Rize ili kapsamında adli rapor istemi ile başvuran çocuk ve ergenlerin psikososyal özelliklerinin incelenmesi

Year 2020, Volume: 34 Issue: 3, 141 - 154, 15.12.2020

Mert Besenek Murat Kacar

https://izlik.org/JA67NC24YX

Abstract

AMAÇ: Türkiye’de adli sistemlere bir şekilde dahil olan çocuk ve ergenlerin oranı gittikçe yükselmektedir; ancak bu alanda yapılan araştırmalar oldukça kısıtlıdır. Çalışmamızda Rize ili kapsamında herhangi bir nedenle adli rapor tanzim edilmesi istenen çocuk ve ergenlerin sosyodemografik ve klinik özelliklerinin araştırılması amaçlanmıştır. YÖNTEM: Araştırmamızda 01.11.2015 ile 01.06.2020 tarihleri arasında Recep Tayyip Erdoğan Üniversitesi Eğitim ve Araştırma Hastanesi Çocuk ve Ergen Psikiyatrisi ayaktan tedavi birimine adli rapor tanzim edilmek üzere yönlendirilmiş toplam 64 olgunun psikiyatrik muayene kayıtları ve raporları geriye dönük olarak incelenmiştir. BULGULAR: Tüm rapor taleplerinin; %61,7’si n=29 suça sürüklenen çocuk SSÇ , %38,3’ü n=18 mağdur için yapılmıştır. Olguların büyük kısmının orta ölçekli yerleşim yerlerinde %67,2 anne ve baba ile birlikte %71,9 yaşadığı, ders başarısının kötü olduğu %85,9 saptanmıştır. SSÇ’ların büyük oranda erkek, mağdurların büyük oranda kız olduğu p

Keywords

Çocuk , Ergen , Adli psikiyatri

Examination of psychosocial features of children and adolescents in Rize province who were referred with a request for forensic report

https://izlik.org/JA67NC24YX

Abstract

INTRODUCTION: In Turkey, the rate of adolescents who get involved in forensic systems is increasing, but research in this field is limited. In our study, we aimed to investigate the sociodemographic and clinical features of adolescents who were referred for forensic reports in Rize, Turkey. METHODS: Psychiatric records of a total of 64 cases who were admitted to Recep Tayyip Erdoğan University’s Child and Adolescent Psychiatry Outpatient Unit for forensic evaluation between November 1, 2015, and June 1, 2020, were retrospectively examined. RESULTS: Of all reports requested, 61.7% n = 29 were for juveniles pushed to crime JPTC and 38.3% n = 18 were for victims. The majority were living in middle-scale settlements 67.2% with both parents 71.9% and had lower school success 85.9% . The majority of JPTCs were male and victims were female p < 0.001 . The rate of sexual abuse SA victims was 20.3%. The age of the case subjects was significantly lower for reports involving crime elements p < 0.001 and SA p = 0.006 . SA cases had a higher rate of females p = 0.021 and school success p = 0.009 . CONCLUSION: The majority of requests were made for JPTC and questioned the child’s ability to perceive the legal meaning and results of the act. The majority of cases attended school regularly despite their lower school success rate. This indicates the possible effects of negative environmental factors that may occur in the school environment. Studies with a larger sample size and breadth are needed to thoroughly identify the features of forensic cases so that processes can operate properly and appropriate interventions can be implemented.

Keywords

Child , Adolescent , Forensic psychiatry

References

• Doreleijers T, Fegert J. Forensic child and Adolescent Psy- chiatry and mental health in Europe. Child and Adolescent Psychiatry and Mental Health 2011;5:20. Available at: https:// capmh.biomedcentral.com/articles/10.1186/1753-2000-5-20 cited: 22.01.2021 .
• Sertdemir M, Kut B, Demirci Ş, Akça Ö, Erden S, Uğuz F, Ak M, Aydın A, Bilgiç A. Retrospective analysis of sociodemo- graphic and clinical characteristics of forensic cases evaluated in child and adolescent psychiatry clinic in Konya. Turk J Child Adolesc Ment Heal 2020;27 1 :27–32.
• Erdoğan A, Balcıoğlu İ. Forensic psychiatry for child and ad- olescents [in Turkish]. Turkish Clin J Psychiatry 2003;4:101–7.
• Schetky D. Child and adolescent forensic psychiatry. In: Sad- ock B, Sadock V, eds. Kaplan & Sadock’s Comprehensive Text- book of Psychiatry. 8th Edition. New York, NY, US: Lippincott Williams & Wilkins; 2005.
• Turkish Dictionary [in Turkish]. 549th Edition. Turkish Lan- guage Association Press; 2005. 2200 p.
• Gökten E. Forensic cases referred to child and adolescent psychiatry in a state hospital between 2009 and 2011. Turk JChild Adolesc Ment Heal 2011;18 2 :105–16.
• 25876 Turkish Penal Code Code Number: 5395 [in Turkish]. Legal Gazette 2005 Jul 15; http://www.mevzuat.gov.tr/ MevzuatMetin/1.5.5395.pdf
• Gördeles Beşer N, Çam O. Evaluating the effectiveness of developing positive interpersonal relationship program among adolescents prone to crime [in Turkish]. Anatolian J Psychiatry 2009;10:226–32.
• İşeri E. Sexual abuse. In: Çetin FÇ, Pehlivantürk B, Ünal F, Uslu R, İşeri E, Türkbay T, Coşkun A, Miral S, Motavallı N eds. Fundamental Book of Child and Adolescent Mental Health [in Turkish]. 1st Edition. Ankara: Physicians Association Press, 2008:470–7.
• Hébert M, Parent N, Daignault I V, Tourigny M. A typological analysis of behavioral profiles of sexually abused children. Child Maltreat 2006;11 3 :203–16.
• Tahiroğlu-Yolga A, Avcı A. Sexual abuse. In: Aysev-Soykan A, Taner Işık Y eds. Child and Adolescent Psychiatry [in Turk- ish]. İstanbul: Asimetrik Paralel Press, 2007:727–36.
• Glaser D. Child sexual abuse. In: Rutter M, editor. Rutter’s Child and Adolescent Psychiatry. 5th Edition. Hoboken, NJ, USA: Blackwell Publishing Company, 2002: 340–58.
• Gördeles Beşer N, Baysan Arabaci L, Uzunoğlu G. The profiles of children pushed to crime who are treated in a re- gional psychiatric hospital in Turkey. Anatolian J Psychiatry ;17 4 :317–24.
• IBM SPSS statistics for Windows. IBM Corporation; 2018.
• Köse S, Aslan Z, Başgül Ş, Şahin S, Yılmaz S, Çıtak S, Tezcan AE. The forensic cases applied to an education and research hospital’s child psychiatry department. Anatolian J Psychiatry ;12:221–5.
• Loeber R, Farrington D. Age–crime curve. In: Bruinsma G, Weisburd D, eds. Encyclopedia of Criminology and Criminal Justice. New York, NY, USA: Springer New York LLC, 2014:12–18.
• Ayraler Taner H, Çetin F, Işık Y, İşeri E. Psychopathology in abused children and adolescents and related risk factors. Anatolian J Psychiatry 2015;16 4 :294–300.
• Işık Ü, Aktepe E, Şimşek F, Akyıldız A, Yıldız A. Sociodemo- graphical, clinical and familial features of sexual abuse victims referred to an university hospital in Isparta: 2014 - 2018 data. in Turkish]. Süleyman Demirel University Journal of Health Sciences 2019;10 1 :53–7.
• Cottle CC, Lee RJ, Heilbrun K. The prediction of criminal recidivism in juveniles: A meta-analysis. Crim Justice Behav ;28 3 :367–94.
• Yektaş C, Tufan A, Büken B, Çetin N, Yazici M. Evaluation of abuse and abuser’s features and risk factors associated with psychopathology in children and adolescents victimized by sexual abuse. Anatolian J Psychiatry 2018;19 8 :501–8.
• Öztop D, Özcan Ö. Evaluation of sociodemographical and clinical features of sexual abuse victims [in Turkish]. New Symposium Journal of Psychiatry, Neurology and Behavioral Sciences 2010;48:270–6.
• Ayaz M, Ayaz A, Soylu N. Psychiatric evaluation of child and adolescent forensic cases. J Clin Psy 2012;15:33–40.
• Wang X, Blomberg TG, Li SD. Comparison of the educa- tional deficiencies of delinquent and nondelinquent students. Eval Rev 2005;29 4 :291–312.
• Eray Ş, Murat D, Uçar H. Evaluation of clinical and sociode- mographical features of cases who were referred to child psy- chiatry out-patient unit for forensic report [in Turkish], Journal of Uludağ University Faculty of Medicine 2018;44 3 :173–7.
• Gülen Şişmanlar Ş, Biçer Ü, Coşkun A. Forensic Psychia- try. In: Pekcanlar Akay A, Ercan E, eds. Child and Adolescent Psychiatry [in Turkish]. Ankara, Turkey: Turkish Associaion for Child and Adolescent Psychiatry Press; 2016.
• Çataloluk S. Child delinquency [in Turkish]. Journal of Jus- tice. 1983;9:973–1020.
• Şen S, Karbeyaz K, Toygar M, Akkaya H. Sociodemographic evaluation of criminalized children in Eskisehir. J For Med 2012;26 3 :146–55.
• Hicks BM, Blonigen DM, Kramer MD, Krueger RF, Patrick CJ, Iacono WG, et al. Gender Differences and Developmental Change in Externalizing Disorders From Late Adolescence to Early Adulthood: A Longitudinal Twin Study. J Abnorm Psychol 2007;116 3 :433–47.
• Office of the Surgeon General US ; National Center for Injury Prevention and Control US ; National Institute of Mental Health US ; Center for Mental Health Services US . Risk Factors for Youth Violence. In: Youth Violence: A Report of the Surgeon General. Rockville, MD, USA: Office of the Surgeon General US ; 2001
• Basut E, Erden G. Evaluation of adolescents turned to crime and did not turn to crime regarding their stress symptoms and stress coping patterns [in Turkish]. Turk J Child Adolesc Ment Heal 2005;12:48–55.
• Caldwell RM, Wiebe RP, Cleveland HH. The Influence of Fu- ture Certainty and Contextual Factors on Delinquent Behavior and School Adjustment Among African American Adolescents. J Youth Adolesc 2006;35 4 :587–98.
• Dizman H, Gültekin G, Cantürk G. The effects of family re- lationships to child criminology. Turkish Journal of Forensic Psychiatry 2005;2:9–15.
• Sokullu F. Family factor in child criminology [in Turkish]. Courthouse and Child Delinquency Symposium. İstanbul; 1992.
• Çengel Kültür E, Çuhadaroğlu Çetin F, Gökler B. Demo- graphic and clinical features of child abuse and neglect cases. Turk J Pediatr 2007;49:256-62.
• Spencer N, Devereux E, Wallace A, Sundrum R, Shenoy M, Bacchus C, Logan S. Disabling conditions and registration for child abuse and neglect: A population-based study. Pediatrics ;116 3 :609–13.
• Carey PD, Walker JL, Rossouw W, Seedat S, Stein DJ. Risk indicators and psychopathology in traumatised children and adolescents with a history of sexual abuse. Eur Child Adolesc Psychiatry 2008;17 2 :93–8.
• Gölge Z. Psychological problems occuring after sexual trauma. Arch Neuropsychiatry 2005;42:19–28.
• Taycan O. Phenomenology of Post-Traumatic Stress Dis- order [in Turkish]. In: Aker A, Taycan O, Çelik F, eds. Trauma and Stress-Related Disorders. 1st edition. Ankara: Turkish As- sociation of Psychiatry Press, 2019: 13–7.