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Recurrent Suicide Attempts in a Patient with Chronic Obstructive Pulmonary Disease: A Case Report

Yıl 2025, Cilt: 5 Sayı: 2, 83 - 86, 15.05.2025

Öz

Chronic obstructive pulmonary disease (COPD) is characterized by bronchial obstruction and abnormal pulmonary inflammation. Depression prevalence has increased in COPD patients. COPD frequently leads to social isolation and impairments in daily functioning, which contribute as risk factors for suicidal behavior. Although the relationship between COPD and suicide attempts is multifactorial, studies suggest that chronic hypoxia and biochemical factors can lead to increased suicide risk. The association between COPD and suicide has been emphasized in numerous studies, underscoring the need for mental health assessment in COPD patients. Evaluation of suicide risk is critical not only for psychiatrists but for all physicians. This case report addresses recurrent suicide attempts in a 70-year-old woman who was diagnosed with COPD and it aims to raise awareness about the increased suicide risk in COPD patients.

Kaynakça

  • 1. Matte DL, Pizzichini MM, Hoepers AT, Diaz AP, Karloh M, Dias M, et al. Prevalence of depression in COPD: a systematic review and meta-analysis of controlled studies. Respir Med. 2016; 117:154–61.
  • 2. Young SN. Elevated incidence of suicide in people living at altitude, smokers and patients with chronic obstructive pulmonary disease and asthma: possible role of hypoxia causing decreased serotonin synthesis. J Psychiatry Neurosci. 2013;38(6):423–426.
  • 3. Kious BM, Kondo DG, Renshaw PF. Living high and feeling low: altitude, suicide, and depression. Harv Rev Psychiatry. 2018;26(2):43–56.
  • 4. Al-shair K, Kolsum U, Dockry R, Singh D, Vestbo J, Tal-Singer R, et al. Biomarkers of systemic inflammation and depression and fatigue in moderate clinically stable COPD. Respir Res. 2011; 12(1):3.
  • 5. Crump C, Sundquist K, Sundquist J, Winkleby MA. Sociodemographic, psychiatric and somatic risk factors for suicide: a Swedish national cohort study. Psychol Med. 2014;44(2):279–89.
  • 6. Sampaio MS, Vieira WDA, Bernardino IDM, Herval AM, Flores-Mir C, Paranhos LR. Chronic obstructive pulmonary disease as a risk factor for suicide: a systematic review and meta-analysis. Respir Med. 2019; 151:11–8.
  • 7. Hughes D, Kleespies P. Suicide in the medically ill. Prim Care Companion J Clin Psychiatry. 2001;31(Suppl):48–59.
  • 8. Goodwin RD. Is COPD associated with suicide behavior? J Psychiatr Res. 2011;45(9):1269–71.

Recurrent Suicide Attempts in a Patient with Chronic Obstructive Pulmonary Disease: A Case Report

Yıl 2025, Cilt: 5 Sayı: 2, 83 - 86, 15.05.2025

Öz

Kronik obstrüktif akciğer hastalığı (KOAH), bronşiyal obstrüksiyon ve anormal pulmoner enflamasyon ile karakterize bir hastalıktır. KOAH hastalarında depresyon sıklığı artmıştır. KOAH, sosyal izolasyona ve günlük işlevsellikte bozulmalara sıklıkla yol açar ve bu durumlar intihar davranışı için risk oluşturur. KOAH ve intihar girişimleri arasındaki ilişki multifaktöriyel olsada, çalışmalar kronik hipoksi ve biyokimyasal faktörlerin intihar riskinde artışa yol açabileceğini önermektedir. KOAH ve intihar arasındaki ilişki, birçok çalışmada vurgulanmış ve KOAH hastalarında ruh sağlığı değerlendirmesinin gerekliliğini ortaya koymuştur. İntihar riski değerlendirmesi, sadece psikiyatristler için değil tüm hekimler için kritik öneme sahiptir. Bu vaka bildiriminde 70 yaşında KOAH tanılı 2 kez intihar girişimi olmuş bir kadın hasta sunulmaktadır ve KOAH hastalarında artan intihar riski için farkındalık oluşturmak amaçlanmaktadır.

Kaynakça

  • 1. Matte DL, Pizzichini MM, Hoepers AT, Diaz AP, Karloh M, Dias M, et al. Prevalence of depression in COPD: a systematic review and meta-analysis of controlled studies. Respir Med. 2016; 117:154–61.
  • 2. Young SN. Elevated incidence of suicide in people living at altitude, smokers and patients with chronic obstructive pulmonary disease and asthma: possible role of hypoxia causing decreased serotonin synthesis. J Psychiatry Neurosci. 2013;38(6):423–426.
  • 3. Kious BM, Kondo DG, Renshaw PF. Living high and feeling low: altitude, suicide, and depression. Harv Rev Psychiatry. 2018;26(2):43–56.
  • 4. Al-shair K, Kolsum U, Dockry R, Singh D, Vestbo J, Tal-Singer R, et al. Biomarkers of systemic inflammation and depression and fatigue in moderate clinically stable COPD. Respir Res. 2011; 12(1):3.
  • 5. Crump C, Sundquist K, Sundquist J, Winkleby MA. Sociodemographic, psychiatric and somatic risk factors for suicide: a Swedish national cohort study. Psychol Med. 2014;44(2):279–89.
  • 6. Sampaio MS, Vieira WDA, Bernardino IDM, Herval AM, Flores-Mir C, Paranhos LR. Chronic obstructive pulmonary disease as a risk factor for suicide: a systematic review and meta-analysis. Respir Med. 2019; 151:11–8.
  • 7. Hughes D, Kleespies P. Suicide in the medically ill. Prim Care Companion J Clin Psychiatry. 2001;31(Suppl):48–59.
  • 8. Goodwin RD. Is COPD associated with suicide behavior? J Psychiatr Res. 2011;45(9):1269–71.
Toplam 8 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Göğüs Hastalıkları, Psikiyatri
Bölüm Olgu Sunumu
Yazarlar

Sema Yeşilkaya 0000-0001-5324-5528

Çiçek Hocaoğlu 0000-0001-6613-4317

Yayımlanma Tarihi 15 Mayıs 2025
Gönderilme Tarihi 20 Eylül 2024
Kabul Tarihi 1 Kasım 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 5 Sayı: 2

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