CAN SIKICI ÜÇLEME: İNTİHAR, ERGENLİK DÖNEMİ, İLAÇLAR…

Year 2010, , 19 - 26, 01.06.2010

Lale Karaman Okşan Derinöz Kılıçaslan Fikret Bildik Ayfer Keleş Ahmet Demircan

https://doi.org/10.1501/Kriz_0000000315

Abstract

Giriş: İntihar, dünyada önde gelen ölüm nedenlerinden biridir (Mgaya, Kazaura, Outwater ve Kinabo 2008) DSÖ verilerine göre, ülkemizdeki intihar hızı düşük olmakla birlikte, intihar girişimlerinin son 20 yılda özellikle ergen yaş grubunda belirginleşmesi dikkat çekicidir(Dilsiz&Dilsiz 1993, Uçan 2005). Biz çalışmamızda intihar girişimi ile başvuran hastaların epidemiyolojik özelliklerini tanımlamaya, girişim yöntemleri ve yaş grupları açısından yoğunluğu fazla olan gruplara dikkat çekmeye çalıştık. Metod: Çalışmamızda Gazi Üniversitesi Tıp Fakültesi (GÜTF) Hastanesi Erişkin-Çocuk Acil Servisi’ne Aralık 2009-Ocak 2010 tarihlerinde intihar girişimi ile başvuran hastaların dosyaları retrospektif olarak incelendi. Bulgular: 71 hastanın %80.3’ü kadın, yaş ortalaması 22.73±10.1 olup, %72’si 12-24 yaş grubunda yer almaktaydı. %95.8’nin

Keywords

İntihar, ergen, ilaç, acil servis

CAN SIKICI ÜÇLEME: İNTİHAR, ERGENLİK DÖNEMİ, İLAÇLAR…

Abstract

Introduction: Suicide is one of the most important reasons of death in the world (Mgaya, Kazaura, Outwater ve Kinabo
2008)According to WHO data, it is important to
pay attention to increasing rate of suicide in
adolescent age groups last 20
years(Dilsiz&Dilsiz 1993, Uçan 2005).n this
study, we tried to analyze epidemiologic
specifications and suicide methods according
to age groups. Method: We retrospectively
reviewed files of the patients who presented
with suicide to the Gazi University Emergency
Department (adult and pediatric) between
December 2009 and January 2010.Results:
Female gender was 80.3% of 71 cases. Mean
age was 22.73±10.1 and majority of the cases
(72%) was in the age group of 12-24. General
clinical situation were good in 95.8% of cases.
20 cases had previous psychiatric diagnosis,
13 cases had chronic organic disease, and
sexual abuse was found in a case. It is the first
suicidal attempt in 68 cases. 59 of cases were
discharged from the ED after short period of
observation. 9 cases were admitted to ward
and 3 cases leave the ED without permission
despite to medical advice. There is no death in
the study group. Suicide method was drug
ingestion in 90.2% of cases. Multiple drug
ingestion was found in 45% of cases.
Paracetamol and salycilates were the most
common ingested drug group (39.4%).
Presentation of the cases to the ED was found
mostly in first hour of the suicidal attempt.
Conclusion: We found that suicidal attempt
was the highest in the age group of 12-24 in
our study. Drug ingestion was the common
route of suicidal attempt and it is concordant
with literature. In addition to our results, we
wanted to pay attention to easy reach to drugs
and to precautions. Suicide is one of the most
important reasons of death in the world1
.
According to WHO data, although the suicide
rate is low in our country, it is important to pay
attention to increasing rate of suicide in
adolescent age groups last 20 years (Uçan
2005, Dilsiz ve Dilsiz 1993). In this study, we
tried to analyze epidemiologic specifications
and suicide methods according to age groups.

Keywords

Suicide, adolescent, drug, emergency department.

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