Research Article
BibTex RIS Cite

İntihar girişimi nedeniyle acil servise başvuran olguların incelenmesi: bir yıllık retrospektif bir çalışma

Year 2021, Volume: 46 Issue: 4, 1675 - 1686, 30.12.2021
https://doi.org/10.17826/cumj.993832

Abstract

Amaç: Bu çalışmada intihar girişimi nedeniyle acil servise başvuran olguların intihar girişiminden önceki son bir yıldaki özelliklerinin incelenmesi amaçlanmıştır.
Gereç ve Yöntem: Retrospektif tipte yapılan çalışma kapsamında bir eğitim ve araştırma hastanesi acil servisine 1 Ağustos 2018-1 Ağustos 2019 tarihleri arasında İntihar girişimi ile başvuran 135 hastanın dosyası incelendi. Çalışmanın verileri veri toplama formu aracılığıyla hastane kayıtları üzerinden toplandı.
Bulgular: Hastaların yaş ortalaması 31,24±11,31 olup, %53,3’ü erkekti. Hastaların %36,3’ü ilkbaharda, %94,8’inin son bir yılda 1-3 kez intihar girişiminde bulunduğu ve %62,3’ünün ilaç içerek kendini öldürmek istediği belirlendi. İntihar girişimi ile başvuran hastaların %34,8’inin son bir yıl içinde en az bir kez psikiyatriste gittiği, %78,5’inin son bir yılda en az bir kez acil servise başvurduğu, %84,4’ünün intihar girişimi öncesi hastaneye başka şikayetler ile başvuruda bulunduğu saptandı. Hastaların %80’ine acil serviste psikiyatri konsültasyonu yapılmadığı belirlendi.
Sonuç: Bu çalışmadan elde edilen bulgulara göre; hastaların intihar girişimi öncesi çeşitli nedenlerle hastaneye başvurduğu, en çok başvurulan alanın acil servis olduğu ve daha önce intihar girişimi olan hastaların tekrarlı girişimde bulundukları ve hastaların çoğunun psikiyatrik yardım almadığı söylenebilir. Acile intihar girişimi nedeni ile başvuran olguların belirlenip, psikiyatrik bakım almaları konusunda psikiyatri polikliniklerine yönlendirilmeleri ve izlem yapılması önerilmektedir.

Supporting Institution

Yok

Project Number

-

Thanks

-

References

  • 1. Suicide. 2019. https://www.who.int/news-room/fact-sheets/detail/s. (accessed Sep 2021).
  • 2. Ölüm ve Ölüm Nedeni İstatistikleri. 2019. https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Ol. (accessed Sep 2021).
  • 3. Kawahara YY, Hashimoto S, Harada M, Sugiyama D, Yamada S, Kitada M, et al. Predictors of short-term repetition of self-harm among patients admitted to an emergency room following self-harm: A retrospective one-year cohort study. Psychiatry Res. 2017 Dec;258:421-426.
  • 4. Ceniti AK, Heinecke N, McInerney SJ. Examining suicide-related presentations to the emergency department. Gen Hosp Psychiatry. 2020 Mar-Apr;63:152-157.
  • 5. Al-Amin H, Singh R, Abdulrazzak M, Ghuloum S. Psychosocial and clinical profiles of the cases visiting the emergency department due to accidental self-harm and suicide attempts in Doha, Qatar: A Retrospective Study. Community Ment Health J. 2021 Feb;57(2):315-324.
  • 6. Kroll DS, Stanghellini E, DesRoches SL, Lydon C, Webster A, O’Reilly M, et al. Virtual monitoring of suicide risk in the general hospital and emergency department. Gen Hosp Psychiatry. 2020 Mar-Apr;63:33-38. doi: 10.1016/j.genhosppsych.2019.01.002. Epub 2019 Jan 14. PMID: 30665667.
  • 7. Gentil L, Huỳnh C, Grenier G, Fleury MJ. Predictors of emergency department visits for suicidal ideation and suicide attempt. Psychiatry Res. 2020 Jan 21;285:112805.
  • 8. Harmer B, Lee S, Duong TVH, Saadabadi A. Suicidal ıdeation. 2021 Aug 6. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–.
  • 9. Temel M. İntiharın önlenmesinde hemşirenin sorumlulukları. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 2009;78–83.
  • 10. Kuramoto-Crawford SJ, Spies EL, Davies-Cole J. Detecting suicide-related emergency department visits among adults using the district of columbia syndromic surveillance system. Public Health Rep. 2017 Jul/Aug;132(1_suppl):88S-94S.
  • 11. Çetinkaya Büyükbodur A. İntihar girişimleri ve retrospektif sosyal inceleme. Sosyal Çalışma Dergisi. 2019;3(1):28–46.
  • 12. Delibaş DH, Erdoğan E. Sociodemographic and Clinical Characteristics of Patients with Suicide Attempt to a Training and Research Hospital Emergency Department; A Retrospective Study. Van Med J. 2018;25(4):514–9.
  • 13. Kim SH, Kim HJ, Oh SH, Cha K. Analysis of attempted suicide episodes presenting to the emergency department: comparison of young, middle aged and older people. Int J Ment Health Syst. 2020 Jun 22;14:46.
  • 14. Günderci A, Karatay G, Gökçe S, Güler B. Tunceli’ de 2005-2015 yılları arasında gerçekleşen intiharlara ilişkin epidemiyolojik bir inceleme. Klin Psikiyatr Derg. 2017;20(2):121–8.
  • 15. El Majzoub I, El Khuri C, Hajjar K, Bou Chebl R, Talih F, Makki M, et al. Characteristics of patients presenting post-suicide attempt to an Academic Medical Center Emergency Department in Lebanon. Ann Gen Psychiatry. 2018 May 25;17:21.
  • 16. Sultanoğlu H, Erdem Sultanoğlu T. Evaluation of elderly patients in adult suicide cases admitted to the emergency department. J Forensic Leg Med. 2021 Jan;77:102103. doi: 10.1016/j.jflm.2020.102103. Epub 2020 Dec 14.
  • 17. Stanley B, Brown GK, Brenner LA, Galfalvy HC, Currier GW, Knox KL, et al. Comparison of the safety planning ıntervention with follow-up vs usual care of suicidal patients treated in the emergency department. JAMA Psychiatry. 2018 Sep 1;75(9):894-900.
  • 18. Acar SR, Şahİn TE. Ankara’da acil servislere başvuran intihar girişim olgularının sosyodemografik ve klinik özellikleri. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi. 2016;1:5–12.
  • 19. Avınca Ö, Şen A, Karakoç Y, Damar Ö, Taş M. Zehirlenmeler: Neden suisit, neden kadınlar?. J Neurobehav Sci. 2019;6(2):83.
  • 20. Akkaya-Kalayci T, Vyssoki B, Winkler D, Willeit M, Kapusta ND, Dorffner G, et al. The effect of seasonal changes and climatic factors on suicide attempts of young people. BMC Psychiatry. 2017 Nov 15;17(1):365.
  • 21. Vyssoki B, Kapusta ND, Praschak-Rieder N, Dorffner G, Willeit M. Direct effect of sunshine on suicide. JAMA Psychiatry. 2014 Nov;71(11):1231-7.
  • 22. Çiftçi H, Kaya F, Bostancı N. Kars ilinde intihar ve intihar girişimlerinin üç yıllık değerlendirilmesi. Psikiyatr Guncel Yaklasimlar- Curr Approaches Psychiatry. 2020;12(Suppl 1):255–67.
  • 23. Canpolat Ö, Yıldırım İ, Kafadar H, Demir M. Evaluation of suicide cases applied to emergency service. Acta Oncol Turc. 2020;53(2):281–7.
  • 24. Keten HS, Hakkoymaz H, Aslan Ü, Bahar Ş, Keten A, Sucaklı MH, et al. Acil servise intihar girişimi nedeniyle başvuran olguların incelenmesi. J Contemp Med. 2015;5(2):102–5.
  • 25. Yılmaz A, Doğan S, Kalafat UM, Tapkan RB, Sağlık A, Özüçelik DN. Acil serviste takip edilen intihar girişimlerinin maliyet analizi*. Sağlık Bilim ve Meslekleri Derg. 2018;5(2):120-8.
  • 26. Muhammedoğlu N, Başaranoğlu G, Gül YG, Toptaş M, Baltalı S, Özütürk B. Yeni açılan yoğun bakım ünitemize gelen suisid ve intoksikasyon vakalarının değerlendirilmesi. Medical Bulletin of Haseki / Haseki Tip Bulteni. 2014;52(3):153-157.
  • 27. Son JM, Jeong J, Ro YS, Hong W, Hong KJ, Song KJ, et al. Effect of previous emergency psychiatric consultation on suicide re-attempts- A multi-center observational study. Am J Emerg Med. 2020 Sep;38(9):1743-1747.
  • 28. Allen MH, Abar BW, McCormick M, Barnes DH, Haukoos J, Garmel GM, et al. Screening for suicidal ideation and attempts among emergency department medical patients: instrument and results from the Psychiatric Emergency Research Collaboration. Suicide Life Threat Behav. 2013 Jun;43(3):313-23.
  • 29. Claassen CA, Larkin GL. Occult suicidality in an emergency department population. Br J Psychiatry. 2005 Apr;186:352-3.
  • 30. Horowitz LM, Boudreaux ED, Schoenbaum M, Pao M, Bridge JA. Universal suicide risk screening in the hospital setting: still a pandora's box? Jt Comm J Qual Patient Saf. 2018 Jan;44(1):1-3.
  • 31. Boudreaux ED, De Beurs DP, Nguyen TH, Haskins BL, Larkin C, Barton B. Applying computer adaptive testing methods to suicide risk screening in the emergency department. Suicide Life Threat Behav. 2019 Aug;49(4):917-927.

Evaluation of cases presenting to the emergency department due to suicide attempt: a one-year retrospective study

Year 2021, Volume: 46 Issue: 4, 1675 - 1686, 30.12.2021
https://doi.org/10.17826/cumj.993832

Abstract

Purpose: The aim of this study was to determine the characteristics of the patients who applied to the emergency department due to suicide in last year before the suicide attempt.
Materials and Methods: Within the scope of the retrospective study, files of 135 patients who applied to emergency of a training and research hospital between 1 August 2018 and 1 August 2019 with a suicide attempt were examined. Data was collected from hospital records through a data collection form.
Results: The mean age of patients was 31.24±11.31 and 53.3% were male. Patients attempted suicide 37% in the spring. It was determined that 94.8% of the patients attempted suicide 1-3 times in last year and 62.3% wanted to kill themselves by taking drugs. Patients presenting with suicide, 34.8% went to a psychiatrist, 78.5% applied to emergency at least once in last year, 84.4% went to hospital with another complaints before suicide. It was determined that 80% of the patients did not receive psychiatric consultation in the emergency.
Conclusion: According to the findings; patients applied to hospital for various reasons before suicide, the most frequently applied area was emergency, and have repeated suicide attempts and most of patients did not receive psychiatric help. It was recommended that cases who applied to emergency department with reason of suicide should be identified and directed to psychiatry outpatient clinics to receive psychiatric care and followed up.

Project Number

-

References

  • 1. Suicide. 2019. https://www.who.int/news-room/fact-sheets/detail/s. (accessed Sep 2021).
  • 2. Ölüm ve Ölüm Nedeni İstatistikleri. 2019. https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Ol. (accessed Sep 2021).
  • 3. Kawahara YY, Hashimoto S, Harada M, Sugiyama D, Yamada S, Kitada M, et al. Predictors of short-term repetition of self-harm among patients admitted to an emergency room following self-harm: A retrospective one-year cohort study. Psychiatry Res. 2017 Dec;258:421-426.
  • 4. Ceniti AK, Heinecke N, McInerney SJ. Examining suicide-related presentations to the emergency department. Gen Hosp Psychiatry. 2020 Mar-Apr;63:152-157.
  • 5. Al-Amin H, Singh R, Abdulrazzak M, Ghuloum S. Psychosocial and clinical profiles of the cases visiting the emergency department due to accidental self-harm and suicide attempts in Doha, Qatar: A Retrospective Study. Community Ment Health J. 2021 Feb;57(2):315-324.
  • 6. Kroll DS, Stanghellini E, DesRoches SL, Lydon C, Webster A, O’Reilly M, et al. Virtual monitoring of suicide risk in the general hospital and emergency department. Gen Hosp Psychiatry. 2020 Mar-Apr;63:33-38. doi: 10.1016/j.genhosppsych.2019.01.002. Epub 2019 Jan 14. PMID: 30665667.
  • 7. Gentil L, Huỳnh C, Grenier G, Fleury MJ. Predictors of emergency department visits for suicidal ideation and suicide attempt. Psychiatry Res. 2020 Jan 21;285:112805.
  • 8. Harmer B, Lee S, Duong TVH, Saadabadi A. Suicidal ıdeation. 2021 Aug 6. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan–.
  • 9. Temel M. İntiharın önlenmesinde hemşirenin sorumlulukları. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 2009;78–83.
  • 10. Kuramoto-Crawford SJ, Spies EL, Davies-Cole J. Detecting suicide-related emergency department visits among adults using the district of columbia syndromic surveillance system. Public Health Rep. 2017 Jul/Aug;132(1_suppl):88S-94S.
  • 11. Çetinkaya Büyükbodur A. İntihar girişimleri ve retrospektif sosyal inceleme. Sosyal Çalışma Dergisi. 2019;3(1):28–46.
  • 12. Delibaş DH, Erdoğan E. Sociodemographic and Clinical Characteristics of Patients with Suicide Attempt to a Training and Research Hospital Emergency Department; A Retrospective Study. Van Med J. 2018;25(4):514–9.
  • 13. Kim SH, Kim HJ, Oh SH, Cha K. Analysis of attempted suicide episodes presenting to the emergency department: comparison of young, middle aged and older people. Int J Ment Health Syst. 2020 Jun 22;14:46.
  • 14. Günderci A, Karatay G, Gökçe S, Güler B. Tunceli’ de 2005-2015 yılları arasında gerçekleşen intiharlara ilişkin epidemiyolojik bir inceleme. Klin Psikiyatr Derg. 2017;20(2):121–8.
  • 15. El Majzoub I, El Khuri C, Hajjar K, Bou Chebl R, Talih F, Makki M, et al. Characteristics of patients presenting post-suicide attempt to an Academic Medical Center Emergency Department in Lebanon. Ann Gen Psychiatry. 2018 May 25;17:21.
  • 16. Sultanoğlu H, Erdem Sultanoğlu T. Evaluation of elderly patients in adult suicide cases admitted to the emergency department. J Forensic Leg Med. 2021 Jan;77:102103. doi: 10.1016/j.jflm.2020.102103. Epub 2020 Dec 14.
  • 17. Stanley B, Brown GK, Brenner LA, Galfalvy HC, Currier GW, Knox KL, et al. Comparison of the safety planning ıntervention with follow-up vs usual care of suicidal patients treated in the emergency department. JAMA Psychiatry. 2018 Sep 1;75(9):894-900.
  • 18. Acar SR, Şahİn TE. Ankara’da acil servislere başvuran intihar girişim olgularının sosyodemografik ve klinik özellikleri. Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi. 2016;1:5–12.
  • 19. Avınca Ö, Şen A, Karakoç Y, Damar Ö, Taş M. Zehirlenmeler: Neden suisit, neden kadınlar?. J Neurobehav Sci. 2019;6(2):83.
  • 20. Akkaya-Kalayci T, Vyssoki B, Winkler D, Willeit M, Kapusta ND, Dorffner G, et al. The effect of seasonal changes and climatic factors on suicide attempts of young people. BMC Psychiatry. 2017 Nov 15;17(1):365.
  • 21. Vyssoki B, Kapusta ND, Praschak-Rieder N, Dorffner G, Willeit M. Direct effect of sunshine on suicide. JAMA Psychiatry. 2014 Nov;71(11):1231-7.
  • 22. Çiftçi H, Kaya F, Bostancı N. Kars ilinde intihar ve intihar girişimlerinin üç yıllık değerlendirilmesi. Psikiyatr Guncel Yaklasimlar- Curr Approaches Psychiatry. 2020;12(Suppl 1):255–67.
  • 23. Canpolat Ö, Yıldırım İ, Kafadar H, Demir M. Evaluation of suicide cases applied to emergency service. Acta Oncol Turc. 2020;53(2):281–7.
  • 24. Keten HS, Hakkoymaz H, Aslan Ü, Bahar Ş, Keten A, Sucaklı MH, et al. Acil servise intihar girişimi nedeniyle başvuran olguların incelenmesi. J Contemp Med. 2015;5(2):102–5.
  • 25. Yılmaz A, Doğan S, Kalafat UM, Tapkan RB, Sağlık A, Özüçelik DN. Acil serviste takip edilen intihar girişimlerinin maliyet analizi*. Sağlık Bilim ve Meslekleri Derg. 2018;5(2):120-8.
  • 26. Muhammedoğlu N, Başaranoğlu G, Gül YG, Toptaş M, Baltalı S, Özütürk B. Yeni açılan yoğun bakım ünitemize gelen suisid ve intoksikasyon vakalarının değerlendirilmesi. Medical Bulletin of Haseki / Haseki Tip Bulteni. 2014;52(3):153-157.
  • 27. Son JM, Jeong J, Ro YS, Hong W, Hong KJ, Song KJ, et al. Effect of previous emergency psychiatric consultation on suicide re-attempts- A multi-center observational study. Am J Emerg Med. 2020 Sep;38(9):1743-1747.
  • 28. Allen MH, Abar BW, McCormick M, Barnes DH, Haukoos J, Garmel GM, et al. Screening for suicidal ideation and attempts among emergency department medical patients: instrument and results from the Psychiatric Emergency Research Collaboration. Suicide Life Threat Behav. 2013 Jun;43(3):313-23.
  • 29. Claassen CA, Larkin GL. Occult suicidality in an emergency department population. Br J Psychiatry. 2005 Apr;186:352-3.
  • 30. Horowitz LM, Boudreaux ED, Schoenbaum M, Pao M, Bridge JA. Universal suicide risk screening in the hospital setting: still a pandora's box? Jt Comm J Qual Patient Saf. 2018 Jan;44(1):1-3.
  • 31. Boudreaux ED, De Beurs DP, Nguyen TH, Haskins BL, Larkin C, Barton B. Applying computer adaptive testing methods to suicide risk screening in the emergency department. Suicide Life Threat Behav. 2019 Aug;49(4):917-927.
There are 31 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research
Authors

Elvan Emine Ata 0000-0002-5920-8207

Nurten Gülsüm Bayrak 0000-0002-7658-9961

Emel Bahadır Yılmaz 0000-0003-1785-3539

Project Number -
Publication Date December 30, 2021
Acceptance Date October 24, 2021
Published in Issue Year 2021 Volume: 46 Issue: 4

Cite

MLA Ata, Elvan Emine et al. “İntihar girişimi Nedeniyle Acil Servise başvuran olguların Incelenmesi: Bir yıllık Retrospektif Bir çalışma”. Cukurova Medical Journal, vol. 46, no. 4, 2021, pp. 1675-86, doi:10.17826/cumj.993832.