BibTex RIS Cite

Investigation of mass suicide of siblings taken place in Kahramanmaraş

Year 2012, , 514 - 517, 01.12.2012
https://doi.org/10.5799/ahinjs.01.2012.04.0212

Abstract

Objectives: Suicide is a major public health problem and challenging issue of forensic medicine, in our country as in all over the world. This study aimed to present medico-legal evaluation of group/mass suicide cases of siblings. Material and methods: A total of 535 cases, autopsied in Kahramanmaraş between 01.01.2007 and 01.06.2012, were retrospectively investigated. There were two cases of group suicide of four siblings for each. The autopsy and forensic investigation records of these cases were investigated. Results: There were two cases of group/mass suicide. Each of them comprised four siblings. In first case, the group comprised of 3 male and 1 female siblings. Scene investigation did not reveal a suspicious finding. Interviewing with the relatives showed that siblings were extremely dependent on their mother who was currently died, after which victims suffered social adjustment problems. Autopsy findings revealed that all victims died of asphyxia due to hanging. In second case, four female siblings found dead in a damn lake, a short while after leaving home. All found to wear similar black colored dresses. Interviewing family members revealed that the oldest sister was forced for an unwanted marriage. The family has a low socioeconomic level and migrated from another region. Death was attributed to asphyxia due to drowning. Conclusions: In the etiology of suicide, psychological and environmental factors should be investigated. Implementing psychosocial support mechanisms is of high importance in order to avoid such consequences, particularly for broken families and in regions suffering from unwanted forced marriages.

References

  • İçelli İ, Demet MM. Rasyonel intihar. Anadolu Psikiyatri Dergisi 2001;2(4):230-5.
  • Sayar K, Bozkır F. İntihar girişiminde bulunan ergen- lerde intihar niyeti ve ölümcüllüğün belirleyicileri. Yeni Symposium 2004;42(1):28-36.
  • Mann JJ. A current perspective of suicide and attempt- ed suicide. Ann Intern Med 2002;136(3):302-11.
  • Özsoy SD, Eşel E. İntihar (Özkıyım). Anadolu Psikiyatri Dergisi 2003;4(2):175-85.
  • Kaplan HI, Sadock BJ, Grebb JA. Synopsis of psy- chiatry. Baltimore-Marylant, Williams &Wilkins Comp, 1994:803-811.
  • Mancinelli ID, Comparelli A, Girardi P, Tatarelli R. Mass Suicide: Historical and Psychodynamic Con- siderations. Suicide and Life-Threatening Behavior 2002;32(1):91-100.
  • Takahashi Y. Mass suicide by members of the japanese friend of the truth church. suicide and life-threatening behavior. 1989;19(3):289-96.
  • Brown M, King E, Barraclough B. Nine suicide pacts: A clinical study of a consecutive series 1974-93. Br J Psychiatry 1995;167(3):448-51.
  • Fishbain DA, D’Achille L, Barsky S, Aldrich TE. A con- trolled study of suicide pacts. J Clin Psychiatry 1984; 45(2):154-7.
  • Ryabik B, Schreiner M, Elam SM. Triple suicide pact. J Am Acad Child Adolesc Psychiatry 1995;34(10):1121- 2.
  • Altindag A, Yanik M. Suicide pact among three young sisters. Isr J Psychiatry Relat Sci 2005;42(3):278-80.
  • Hocaoglu C. Double suicide attempt. Singapore Med J 2009; 50(2) :81-4.
  • Kanchan T, Menon A, Menezes RG. Methods of Choice in Completed Suicides: Gender Differences and Re- view of Literature. J Forensic Sci 2009;54(4):938-42.
  • Mos´cicki EK. Epidemiology of completed and at- tempted suicide: toward a framework for prevention. Clin Neurosci Res 2001;1(3):310-23.
  • Renberg ES. Self-reported life -weariness, death - wishes, suicidal ideation, suicidal plans and suicide attempts in general population surveys in the north of Sweden 1986 and 1996. Soc Psychiatry Psychiatr Epidemiol 2001;36(4):429-36.
  • Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psych 1999;56(5):617- 26.
  • Bilici M, Bekaroglu M, Hocaoglu C, Gurpinar S, Soylu C, Uluutku N. Incidence of completed and attempted suicide in Trabzon, Turkey. Crisis 2002;23:3-10.
  • Diekstra RF, Gulbinat W. The epidemiology of suicidal behaviour: a review of three continents. World Health Stat Q 1993; 46(1):52-68.
  • Szadoczky E, Vitrai J, Rihmer Z, Füredi J. Suicide at- tempts in the Hungarian adult polulation. Their relation with DIS/DSM-III-R affectice and anxiety disorders. Eur Psychiatry 2000;15(3):343-7.
  • Razvodovsky YE. Alcohol consumption and suicide in Belarus, 1980-2005. Suicidology Online 2011; 2(1):1- 7.
  • Tidemalm D, Elofsson S, Stefansson CG, Waern M, Runeson B. Predictors of suicide in a community-based cohortof individuals with severe mental disorder. Soc Psychiatry Psychiatr Epidemiol 2005;40(5):595-600.
  • Joiner T. Why people die by suicide. 1. ed, Harvard University Press, 2007:p.172.
  • Ojima T, Nakamura Y, Detels R. Comparative study about methods of suicide between Japan and the United States. J Epidemiol 2004;14(2):187-92.
  • He ZX, Lester D. Methods of suicide in mainland Chi- na. Death Stud 1998;22(5):571-9.
  • Sharma BR, Gupta M, Sharma AK, Sharma S, Gupta N, Relhan N, et al. Suicides in Northern India: com- parison of trends and review of literature. J Forensic Leg Med 2007;14(3):318-26
  • Azmak AD. Suicides in Trakya region, Turkey, from 1984 to 2004. Med Sci Law 2006;46(1):19-30.

Kahramanmaraş'ta gerçekleşen toplu kardeş intiharlarının incelenmesi

Year 2012, , 514 - 517, 01.12.2012
https://doi.org/10.5799/ahinjs.01.2012.04.0212

Abstract

Amaç: İntiharlar tüm dünyada olduğu gibi ülkemizde önemli bir halk sağlığı ve adli tıp sorunudur. İntihar bireysel ve toplu olarak yapılabilmektedir. Bu çalışmada toplu halde intihar eden kardeş olguların medikolegal açıdan değerlendirilmesi amaçlanmıştır. Gereç ve yöntem: Kahramanmaraş ilinde 01.01.2007 ile 01.06.2012 tarihleri arasında adli tıbbi otopsisi yapılan 535 olgu incelendi. İncelenen kayıtlarda 4'er kardeşten oluşan iki ayrı grup intiharı olgusuna ulaşıldı. Bu olguların otopsi ve adli tahkikat bilgileri incelendi. Bulgular: Çalışmaya dahil edilen 535 olgunun 8 inde toplu intihar olduğu bu olguların 2 ayrı kardeş grubu olduğu bilgisine ulaşıldı. Olgu grubunun birincisinde; olguların 3'ü erkek olup biri kızdı. Olay yeri incelemesinde evde alkol şişelerine rastlandığı, özgeçmişlerinde annelerine aşırı bağlı oldukları yakın zamanda annelerinin öldüğü, sosyal uyum problemleri yaşadıkları bilgisine ulaşıldı. Yapılan otopsilerinde asıya bağlı mekanik asfiksi nedeniyle öldükleri tespit edildi. İkinci grup olguda ise dört kız kardeş evden ayrıldıktan kısa bir süre sonra baraj gölünde ölü olarak bulunduğu, olay yeri incelenmesinde; kardeşlerin hepsinin benzer şekilde siyah renkli elbise giydikleri görüldü. Kız kardeşlerden en büyüğünün istenmeyen bir evliliğe zorlandığı bilgisine ulaşıldı. Ailenin düşük sosyoekonomik seviyede olduğu ve başka bölgeden göç ettikleri bilgisine ulaşıldı. Ölümün suda boğulmaya bağlı asfiksi sonucu oluştuğu belirlendi. Sonuç: İntihar etiyolojisinde psikolojik ve çevresel faktörler araştırılmalıdır. Özellikle parçalanmış ailelerde ve istenmeyen evliliklerin yaşandığı bölgelerde psikososyal destek mekanizmaların oluşturulması olumsuz sonuçlarla karşılaşmamak açısından önem taşımaktadır.

References

  • İçelli İ, Demet MM. Rasyonel intihar. Anadolu Psikiyatri Dergisi 2001;2(4):230-5.
  • Sayar K, Bozkır F. İntihar girişiminde bulunan ergen- lerde intihar niyeti ve ölümcüllüğün belirleyicileri. Yeni Symposium 2004;42(1):28-36.
  • Mann JJ. A current perspective of suicide and attempt- ed suicide. Ann Intern Med 2002;136(3):302-11.
  • Özsoy SD, Eşel E. İntihar (Özkıyım). Anadolu Psikiyatri Dergisi 2003;4(2):175-85.
  • Kaplan HI, Sadock BJ, Grebb JA. Synopsis of psy- chiatry. Baltimore-Marylant, Williams &Wilkins Comp, 1994:803-811.
  • Mancinelli ID, Comparelli A, Girardi P, Tatarelli R. Mass Suicide: Historical and Psychodynamic Con- siderations. Suicide and Life-Threatening Behavior 2002;32(1):91-100.
  • Takahashi Y. Mass suicide by members of the japanese friend of the truth church. suicide and life-threatening behavior. 1989;19(3):289-96.
  • Brown M, King E, Barraclough B. Nine suicide pacts: A clinical study of a consecutive series 1974-93. Br J Psychiatry 1995;167(3):448-51.
  • Fishbain DA, D’Achille L, Barsky S, Aldrich TE. A con- trolled study of suicide pacts. J Clin Psychiatry 1984; 45(2):154-7.
  • Ryabik B, Schreiner M, Elam SM. Triple suicide pact. J Am Acad Child Adolesc Psychiatry 1995;34(10):1121- 2.
  • Altindag A, Yanik M. Suicide pact among three young sisters. Isr J Psychiatry Relat Sci 2005;42(3):278-80.
  • Hocaoglu C. Double suicide attempt. Singapore Med J 2009; 50(2) :81-4.
  • Kanchan T, Menon A, Menezes RG. Methods of Choice in Completed Suicides: Gender Differences and Re- view of Literature. J Forensic Sci 2009;54(4):938-42.
  • Mos´cicki EK. Epidemiology of completed and at- tempted suicide: toward a framework for prevention. Clin Neurosci Res 2001;1(3):310-23.
  • Renberg ES. Self-reported life -weariness, death - wishes, suicidal ideation, suicidal plans and suicide attempts in general population surveys in the north of Sweden 1986 and 1996. Soc Psychiatry Psychiatr Epidemiol 2001;36(4):429-36.
  • Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psych 1999;56(5):617- 26.
  • Bilici M, Bekaroglu M, Hocaoglu C, Gurpinar S, Soylu C, Uluutku N. Incidence of completed and attempted suicide in Trabzon, Turkey. Crisis 2002;23:3-10.
  • Diekstra RF, Gulbinat W. The epidemiology of suicidal behaviour: a review of three continents. World Health Stat Q 1993; 46(1):52-68.
  • Szadoczky E, Vitrai J, Rihmer Z, Füredi J. Suicide at- tempts in the Hungarian adult polulation. Their relation with DIS/DSM-III-R affectice and anxiety disorders. Eur Psychiatry 2000;15(3):343-7.
  • Razvodovsky YE. Alcohol consumption and suicide in Belarus, 1980-2005. Suicidology Online 2011; 2(1):1- 7.
  • Tidemalm D, Elofsson S, Stefansson CG, Waern M, Runeson B. Predictors of suicide in a community-based cohortof individuals with severe mental disorder. Soc Psychiatry Psychiatr Epidemiol 2005;40(5):595-600.
  • Joiner T. Why people die by suicide. 1. ed, Harvard University Press, 2007:p.172.
  • Ojima T, Nakamura Y, Detels R. Comparative study about methods of suicide between Japan and the United States. J Epidemiol 2004;14(2):187-92.
  • He ZX, Lester D. Methods of suicide in mainland Chi- na. Death Stud 1998;22(5):571-9.
  • Sharma BR, Gupta M, Sharma AK, Sharma S, Gupta N, Relhan N, et al. Suicides in Northern India: com- parison of trends and review of literature. J Forensic Leg Med 2007;14(3):318-26
  • Azmak AD. Suicides in Trakya region, Turkey, from 1984 to 2004. Med Sci Law 2006;46(1):19-30.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Ramazan Karanfil This is me

Alper Keten This is me

Cem Zeren This is me

Mustafa Haki Sucaklı This is me

Publication Date December 1, 2012
Published in Issue Year 2012

Cite

APA Karanfil, R., Keten, A., Zeren, C., Sucaklı, M. H. (2012). Kahramanmaraş’ta gerçekleşen toplu kardeş intiharlarının incelenmesi. Journal of Clinical and Experimental Investigations, 3(4), 514-517. https://doi.org/10.5799/ahinjs.01.2012.04.0212
AMA Karanfil R, Keten A, Zeren C, Sucaklı MH. Kahramanmaraş’ta gerçekleşen toplu kardeş intiharlarının incelenmesi. J Clin Exp Invest. December 2012;3(4):514-517. doi:10.5799/ahinjs.01.2012.04.0212
Chicago Karanfil, Ramazan, Alper Keten, Cem Zeren, and Mustafa Haki Sucaklı. “Kahramanmaraş’ta gerçekleşen Toplu Kardeş intiharlarının Incelenmesi”. Journal of Clinical and Experimental Investigations 3, no. 4 (December 2012): 514-17. https://doi.org/10.5799/ahinjs.01.2012.04.0212.
EndNote Karanfil R, Keten A, Zeren C, Sucaklı MH (December 1, 2012) Kahramanmaraş’ta gerçekleşen toplu kardeş intiharlarının incelenmesi. Journal of Clinical and Experimental Investigations 3 4 514–517.
IEEE R. Karanfil, A. Keten, C. Zeren, and M. H. Sucaklı, “Kahramanmaraş’ta gerçekleşen toplu kardeş intiharlarının incelenmesi”, J Clin Exp Invest, vol. 3, no. 4, pp. 514–517, 2012, doi: 10.5799/ahinjs.01.2012.04.0212.
ISNAD Karanfil, Ramazan et al. “Kahramanmaraş’ta gerçekleşen Toplu Kardeş intiharlarının Incelenmesi”. Journal of Clinical and Experimental Investigations 3/4 (December 2012), 514-517. https://doi.org/10.5799/ahinjs.01.2012.04.0212.
JAMA Karanfil R, Keten A, Zeren C, Sucaklı MH. Kahramanmaraş’ta gerçekleşen toplu kardeş intiharlarının incelenmesi. J Clin Exp Invest. 2012;3:514–517.
MLA Karanfil, Ramazan et al. “Kahramanmaraş’ta gerçekleşen Toplu Kardeş intiharlarının Incelenmesi”. Journal of Clinical and Experimental Investigations, vol. 3, no. 4, 2012, pp. 514-7, doi:10.5799/ahinjs.01.2012.04.0212.
Vancouver Karanfil R, Keten A, Zeren C, Sucaklı MH. Kahramanmaraş’ta gerçekleşen toplu kardeş intiharlarının incelenmesi. J Clin Exp Invest. 2012;3(4):514-7.