Obsesif Kompulsif Bozukluk Tanılı Hastalarda Alkol Kullanım Bozukluğu ile İntihar Arasındaki İlişki

Öz

Amaç: Obsesif kompulsif bozukluk (OKB) tanılı hastalarda alkol kullanım bozukluğu ve özkıyım ilişkisine yönelik veriler sınırlıdır. Bu çalışmada OKB tanılı hastalarda alkol kullanım bozukluğu ile özkıyım arasında bir ilişki olabileceği hipotezimizi araştırmayı amaçladık.
Yöntem: Çalışmaya 92 OKB tanılı hasta alındı. Hastaların genel sosyodemografik ve klinik özellikleri değerlendirildi. OKB hastalarına Yale-Brown Obsesyon Kompulsiyon Ölçeği (Y-BOKÖ),Beck İntihar Düşüncesi öçeği uygulandı.
Bulgular: Örneklem 54 kadın, 38 erkekten oluşmaktadır. Hastaların geçmiş özkıyım girişim oranı %19,6 olarak tespit edilmiştir. 16 hastada Alkol Kullanım Bozukluğu eştanısı mevcuttu. Alkol kullanım Bozukluğu olan grupta sigara kullanım , ailede ruhsal hastalık öyküsü oranı ve Beck İntihar Düşüncesi Ölçek skoru anlamlı olarak daha yüksekti. Özkıyım girişimi olan grupta sigara kullanım, alkol kullanım oranı, ailede ruhsal hastalık öyküsü oranı ve Beck İntihar Düşüncesi Ölçek skoru anlamlı olarak daha yüksekti.
Sonuç: Bu çalışmanın sonucunda OKB tanılı hastalarda alkol kullanım bozukluğu eştanısının geçmişteki özkıyım düşünce ve girişimleri ile ilişkili olabildiği gösterilmiştir. Muayenede alkol kullanım bozukluğu saptadığımız OKB tanılı hastaların özkıyım açısından daha sık aralıklarla izlenmesi uygun olabilir. 

Anahtar Kelimeler

• Obsesif Kompulsif Bozukluk
• Alkol Kullanım Bozukluğu
• Özkıyım
• Obsessive compulsive disorder
• alcohol use disorder
• suicide

The Relationship Between Alcohol Use Disorder and Suicide in Patients with Obsessive Compulsive Disorder

Abstract

Objective: Data on the relationship between alcohol use disorder and suicide in patients with obsessive-compulsive disorder (OCD) are limited. The aim of this study was to investigate our hypothesis that there may be a relationship between alcohol use disorder and suicide in patients with OCD.
Method: The study included 92 patients with OCD. General sociodemographic and clinical characteristics of the patients were evaluated. Yale-Brown Obsession Compulsion Scale (Y-BOCS) and Beck Suicidal Ideation Scale were administered to OCD patients.
Results: The sample consisted of 54 women and 38 men. The rate of past suicide attempts was 19.6%. 16 patients were comorbid with Alcohol Use Disorder. Smoking, family history of mental illness and Beck Suicidal Ideation Scale score were significantly higher in the group with Alcohol Use Disorder. Smoking, alcohol use, family history of mental illness and Beck Suicidal Ideation Scale score were significantly higher in the group with suicide attempt.
Conclusion: The results of this study showed that comorbid alcohol use disorder may be associated with past suicidal thoughts and attempts in patients with OCD. It may be appropriate to follow up OCD patients with alcohol use disorder more frequently in terms of suicide.

Keywords

• Obsessive compulsive disorder
• alcohol use disorder
• suicide

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