Öz
ABSTRACT
Aim : The number of detainees and convicts in penal institutions is increasing day by day. In this population, which is known to have a higher incidence of psychopathology than the general population, issues such as assessment conditions and treatment compliance are a major problem. In this study, it is aimed to obtain data about the complaints, medical treatment and follow-up of a group of adolescents who are detained and convicted.
Materials and Method: The records of male detainees and convicts who were brought to the Child and Adolescent Psychiatry Outpatient Clinic between January 2017 and April 2019 for evaluation were examined retrospectively from the hospital automation system.
Results: 149 male prisoners and convicts were included in the study. The mean age of the sample is 16.64 years (199.74 months). The total number of applications is 323 and the average number of applications per individual is 2.1. The leading complaint is insomnia. This is followed by self-injurious behaviors, anger management problems and depressive complaints. The most common diagnosis was conduct disorder, followed by depressive disorders. 64.4% of individuals are using medical treatment. Risperidone is the most commonly used medicine.
Conclusions: In our study, cross-sectional data about outpatient psychiatric outpatient follow-up of detainees and convicted adolescents who are at increased risk for psychiatric disorders compared to the normal population are presented. In this group, more comprehensive studies are needed to develop preventive and therapeutic services for the most common psychopathologies.
Anahtar Kelimeler
penal institution psychopathology adolescent detainee treatment
Kaynakça
- 1. Barnert ES, Abrams LS, Tesema L, Dudovitz R, Nelson BB, Coker T, et al. Child incarceration and long-term adult health outcomes: a longitudinal study. Int J Prison Health [Internet]. 2018;14(1):26–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29480767
- 2. Arroyo W, Buzogany W, Hansen G. American Academy of Child and Adolescent Psychiatry (AACAP) Task Force on Juvenile Justice Reforms: Recommendations for Juvenile Justice Reform. Washington; 2001.
- 3. Buyle-Bodin S, Amad A, Medjkane F, Bourion-Bedes S, Thomas P, Fovet T. Caractéristiques socio-démographiques et cliniques des adolescents détenus hospitalisés en unité hospitalière spécialement aménagée : résultats d’une étude transversale nationale. Encephale. 2019 Jun;45(3):207–13.
- 4. TÜİK. Ceza İnfaz Kurumu İstatistikleri [Internet]. 2017. Available from: http://www.tuik.gov.tr/PreHaberBultenleri.do?id=27610
- 5. American Academy of Pediatrics Health Care for Youth in the Juvenile Justice System. Pediatrics. 2011 Dec 1;128(6):1219–35.
- 6. Kim JI, Kim B, Kim B-N, Hong S-B, Lee DW, Chung J-Y, et al. Prevalence of psychiatric disorders, comorbidity patterns, and repeat offending among male juvenile detainees in South Korea: a cross-sectional study. Child Adolesc Psychiatry Ment Health. 2017;11:6.
- 7. Ceylan MF, Tural Hesapcioglu S, Kasak M, Yavas CP. High prevalence of nonsuicidal self-injury, tattoos, and psychiatric comorbidity among male adolescent prisoners and their sociodemographic characteristics. Asian J Psychiatr. 2019 Jun;43:45–9.
- 8. Fazel S, Doll H, Långström N. Mental disorders among adolescents in juvenile detention and correctional facilities: a systematic review and metaregression analysis of 25 surveys. J Am Acad Child Adolesc Psychiatry. 2008 Sep;47(9):1010–9.
- 9. Radeloff D, Lempp T, Herrmann E, Kettner M, Bennefeld-Kersten K, Freitag CM. National total Survey of German adolescent Suicide in Prison. Eur Child Adolesc Psychiatry. 2015 Feb 22;24(2):219–25.
- 10. Gergelis K, Kole J, Lowenhaupt EA. Health Care Needs of Incarcerated Adolescents. R I Med J (2013). 2016 Sep 1;99(9):24–6.
- 11. Ger MC, Ljohiy ND, Oncu F, Keyvan A, Ozgen G, Turkcan A. Clinical Characteristics of Malingering Among Arrested and Convicted Male Cases That are Sent For Treatment. Turkish J Psychiatry. 2016;27(4):235–43.
Bir psikiyatri biriminde takip edilen tutuklu ve hükümlü ergenlerin özelliklerinin geriye dönük kesitsel olarak incelenmesi
Öz
ÖZET
Amaç : Ceza infaz kurumlarındaki tutuklu ve hükümlü gençlerin sayısı gün geçtikçe artmaktadır. Psikopatoloji sıklığının genel topluma göre daha yüksek olduğu bilinen bu popülasyonda değerlendirme koşulları ve tedavi uyumu gibi konular önemli bir sorun oluşturmaktadır. Bu araştırmada tutuklu ve hükümlü bir grup ergenin yakınmaları, medikal tedavi ve takipleriyle ilgili veri elde edilmesi amaçlanmıştır.
Gereç ve Yöntem: Çocuk ve Ergen Psikiyatri polikliniğine Ocak 2017-Nisan 2019 tarihleri arasında infaz koruma memurları eşliğinde değerlendirme için getirilen erkek tutuklu ve hükümlülerin kayıtları hastane otomasyon sisteminden geriye dönük olarak incelenmiştir.
Bulgular: Çalışmaya 149 erkek tutuklu ve hükümlü dahil olmuştur. Örneklemin yaş ortalaması 16,64 yıldır (199,74 ay). Toplam başvuru sayısı 323 olup, birey başına ortalama başvuru sayısı 2,1’dir. Önde gelen başvuru yakınması uykusuzluktur. Bunu kendine zarar verici davranışlar, öfke kontrol sorunları ve depresif yakınmalar izlemektedir. En sık tespit edilen tanı davranım bozukluğu olup bunu depresif bozukluklar izlemektedir. Bireylerin %64,4’ü medikal tedavi kullanmaktadır. Risperidon en sık kullanılan ilaçtır.
Sonuç : Çalışmamızda normal popülasyona göre psikiyatrik bozukluklar açısından artmış risk altında olan tutuklu ve hükümlü ergenlerin ayaktan psikiyatri polikliniği izlemiyle ilgili kesitsel veriler sunulmuştur. Bu grupta sık rastlanabilecek psikopatolojilere yönelik koruyucu ve tedavi edici hizmetlerin geliştirilmesi açısından daha kapsamlı araştırmalara ihtiyaç bulunmaktadır.
Anahtar kelimeler: Cezaevi, psikopatoloji, ergen, mahkum, tedavi
Anahtar Kelimeler
Kaynakça
- 1. Barnert ES, Abrams LS, Tesema L, Dudovitz R, Nelson BB, Coker T, et al. Child incarceration and long-term adult health outcomes: a longitudinal study. Int J Prison Health [Internet]. 2018;14(1):26–33. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29480767
- 2. Arroyo W, Buzogany W, Hansen G. American Academy of Child and Adolescent Psychiatry (AACAP) Task Force on Juvenile Justice Reforms: Recommendations for Juvenile Justice Reform. Washington; 2001.
- 3. Buyle-Bodin S, Amad A, Medjkane F, Bourion-Bedes S, Thomas P, Fovet T. Caractéristiques socio-démographiques et cliniques des adolescents détenus hospitalisés en unité hospitalière spécialement aménagée : résultats d’une étude transversale nationale. Encephale. 2019 Jun;45(3):207–13.
- 4. TÜİK. Ceza İnfaz Kurumu İstatistikleri [Internet]. 2017. Available from: http://www.tuik.gov.tr/PreHaberBultenleri.do?id=27610
- 5. American Academy of Pediatrics Health Care for Youth in the Juvenile Justice System. Pediatrics. 2011 Dec 1;128(6):1219–35.
- 6. Kim JI, Kim B, Kim B-N, Hong S-B, Lee DW, Chung J-Y, et al. Prevalence of psychiatric disorders, comorbidity patterns, and repeat offending among male juvenile detainees in South Korea: a cross-sectional study. Child Adolesc Psychiatry Ment Health. 2017;11:6.
- 7. Ceylan MF, Tural Hesapcioglu S, Kasak M, Yavas CP. High prevalence of nonsuicidal self-injury, tattoos, and psychiatric comorbidity among male adolescent prisoners and their sociodemographic characteristics. Asian J Psychiatr. 2019 Jun;43:45–9.
- 8. Fazel S, Doll H, Långström N. Mental disorders among adolescents in juvenile detention and correctional facilities: a systematic review and metaregression analysis of 25 surveys. J Am Acad Child Adolesc Psychiatry. 2008 Sep;47(9):1010–9.
- 9. Radeloff D, Lempp T, Herrmann E, Kettner M, Bennefeld-Kersten K, Freitag CM. National total Survey of German adolescent Suicide in Prison. Eur Child Adolesc Psychiatry. 2015 Feb 22;24(2):219–25.
- 10. Gergelis K, Kole J, Lowenhaupt EA. Health Care Needs of Incarcerated Adolescents. R I Med J (2013). 2016 Sep 1;99(9):24–6.
- 11. Ger MC, Ljohiy ND, Oncu F, Keyvan A, Ozgen G, Turkcan A. Clinical Characteristics of Malingering Among Arrested and Convicted Male Cases That are Sent For Treatment. Turkish J Psychiatry. 2016;27(4):235–43.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Aralık 2020 |
| Gönderilme Tarihi | 3 Temmuz 2020 |
| Yayımlandığı Sayı | Yıl 2020 |