Clinics Following Patients' Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments

Abstract

Amaç: İntihar girişimi olan hastaların bakımı multidisipliner bir yaklaşım gerektirir. Günümüzde bu hasta grubunun tedavi ve takipleri büyük bir oranda acil servislerde ve yoğun bakım ünitelerinde yapılmaktadır. Biz bu çalışmamızda intihar girişimi ile hastanemiz acil servisine başvuran hastaların takip ve tedavilerinin hangi kliniklerde yapıldığını, acil serviste yapılan konsultasyonlarını incelemeyi amaçladık. Gereç ve Yöntem: Acil servisimize Ocak 2014 - Ocak 2017 tarihleri arasında intihar girişimi sonrası başvuran 16 yaşından büyük hastalar prospektif olarak incelendi. Bulgular: Toplam 426 hasta çalışmaya dahil edildi. Hastaların 285’i (%66,9) acil serviste gözlem odasında yatırılıp takip edildi. Şuuru açık ve acil operasyon ihtiyacı olmayan 404 hastaya (%94.8) psikiyatri konsültasyonu yapıldı. Sonuç: İntihar girişimi ile başvuran hastaların tedavisinde acil servislerin, psikiyatri kliniğinin ve özellikle travmatik girişim varsa cerrahi servislerin önemli rol oynadığı görüldü. Bu nedenle ilgili kliniklerin bu hasta grubunun yönetimi için geliştirilmesinin ve hazır hale getirilmesinin bakım kalitesini arttıracağını düşünmekteyiz.

Keywords

• Acil servis
• konsultasyonlar
• intihar girişimi

Clinics Following Patients' Suicide Attempt, Consultations Performed, and the Role of the Emergency Departments

Abstract

Objectives: Intervention of patients after suicide attempt requires a multidisciplinary approach. Today, the treatment and follow-up of this patient group is mostly carried out in emergency departments and intensive care units. In this study, it was aimed to evaluate the consultations and follow-up clinics of the patients with suicide attempt. Methods: Patients over 16 years of age who applied to our emergency department between January 2014 and January 2017 due to suicide attempt were examined prospectively. Results: A total of 426 patients were included in this study. 285 (66.9%) of the patients included in the study were hospitalized and followed up in the emergency room. Psychiatric consultation was requested for 404 patients (94.8%) who were conscious and did not need urgent operation. Conclusions: Emergency departments, psychiatry clinics, and surgical clinics, especially in patients requiring traumatic intervention, played an important role in the treatment of patients presenting with suicide attempt. Therefore, we think that developing and preparing the relevant clinics for the management of this patient group will increase the quality of care.

Keywords

• Emergency department.
• consultations
• suicide attempt

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