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Yıl:2008; Cilt: 1; Sayı: 3>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2008;1(3):34-39
Özel Gruplarda İntihar: Yaşlı İntiharları
E Turan
Ankara Üniversitesi Tıp Fakültesi, Psikiyatri AD ANKARA
Önümüzdeki onyıllarda, tüm dünyada olduğu gibi Türkiye’de de yaşlı nüfusun oranının artması beklenmektedir. Buna paralel olarak, ileri yaşta görülen psikiyatrik hastalıklar ve intihar önem kazanmaktadır. İntihar oranları erkeklerde de, kadınlarda da yaşla beraber artmaktadır. Ancak, her ülkede intihar paternleri birbirinden farklıdır. Yaşlılarda intihar davranışları ölme isteğinden tamamlanmış intiharlara kadar geniş bir spektrumda izlenmektedir. Yaşlı nüfusta intihar için risk faktörleri erkek cinsiyet, beyaz ırktan olma, düşük sosyoekonomik düzey, sosyal izolasyon, umutsuzluk ve bağımlılık gibi kişilik özelliklerinin olması, psikiyatrik ve/veya fiziksel hastalıkların varlığı ve geçmişte intihar davranışlarının bulunması şeklinde tanımlanmaktadır. Yaşlılarda intiharın önlenmesinde başta depresif bozukluk olmak üzere psikiyatrik bozuklukların tedavi edilmesi, krize müdahale girişimleri ve ileri yaşta sosyal izolasyonun önlenmesi dikkat edilmesi gereken noktalardır.
Suicide In Particular Groups: Elderly Suicides
The size of the elderly population is expected to increase dramatically in the next decades worldwide, also in Turkey. In accordance with these demographic changes, psychiatric disorders in late life, including suicide becomes much important. Suicide rates in both males and females generally increase with age. However, the pattern is different in every nation. Suicidal behaviour in old age exists as a spectrum ranging from death wishes to completed suicide. Risk factors for suicide in old age are male sex, Caucasian race, lower socioeconomic status, social isolation, having personality traits like hopelessness and dependency on others etc., the presence of psychiatric and physical disorders and previous suicidal behaviour. The treatment of depressive disorder and other psychiatric diorders in late life, counselling in crisis situations and prevention of social isolation in elderly people are the major points for the prevention of suicide in old age.

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