Acil ünitesine intihar girişimi nedeniyle başvuran olguların değerlendirilmesi: Şanlıurfa örneklemi
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Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Association for Psychopharmacology
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: İntihar, istemli olarak kişinin yaşamına son vermesidir. Dünya Sağlık Örgütüne göre her yıl bir milyondan
fazla insan intihar etmektedir ve dünyada yaşanan ölümlerin %2’si intihar nedeniyledir. Ülkemizde 2011 yılı istatistiklerine göre 2677 kişi intihar etmiştir ve kaba intihar
hızı %3.62 olarak bulunmuştur. Bu çalışmada amacımız
Şanlıurfa ilinde intihar girişimi nedeni ile acil servise başvuran hastaların özelliklerini ortaya koymaktır.
Yöntem: Çalışmamız geriye dönük bir çalışma olup,
Şanlıurfa ilindeki Balıklıgöl Devlet Hastanesi acil servisine
intihar girişimi nedeniyle başvuran bireyler çalışmaya dâhil
edildi. Bireylerin tıbbi kayıtlarındaki bazı klinik ve fenomenolojik özellikleri incelenmiştir.
Bulgular: 2011 yılı içinde hastane acil servisine 227 kişinin intihar girişimi nedeni ile başvurduğu anlaşılmıştır.
Başvuranların 177’si (%78) kadın, 78’i (%22) erkekti.
Hastaların %57’si 15-24 yaş aralığındaydı ve %51’i evliydi.
En sık intihar şeklinin yüksek doz ilaç alma olduğu tespit
edilmiştir. İntihar girişimlerinin yaklaşık yarısının (%49.8)
16-24 saatleri arası gerçekleştirildiği görülmüştür. En sık intihar nedeni ise aile içi sorunlar olarak bildirilmişti (%37.9).
Sonuç: Araştırmamızdaki acil servise intihar girişimi nedeni ile yapılan başvuruların yarısından fazlasının evli ve
15-24 yaş aralığında olması bu bölgede aile içi sorunların
intihar girişimleri için önemli bir risk etmeni olduğunu
düşündürmektedir. En sık intihar nedeni olarak aile içi
sorunların bildirilmiş olması bu düşünceyi destekler niteliktedir. İntihar girişimleri açısından depresyon, borderline
kişilik özellikleri, fiziksel-cinsel travma, impulsivite gibi
psikiyatrik rahatsızlıklarla beraber aile içi sorunlar ve eşler
arası geçimsizlik gibi sosyal etmenler önemli yer tutmaktadır. Sonuç olarak; çalışmamızın verileri bir bütün olarak
incelendiğinde ve Türkiye’nin diğer bölgelerinde yapılan
benzer çalışmalarla karşılaştırıldığında; evli olmak, genç
olmak, eğitim düzeyinin düşük olması ve aile içi sorunlar
ile intihar girişimleri arasında ilişki bulunmaktadır. Yetkili
kurumların bazı önlemler almasının intihar girişimlerini
azaltmada etkili olabileceği düşünülmektedir.
Objective: Suicide is defined as intentionally killing one’s own. According to the World Health Organization, each year more than a million people kill themselves in the world. Two percent of all deaths in the world are secondary to committing suicide. According to 2011 year statistics in our country, 2677 people committed suicide and crude suicide rate was found to be 3.62%. In this study, our aim is to demonstrate the characteristics of the patients who have commited suicide and have been admitted to the emergency room in the province of Sanliurfa. Methods: This is a retrospective study. In this study, we included suicide attempters who were admitted to the emergency room of the Balıklıgöl State Hospital of Şanlıurfa. The clinical and phenomenological features of these individuals were collected by using their medical records. Results: In 2011, 227 people were admitted to emergency room due to suicide attempt. Among them 177 (78%) were female and 78 (22%) male. Fifty-seven percent of the patients were aged in between 15 and 24 years and 51% were married. Receiving high-dose medication was found to be most common form of suicide. The most common reported cause for suicide was family problems (37.9%). Conclusions: In this study we found that more than half of the suicide attempters who have applied to emergency room were married and aged between the 15 and 24 years. Therefore, we suggest that family problems are important risk factors for suicide attempts in this area. The family problems reported as an important cause for suicide attempt in the present study also support this suggestion. In addition to social factors like family problems and spousal problems depression, borderline personality, physical and sexual traumas, psychiatric disorders such as impulsivity are also important causes of suicide attempts. In conclusion, when all the results of our study taken into account and compared with those from other regions of Turkey we suggest that marital state as married, younger age, lower level of education, and family problems are associated with suicide attempts. Some precautions that will be taken by authorized institutions may be effective to reduce suicide attempt rates.
Objective: Suicide is defined as intentionally killing one’s own. According to the World Health Organization, each year more than a million people kill themselves in the world. Two percent of all deaths in the world are secondary to committing suicide. According to 2011 year statistics in our country, 2677 people committed suicide and crude suicide rate was found to be 3.62%. In this study, our aim is to demonstrate the characteristics of the patients who have commited suicide and have been admitted to the emergency room in the province of Sanliurfa. Methods: This is a retrospective study. In this study, we included suicide attempters who were admitted to the emergency room of the Balıklıgöl State Hospital of Şanlıurfa. The clinical and phenomenological features of these individuals were collected by using their medical records. Results: In 2011, 227 people were admitted to emergency room due to suicide attempt. Among them 177 (78%) were female and 78 (22%) male. Fifty-seven percent of the patients were aged in between 15 and 24 years and 51% were married. Receiving high-dose medication was found to be most common form of suicide. The most common reported cause for suicide was family problems (37.9%). Conclusions: In this study we found that more than half of the suicide attempters who have applied to emergency room were married and aged between the 15 and 24 years. Therefore, we suggest that family problems are important risk factors for suicide attempts in this area. The family problems reported as an important cause for suicide attempt in the present study also support this suggestion. In addition to social factors like family problems and spousal problems depression, borderline personality, physical and sexual traumas, psychiatric disorders such as impulsivity are also important causes of suicide attempts. In conclusion, when all the results of our study taken into account and compared with those from other regions of Turkey we suggest that marital state as married, younger age, lower level of education, and family problems are associated with suicide attempts. Some precautions that will be taken by authorized institutions may be effective to reduce suicide attempt rates.
Açıklama
Anahtar Kelimeler
İntihar girişimi, İntihar, Risk etmenleri, Acil servis, Suicide attempt, Suicide, Risk factors, Emergency department
Kaynak
Journal of Mood Disorders
WoS Q Değeri
N/A
Scopus Q Değeri
Cilt
4
Sayı
3
Künye
Atlı, A., Uysal, C., Kaya, M. C., Bulut, M., Güneş, M., Karababa, İ. F. ve diğerleri. (2014). Acil ünitesine intihar girişimi nedeniyle başvuran olguların değerlendirilmesi: Şanlıurfa örneklemi. Journal of Mood Disorders, 4(3), 110-114.
