A Case Report: The Patient Who fell on to us

Abstract

Suicide is the leading cause of premature death among persons with schizophrenia.Compared to the general population, persons with schizophrenia are nine times more likely to die by suicide. The estimated rate of suicidal behavior among persons with schizophrenia is between 20% and 40%. In countries where decentralization, the number of schizophreniabed days in hospital setting is now only one third of figures from 25 years ago. This mean that patients representing two-thirds of all schizophrenia bed days are now under a lower degree supervision and observation than formerly. In additional, treating patients with schizophrenia mostly in the community causes more problems for the families. We report a female schizophrenic patient who caused death of other person during suicide attempt with jumped from heights. The other characteristic of case;she had two sister and one brother with schizophrenia and no social support. One of the sisters committed suicide and the other sister killed her son. In the light of this case; we discussed problems of individuals with chronic psychiatric disorders and their family based on community psychiatry

Keywords

• Schizophrenia, suicide, family,day hospital

OLGU SUNUMU: "BAŞIMIZA DÜŞEN HASTA"

Öz

Anahtar Kelimeler

• şizofreni, intihar, aile,gündüz hastanesi

References

1. American Psychiatric Association (2004) Practice Guideline for the Treatment of Patients With Schizophrenia Second Edition. The American Journal of Psychiatry, 161 (2 suppl.) p.29.
2. American Psychiatric Association (1997) Practice Guideline for the Treatment of Patients With Schizophrenia. The American Journal of Psychiatry, 154 (4 suppl.) p.35.
3. Başkan T, Doğan S, Oğuz TF, Yalnız Ö (2004) Türkiye’de Ruh Sağlığı Hizmetlerinin Örgütlenmesi Bir Proje Önerisi-1999. Bireyden Topluma Ruh Sağlığı. Sayıl I (Editör), Erler Matbaacılık, İstanbul.
4. Dodge KA (2003) Psikiyatrik Bakımın Sürekliliği, Current Psikiyatri Tanı ve Tedavi. İng. Çev. Özgen A. Güneş kitabevi, Ankara, s.189-193.
5. Gülseren L (2002) Şizofreni ve Aile: Güçlükler, Yükler, Duygular, Gereksinimler. Türk Psikiyatri Dergisi, 13:143-151.
6. Güney M (2001) Psikiyatrik Rehabilitasyonda Gündüz Hastanesinin Yeri. Klinik Psikiyatri, 4:268- 276.
7. Jorgensen PM (2001) Suicidal Behavior in Schizophrenia, Comprehensive Care of Schizophrenia, Lieberman JA, Murray RM (eds), Martin Dunitz Ltd, s.219-226.
8. Sayıl I (2004) Dünyada Çağdaş Boyutta Ruh Sağlığı Politikalarına Geçiş. Bireyden Topluma Ruh Sağlığı. Sayıl I (Editör), Erler Matbaacılık, İstanbul.

9. McCreadele RG (2002) Toplum İçinde Şizofreni Tedavisi, Şizofrenini Psikofarmakolojisi. İng. Çev. Ulusoy B, Demiralp T, Yelkovan Yayıncılık, İstanbul, s.251-262.
10. Yıldız M (2005) Şizofrenili Hastaların Ayaktan Tedavisinde Ruhsal ve Toplumsal Girişimler Neden Gereklidir ve Nasıl Uygulanabilir, Neden Nasıl Şizofreni, Candansayar S (eds), Peday, Ankara, s.237-268.