12-18 Yaş Arası Ergen Ölümlerinde Bağımlılık Yapıcı Madde Kullanımının Yeri

Year 2025, Volume: 39 Issue: 2, 158 - 165, 25.08.2025

Fatma Tuğba Erkman , Emre Nuri İğde , Bekir Dinçer

https://doi.org/10.61970/adlitip.1607260

https://izlik.org/JA27YB32PH

Abstract

Amaç: Her geçen gün artmakta olan bağımlılık yapıcı madde kullanımı ergenler arasında ciddi sağlık sorunlarına hatta ölümlere neden olmaktadır. Bir halk sağlığı problemi olan madde kullanımın küçük yaştaki çocuklar arasında sık olarak görülmeye başlaması bu durumun çocuk ölümleri arasında üst sıralara gelmesine neden olmuştur. Bağımlılık yapıcı madde kullanım yaygınlığı hakkında daha kapsamlı bilgiler edinmek, koruyucu çalışmalar için gerekli ve önemli bir adımdır.
Yöntem: Bu çalışma kapsamında Adli Tıp Kurumu Ankara Grup Başkanlığında retrospektif olarak 5 yıllık dosyalar taranmış olup, 12-18 yaş aralığında otopsisi yapılan 258 vakanın otopsi raporları, adli tahkikat dosyaları ve toksikolojik analiz sonuçları incelendi. Çocukların yaşları, cinsiyetleri, ölüm nedenleri, ölüm orijini, kan alkol ve bağımlılık yapıcı madde düzeyleri Excel programı üzerine kaydedildi ve Jamovi programı kullanılarak istatiksel olarak analiz edildi.
Bulgular ve Sonuç: Çalışmamızda 12-18 yaş grubu ölümlerinin kanında en sık saptanan bağımlılık yapıcı madde %10,5 oranla alkol olduğu belirlenmiştir. 12- 18 yaş arası ölümlerde kanda uyuşturucu-uyarıcı madde oranı ise %5 olarak tespit edilmiştir. Ergenlik döneminde ölümle sonuçlanan olaylarda en sık rastlanan alkol dışı bağımlılık yapıcı maddenin uçucu maddeler olduğu tespit edilmiş olup özellikle gelişmekte olan ülkelerde uçucu maddelerin satışının denetlenmesi ve riskli grupların psikiyatrik açıdan desteklenmesi gerekmektedir.

Keywords

Uçucu maddeler , madde kullanım bozukluğu , ergen ölümleri

The Role of Addictive Substance Use in Adolescent Deaths Between 12-18 Years of Age

https://izlik.org/JA27YB32PH

Abstract

Aim: The increasing use of addictive substances day by day is causing serious health problems and even deaths among adolescents. Obtaining more comprehensive information about the prevalence of addictive substance use is a necessary and important step for preventive studies.
Methods;Within the scope of this study, 5 years of files were scanned retrospectively at the Ankara Headquarter, Council of Forensic Medicine, and then the autopsy reports, forensic investigation files, and toxicological analysis results of 258 cases whose autopsies were performed between the ages of 12–18 were examined. The children’s ages, genders, causes of death, origin of death, blood alcohol, and addictive substance levels were recorded on the Excel program and statistically analyzed using the Jamovi program.
Results;In our study, it was determined that the most commonly detected addictive substance in the blood of deaths in the 12-18 age group was alcohol, with a rate of 10.5%. In deaths between the ages of 12-18, the rate of narcotic-stimulant substances in the blood was determined to be 5%. It has been determined that the most common non-alcohol addictive substances in fatal incidents during adolescence are volatile substances.
Conclusion:The findings of this study indicate that alcohol consumption and the use of sedative and stimulant substances play a significant role in deaths among the adolescent age group. The development of effective strategies aimed at preventing alcohol and substance use within this demographic—particularly by policymakers, public health professionals, and mental health experts—has the potential to reduce mortality rates

Keywords

Volatile substances , substance use disorder , adolescent deaths

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