Dergi Ara >>
Yıl:2003; Cilt: 10; Sayı: 3>> Özet
TAM METİN
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2003;10(3):128-136
Ergenlerde İntihar Davranışı
İM Atay, E Kerimoğlu
Ankara Üniversitesi, Tıp Fakültesi, Çocuk Psikiyatrisi AD., Ankara.\r\n\r\n
Amaç: Ergenlerde intihar, sosyokültürel etmenler, genetik ve biyolojik yatkınlıklar, psikiyatrik bozukluklar ve semptomlar, stres, güç yaşam şartları ile sosyal desteklerin yetersizliği gibi durumlardan etkilenen çok yönlü bir davranış biçimidir. ‹ntihar davranışının temelinde kendine zarar verme amacı, ölüm isteği olmasına rağmen, ergenlerde ölüm kavramının olgunla.maması ya da değişkenlikler gösterebilmesi nedeniyle klinik değerlendirme güç olabilmektedir. Motivasyonların tanımlanması çerçevesinde ergenlerde intihar davranışı tartışılacaktır. Yöntem: Ergen intiharları ile ilgili yapılan araştırma ve gözden geçirme yazıları incelenerek, bu yayınların 43’ünden yararlanılmıştır. Ayrıca klasik kaynaklardan da faydalanılarak intihar örüntüsü araştırılmıştır. Bulgular: Engellenme, yoksun bırakılma ya da yanlı. algılanmaya kar.ı yanıt olarak, öfke ve dürtüsel intihar girişimleri ergenlerde sıklıkla bildirilmektedir. Ateşli silahların günümüzde giderek yaygınlaşması, intihara ili.kin dikkat çekici medya sunumlarının artması intiharı engelleme davranışında çeşitli toplum sağlığı modellerinin oluşturulmasını gerekli kılmakta ve eğitimin önemini artırmaktadır. Ergenlerde intihar sonucu ölümlerdeki en önemli yöntemin ateşli silah olduğu bildirilmektedir. Özellikle erkeklerde daha çok ateşli silahla intihar yönteminin sıklığının fazla olması ölüm oranlarını artırmaktadır. Tartışma: Son yıllarda ergenlerde intihar ile ili.kili mortalite insidansının artması, psikiyatrik ve sosyal morbiditeler ile öngörülebilirliğe ili.kin etmenlerin daha iyi tanımlanması, gelecek çalışmalarla risk etmenlerinin ortaya konmasını ve engelleyici yöntemlerin belirlenmesini gerekli kılmaktadır.
Suicidal Behavior in Adolescents
Objective: Suicide in adolescents is a many-sided behavior that is effected by sociocultural factors, genetic, biological predispositions, psychiatric disorders and symptoms, stress, hard life conditions and poor social supports. Although wishing to die and harm himself are the bases of suicidal behaviour, clinical evaluation can be difficult due to the immaturity and variability of death concept in adolescents. Suicidal behaviour in adolescents will be discussed in the frame of motivational definition. Method: Published research studies and reviews on adolescent suicides have been reviewed and 43 of them have been used. Furthermore, classical papers have been searched to obtain knowledge about suicide behaviour. Results: Anger and impulsive suicides in adolescents have frequently been reported as a response to difficulties, deprivations or wrong perceives. Several social health models have to be formed for preventing suicide because of firearms and sensational media presentations getting more prevalent today and education is also becoming more important. It is reported that firearms have been the most important effect in adolescent suicides. The frequency of using firearms for suicides especially in boys is increasing the rates of death. incidance Conclusion: Increasing mortality rates related with suicide and better defined factors dealt with prescience of psychiatric and social morbidities in the last days, future studies are required for determining risk factors and preventing methods in adolescent suicide behavior.

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