Kadın intiharlarının retrospektif analizi: İntihar düşüncesinin sürekliliğine etki eden kriz faktörleri

Yıl 2025, Cilt: 6 Sayı: 2, 131 - 137, 31.08.2025

Habip Balsak , Mehmet Ozel , Hasret Narin Balsak

https://doi.org/10.61534/anatoljhr.1716820

Öz

Amaç: Bu çalışmanın amacı, intihar girişiminde bulunan kadın bireylerde intihar düşüncesinin sürme durumuna etki eden kriz nedenlerini belirlemek ve çoklu intihar davranışını yordayan faktörleri incelemektir.
Yöntem: Retrospektif tanımlayıcı nitelikteki bu çalışma, 2019–2024 yılları arasında bir üniversite hastanesine intihar girişimi nedeniyle başvuran kadınların kayıtları incelenmiş ve toplam 739 kadına ait bilgiler çalışmaya dahil edilmiştir. Veriler, acil servis ünitesine ait standart intihar girişimi kayıt formundan elde edilmiştir. Analizlerde frekans, yüzde ve lojistik regresyon kullanılmıştır.
Bulgular: Katılımcıların çoğunluğu 18–34 yaş aralığında (%68.6), lise ve altı düzeyde eğitim almış (%73.2), ev hanımı (%51.8) veya öğrencidir (%31.1). En sık bildirilen kriz nedenleri ailevi sorunlar (%41.0), ruhsal hastalıklar (%21.7), evlilik problemleri (%18.5) ve taciz/karşı cinsle yaşanan sorunlar (%8.5) olmuştur. Ruhsal hastalık, yalnızlık, alkol veya madde bağımlılığı ve taciz gibi faktörlerin intihar düşüncesinin sürme olasılığını anlamlı düzeyde artırdığı saptanmıştır. Ölümle sonuçlanan vakalarda da bu nedenler öne çıkmıştır.
Sonuçlar: Kadın intihar girişimlerinde bireysel ve sosyal risk etmenleri çoğunlukla iç içe geçmiş durumdadır. Bulgular, kadınlara yönelik ruh sağlığı politikalarının çok boyutlu bir yaklaşımla geliştirilmesi gerektiğini göstermektedir.

Anahtar Kelimeler

acil servis , intihar , kadın , retrospektif çalışma , ruh sağlığı

A retrospective analysis of female suicide attempts: The role of crisis factors in predicting persistent suicidal ideation

Öz

Aim: This study aimed to identify crisis-related factors associated with the persistence of suicidal ideation in women who attempted suicide and to examine predictors of multiple suicide attempts.
Method: This retrospective descriptive study reviewed the records of 739 women who presented to the emergency department of a university hospital following suicide attempts between 2019 and 2024. Data were obtained from the standardized suicide attempt registration form used in the emergency unit. Frequency, percentage analyses, and logistic regression were performed.
Results: The majority of participants were aged 18–34 (68.6), had a high school education (%68.6 or less, and were either housewives or students (51.8%). The most frequently reported crisis reasons were family problems (41.0%), psychiatric disorders (21.7%), marital conflicts (18.5%), and issues involving abuse or opposite-sex relationships (8.5%). Psychiatric disorders, loneliness, substance abuse, and experiences of abuse significantly increased the likelihood of persistent suicidal ideation. These factors were also prominent among fatal cases.
Conclusion: Female suicide attempts are influenced by overlapping individual and social risk factors. The findings highlight the need to develop gender-sensitive mental health policies that adopt a multidimensional approach.

Anahtar Kelimeler

emergency service , female , mental health , retrospective study , suicide

Etik Beyan

Ethics committee approval was obtained from Şırnak University Scientific Research and Publication Ethics Committee (Board Decision No: 2024/105773) on August 14, 2024.

Destekleyen Kurum

No financial support was received for this study.

Kaynakça

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