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Yıl:2016; Cilt: 9; Sayı: 3>> Özet
Türkiye Klinikleri Psikiyatri Özel Dergisi; 2016;9(3):21-25
Psikiyatrik Bozukluklar ve İntihar
G Güleç
Osmangazi Üniversitesi, Eskişehir
İntihar dünya genelindeki ölümlerin 10. sıradaki nedenidir ve tüm ölümlerin %1,5'unu oluşturur. İntihar riski en çok ruhsal hastalıklar ile ilişkilidir. Bir ruhsal bozukluğu olup intihar sonucu ölen kişilerin %25'inin ölmeden önce ruh sağlığı servisleri ile ilişkisi olmuştur. Duygudurum bozuklukları intihar için önemli bir risk faktörüdür. Özellikle depresif atak intihar sonucu ölümlerde en sık saptanan tanıdır. Yakın zamanlı çalışmalar şizofreni de %4'lük yaşamboyu intihar riskini desteklemektedir. Anksiyete bozuklukları intihar riskini 6-10 kat arttırır. İntihar nedeniyle ölen kişilerin %1'inde Panik bozukluk olduğu bildirilmektedir. Alkol ve madde kullanım bozuklukları ile sosyal uyum güçlükleri olan kişilerin yaşamlarını intiharla sonlandırma riski yüksektir. Psikolojik otopsi çalışmaları intihar nedeni ile ölen kişilerin yaklaşık 1/3'ünde bir kişilik bozukluğu varlığını göstermiştir. Bir psikiyatrik bozukluk, genellikle intihar için gerekli fakat yetersiz bir koşuldur. İntihar risk faktörlerini belirlemek için, büyük bir psikiyatrik sendromun varlığı ötesine bakmak gerekir.
Psychiatric Disorders and Suicide
Suicide is the cause of death worldwide in 10th place and creates 1.5% of all deaths. Suicide risk is associated with the most mental disorders. Approximately 25% of individuals are in contact with mental health services prior to death. Mood disorders are a major risk factor for suicide. Especially depressive episodes, introduces the most frequent cause of death by suicide. Lifetime risk of suicide in individuals with schizophrenia has estimated to be 4%. Anxiety disorders increases suicide risk 6-10 times. Panic disorder is present in about 1% of persons who die from suicide. The risk of suicide in individuals with alcohol and substance use disorders and social adjustment difficulties are high. Among psychiatric outpatients, personality disorders are present in about onehalf of patients who die by suicide. To identify suicide risk factors, it is necessary to look beyond the presence of a major psychiatric syndrome.

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