Dergi Ara >>
Yıl:2008; Cilt: 9; Sayı: 4>> Özet
TAM METİN
Anadolu Psikiyatri Dergisi; 2008;9(4):232-237
İntihar ve kişilik
M Yumru, HA Savaş, H Herken, MH Kokaçya
Patnos Devlet Hastanesi Psikiyatri Kliniği, Ağrı
Amaç: İntihar en önemli halk sağlığı sorunlarından biridir. Koruyucu ruh sağlığı kapsamında ele alınması gereken
intiharın çok çeşitleri nedenleri vardır. Mizaç, bireylerin doğasında bulunan, yaşamları boyunca değiştiremedikleri
genetik ve yapısal davranışsal özellikleridir. Karakter ise, eğitim ve çevresel etkilerin katkıda bulunduğu, zamanla
değişebilen bir kavram olarak ele alınmaktadır. Bu çalışmada intihar girişiminde bulunmuş olguları sağlıklı
kontrollerden ayıran kişilik özelliklerinin saptanması amaçlanmıştır. Yöntem: Mayıs 2003-Ağustos 2005 tarihleri
arasında Gaziantep Üniversitesi Tıp Fakültesi Acil Servis Bölümü’ne başvuran ve psikiyatrik yönden değerlendirilmeleri
istenen intihar girişiminde bulunmuş olgular (s=69) DSM-IV tanı ölçütlerine göre değerlendirilmiş, Mizaç ve
Karakter Ölçeği (MKÖ-240 maddelik), Beck Depresyon Ölçeği (BDÖ), Beck Umutsuzluk Ölçeği (BUÖ) uygulanmış
ve kişilik profilleri, yaş ve cinsiyet açısından eşleştirilerek ruhsal bozukluğu olmayan kişilerden oluşan kontrol
grubuyla (s=77) karşılaştırılmıştır. Bulgular: İntihar girişiminde bulunmuş olgularda kontrollerle karşılaştırıldığında
zarardan kaçınma, kendini aşma skorları yüksek; kendini yönetme, işbirliğine yatkınlık, ödül bağımlılığı skorları
düşük bulunmuştur. İntihar girişimi grubunda BUÖ zarardan kaçınma skoru ile pozitif yönde; ödül bağımlılığı,
sebat etme, kendini yönetme, işbirliğine yatkınlık skorları ile negatif yönde ilişkilidir. İntihar girişimi grubunda
cinsiyetler arasında MKÖ skorları açısından erkeklerde sorumluluk alma skoru daha yüksek iken, kadınlarda
belirsizlik korkusu, erdemlilik, merhametlilik alt skorları daha yüksek bulunmuştur. Kontrol grubunda ise kadınlarda
duygusallık, bağlanma ve empati alt skorları daha yüksek bulunmuştur. Sonuç: İntihar girişiminde bulunmuş
olguların mizaç ve karakter özellikleri sağlıklı kontrol grubu ile karşılaştırıldığında bazı önemli farklılıklar
göstermektedir. İntihar girişiminde bulunmuş olguların kişilik özelliklerinin belirlenmesi farklı tedavi yaklaşımlarının
uygulanmasında yararlı olabilir.
Suicide and personality
Objective: Suicide is one of the most important public health problems. Suicide, which needs to be discussed as
a part of preventive mental health, has a wide range of causes. Temperament is genetic and structural behavioral
characteristics that individuals have in their nature and cannot change for a whole-of-life. On the other hand,
character is discussed as a concept, which is affected by education and environmental factors and can change in
the course of time. In this study, we aimed to determine the discriminating personality characteristic of suicide
attempters compared to healthy control subjects. Methods: Attempted suicide cases (n=69) who applied to
Gaziantep University, Medicine Faculty, Emergency Service between May 2003 and August 2005 and who were
asked to be assessed as psychiatrically were assessed according to DSM-IV diagnosis criterion and Temperament and Character Inventory (TCI-240 items), Beck Depression Inventory (BDI), and Beck Hopelessness Scale
(BHS) were employed to these cases and personality profiles were compared to control group including age and
gender matched individuals who do not have any lifetime history of mental disorders (n=77) Results: Suicide
attempters showed higher scores in harm avoidance, self-transcendence and lower scores in self-directedness,
cooperativeness, and reward dependence when compared to controls. Beck hopelessness scale is positively
correlated with harm avoidance score and reward dependence, persistence, self-directedness, cooperativeness
scores negatively correlated in suicide group. In attempted suicide group, when we compared TCI scores within
genders, responsibility scores was higher in men whereas, fear of uncertainty, virtuousness, and mercifulness
subscores were higher in women. As for control group sentimentality, attachment and empathy subscores were
higher in women. Conclusion: Temperament and character features of suicide attempters show significant
differences compared with healthy control group. Determining personality profile among suicide attempters may
be useful in employing different treatment approaches.

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