were female. %52.2 (n=164) were civil law and %47.8 (n=150) were criminal law cases. Of the cases, %35.4 (n=111) were sent in order to be evaluated whether they were substance dependant or not, %14.3 (n=45) were sent to us in order to be examined according to T.C.L item 32 whether they had criminal liability or not.
Conclusion: While 100 cases were referred to our clinic via courts in 2001, the number of cases increased in between 2004-2006, reaching up to 314 with an inc­rease of civil law cases as well. The relationship between psychiatric disorder and crime is an important issue which needs to be investigated for both social, economical and medical problems which it causes and for interventions in order to prevent. The research on this topic has not received much attention in Turkey, although there are numerous studies in developed countries.

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