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Yıl:2022; Cilt: 33; Sayı: 4>> Özet
TAM METİN
Türk Psikiyatri Dergisi; 2022;33(4):248-254
Türkiye Doğu Akdeniz Bölgesinde İntihar GirişimlerindePestisit Kullanma Durumu
E Nazlıcan, B Mete, NR Dişel, L Tamam
Çukurova Üniversitesi, AdanaAdana.
Amaç: Yaygın kullanım alanları ile paralel olarak, kullanım sırasında koruyucu giysi ve maske kullanmamak, bilinçsiz tüketim gibi nedenler ve intihar amaçlı alıma bağlı olarak toplumda pestisit zehirlenmeleri ile karşılaşılmaktadır. Bu çalışma ile acil servisine pestisit zehirlenmesi ile başvuran olguların incelenmesi, intihar vakalarının payının tespit edilmesi amaçlanmıştır. Yöntem: Bu çalışma 2014-2018 yılları arasında acil servisine pestisit ve rodentisit zehirlenme sebebi ile başvuran 234 hastanın dosyaları üzerinden yapılmış retrospektif kayıt araştırmasıdır. Hastalar sosyodemografik özellikler, madde türü, prognoz, kaza/intihar olma durumları açısından karşılaştırıldı. Verilerin analizinde Ki-kare testi, Binary lojistik regresyon analizi kullanılmıştır. Bulgular: Zehirlenme nedeni ile en çok başvuru yapılan madde organofosfatlar ikinci sırada ise fare zehri yer almaktadır. Akut zehirlenme olgularının %38’i intihar girişimidir. Zehirlenmelerde erkeklerde kazanın, kadınlarda intihar girişiminin ön planda olduğu bulunmuştur. Bütün akut zehirlenme olgularında ölüm oranı %4,7 iken intihar amaçlı olan zehirlenmelerde ölüm oranı %5,6’dır. Psikiyatrik hastalığı olan kişilerde zehirlenmenin intihar girişimi olma 28 kat riski daha yüksektir. Akut pestisit zehirlenmelerindeki en sık komorbid psikiyatrik bozukluklar anksiyete ve depresyondur. Sonuç: Pestisit ve rodentisit zehirlenmelerinin önemli bir kısmı intihar girişimidir. Kadınlarda intihar girişimi ön plandadır ve ölüm hızları psikiyatrik hastalığı olanlarda daha fazladır. Pestisitlerin kolay ulaşılabilirliğinin önlenmesi tavsiye edilebilir.
The Use of Pesticides in Suicide Attempts in the EasternMediterranean Region of Turkey
Objective: In parallel with common usage areas, pesticide poisonings are encountered in the community due to reasons such as no wearing of protective clothing and masks during use, unintentional consumption and suicide-intended intake. In this study was aimed to examine the cases who applied to the emergency department with pesticide poisoning and share of suicide cases. Method: This study is a retrospective record study based on the files of 234 patients who reported to the emergency department for pesticide and rodenticide poisoning between 2014 and 2018. The patients were compared in terms of sociodemographic, substance type, prognosis, and accident/suicide status. Chi-square test, Binary logistic regression analysis were used in the analysis of the data. Results: Organophosphates was the most common substance recorded as a cause of poisoning, while rat poison placed second. 38% of the acute poisoning cases were suicide attempts. Poisoning among men was found to be prominently due to accident whiles among women suicidal poisoning was more prominent. While the mortality rate is 4.7% in all acute intoxication cases, the mortality rate in poisonings with suicidal purposes is 5.6%. Patients with psychiatric diseases have a 28-fold higher risk of intoxication of attempting suicide. The most common comorbid psychiatric disorders in acute pesticide poisoning are anxiety and depression. Conclusion: A major proportion of pesticide poisoning cases is suicide attempts. Suicide attempt is at the forefront in women and death rates are higher in people with psychiatric illness. It may be advisable to avoid the easy accessibility of pesticides.

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