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Yıl:2013; Cilt: 26; Sayı: 4>> Özet
Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi; 2013;26(4):376-380
Bir üniversite hastanesi acil servisine başvuran intihar girişimi vakalarının değerlendirilmesi
M Asoglu, F Bulbul, A Altindag
Gaziantep Üniversitesi, Tıp Fakültesi, Psikiyatri AD, Gaziantep
Amaç: Bu çalışmanın amacı, Şanlıurfa’da bir üniversite hastanesine intihar girişimi nedeni ile başvuran hastaların klinik ve sosyodemografik verilerinin incelenmesidir. Yöntem: Çalışma, Harran Üniversitesi Tıp Fakültesi Araştırma ve Uygulama Hastanesi Acil Servisine intihar girişimi nedeniyle müracaat eden 90 kişi üzerinde yapıldı. Çalışmada, Ankara Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı Kriz Merkezi tarafından hazırlanan Supre-Miss anket formu kullanıldı. Anketin içeriğinde şu alt ölçekler yer almakta idi: Sosyodemografik ve klinik veri formu, WHO İyilik Hali İndeksi, Beck Depresyon Envanteri (BDE), Sürekli Öfke Ölçeği (SÖÖ). Bulgular: İntihar girişiminde bulunan kişilerin %55.7’sinde majör depresif bozukluk, %14.1’inde yaygın anksiyete bozukluğu, %5.3’ünde aralıklı patlayıcı bozukluk saptandı. İntihar girişimi yöntemi olarak en çok kimyasal madde-ilaç kullanımının tercih edildiği bulundu. Hastaların %88.9’unun 35 yaş altında olduğu tespit edildi. Hastaların %12.2’sinde psikiyatrik tedavi öyküsünün bulunduğu, %66.2’sinin pratisyen hekim başvurusunun olduğu, %12.2’sinin de pratisyen hekime intihar düşüncesinden bahsettiği saptandı. Eğitimsiz veya eğitim düzeyi düşük olan kişilerde, kadınlarda, bekarlarda, genç yaşta olanlarda intihar girişim oranı fazla bulundu; eğitim düzeyi yüksek kişilerde ve evlilerde intihar girişimi daha az oranda saptandı. Sonuç: Psikiyatrik değerlendirme sırasında eğitim düzeyi düşük, kadın, bekar ve genç yaştaki hastalarda intihar riski açısından daha dikkatli olunmalıdır. Anahtar kelimeler: Psikiyatrik bozukluklar, intihar girişimi, intihar yöntemi
Evaluation of suicide attempts that referred to a university hospital emergency department
Objective: The aim of this study is to evaluate the clinical and sociodemographic variables of suicide attempt cases that referred to a university hospital at Sanliurfa. Method: Ninty people who referred Emergency Department of Harran University, Faculty of Medicine with a suicide attempt participated in this study. The Supre-Miss Survey Form which was prepared by Crisis Center of Ankara University, Faculty of Medicine, Department of Psychiatry was used. The survey contains these subscales: The Sociodemographic and Clinical Data Form, WHO Well-Being Index, Beck Depression Inventory (BDI), Trait Anger Scale (TAS). Results: Among the patients with suicide attempts, 55.7% were diagnosed with major depressive disorder, 14.1% with generalized anxiety disorder and 5.3% with intermittant explosive disorder. It was observed that the most common way of suicide attempt was chemicals-drugs intoxication. 88.9% of the patients were under 35 years old, 12.2% had a history of psychiatric medication, 66.2% had referred to a practitioner MD and 12.2% of these had told about their suicidal ideation to their doctor. Suicide attempt rate was found to be higher in, women, single people, youngsters, uneducated/poorly educated people. However, the rate was found to be lower in married people and well- educated people. Conclusion: The physichiatrist should be more alert about women, single people, youngsters, uneducated/ poorly educated people over the course of psychiatric evaluation. Key words: Psychiatric disorders, suicide attempt, suicide method

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