Abstract

Giriş: Zehirlenmeler genellikle intihar amaçlı veya bilinçsizce yüksek miktarda ilaç veya madde alımından kaynaklanır. İntihar, yaşamın gönüllü sonlandırılmasıdır, tüm zehirlenme vakalarının yaklaşık% 95'ini oluşturur ve kadın cinsiyetinde daha yaygındır. Bu çalışmanın amacı intihar girişimi nedeniyle acil servis başvurularında psikiyatrik değerlendirmelerin yeniden başvuru ve prognoz oranları üzerine etkilerini göstermektir.

Gereç ve Yöntemler: Bu çalışma, 18 yaş üstü, Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi Acil Tıp Kliniğine, intoksikasyon veya başka nedenlere bağlı intihar girişimi ile başvuran hastaları kapsayan retrospektif bir çalışmadır. 01.9.2018-01.09.2019 tarihleri arasında, çalışma kriterlerini karşılayan hastalar cinsiyete, ilaca maruz kalmaya ve psikiyatriste danışmaya göre sınıflandırıldı. İntihar hastalarına yaklaşım da ayrıca değerlendirildi.

Bulgular: Çalışmaya alınan hastalardan 102'si (% 56.98) hpsikiyatriste danışılmış ve bu hastalardan 16'sında (% 15.68) intihar düşüncesinin devam ettiği görülmüştür. İntihar düşüncesi olan hastaların 9'u (% 56.25) erkekti, 7'si (% 43.75) kadındı. İntihar düşüncesi olan hastaların 14'ü psikiyatri servisine yatırıldı. Bunlardan 2'si dahiliye servisindeki tıbbi tedavisi tamamlandıktan sonra psikiyatri servisine yatırıldı. 10 (% 5.58) hastanın daha önce intihara teşebbüs ettiği öğrenildi. 9'u (% 90) kadındı; 1 (% 10) erkekti. Daha önce intihar girişiminde bulunan 10 hastadan hiçbiri tekrar başvurmamıştı.

Sonuç: İntihar, eylemin düşüncesi, girişimi ve tamamlanması ile ayrıntılı olarak değerlendirilmesi gereken bir konudur. Hastalar titizlikle değerlendirilmeli ve herhangi bir psikiyatrik hastalığı varsa teşhis edilmelidir.

Keywords

• İntihar,Psikiyatrik değerlendirme,zehirlenme

Psychiatric Evaluation of Suicidal Drug Intake in the Emergency Department

Abstract

Objective: Poisoning is usually caused by suicidal or unconscious intake of high doses of drugs or substances. Suicides are the voluntary termination oflife, accounting for about 95% of all cases of intoxication, and are more common in female sex.The aim of this study is to show the effects of psychiatric evaluations on the rates of re-admission and prognosis in emergency departmentadmissions due to suicide attempt.

Materials and Methods: This was a retrospective study including patients over 18 years of age who were admitted to the Clinic of Emergency Medicineof University of University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey with suicide attempt due to intoxication or otherreasons between 01.9.2018-01.09.2019. The patients were classified according to gender, exposure to the drug, and consultation with the psychiatrist.Approach to suicidal patients was also evaluated.

Results: Of the patients included in the study, 102 (56.98%) patients were consulted with psychiatrist and 16 (15.68%) of these patients had ongoing suicidalideation. Of the patients with suicidal ideation, 9 (56.25%) were male;7 (43.75%) were female. 14 of the patients with suicidal ideation were admittedto the psychiatric service. 2 of them were admitted to the psychiatric service after medical treatment was completed in the internal medicine service. It waslearned that 10 (5.58%) patients had previously attempted suicide. 9 (90%) were women; 1 (10%) was male. None of the 10 patients who had previouslyattempted suicide had reapplied.

Conclusion: Suicide; It is an issue that needs to be evaluated in detail with the thought, initiative and completion of the action. Patient admissions shouldbe meticulously evaluated and, if any psychiatric illness should be diagnosed. Patients with no pathological findings and a decision to be discharged shouldbe tried to avoid suicidal attempts.

Keywords

• Suicid,intox,psychiatric evaluation

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