Adli Tıp Perspektifinden Öz-Dövme Davranışı: Kendine Zarar Verme, Psikopati ve Suç Örüntüsü ile İlişkisi

Yıl 2025, Cilt: 35 Sayı: 4, 714 - 727, 29.08.2025

Ahmet Depreli , Faruk Aşıcıoğlu , Abdulkadir Tabo

https://doi.org/10.54005/geneltip.1695272

Öz

Amaç: Bu çalışma, bireylerin kendi vücutlarına dikiş iğnesi gibi ilkel araçlarla yaptıkları öz-dövmeleri inceleyerek, bu grubun sosyodemografik, psikolojik ve kriminal özelliklerini değerlendirmeyi amaçlamaktadır.
Gereç ve Yöntem: Çalışma, 2020 yılında cezai sorumluluğu değerlendirilen 200 dövmeli birey ile gerçekleştirilmiştir. Öz-dövme davranışı sergileyen (n=66) ve sergilemeyen (n=134) bireyler yarı yapılandırılmış görüşmeler ve psikometrik testlerle değerlendirilmiştir. Ölçekler arasında Barratt Dürtüsellik Ölçeği-11, Levenson Öz Bildirim Psikopati Ölçeği, Beden Algısı Ölçeği, Rosenberg Benlik Saygısı Ölçeği ve Hamilton Anksiyete Değerlendirme Ölçeği yer almaktadır.
Bulgular: Öz-dövmelerin tamamı dikiş iğnesi ile yapılmış olup, genellikle el sırtı ve ön kol iç yüzü gibi dominant olmayan vücut bölgelerine yerleştirilmiştir. Öz-dövme grubunda eğitim düzeyi düşüklüğü, düzensiz veya hiç çalışma öyküsü, aile dışı kurumsal bakımda büyüme ve daha erken yaşta suçla tanışma gibi risk faktörleri daha sık görülmüştür. Psikolojik değerlendirmelerde ise öz-dövmesi olan bireylerin, diğer gruba kıyasla anlamlı düzeyde daha yüksek dürtüsellik, psikopatik eğilim, anksiyete, olumsuz beden algısı ve düşük benlik saygısı gösterdiği belirlenmiştir. Ayrıca bu bireylerin tamamının en az bir tür kendine zarar verici davranış geçmişi bulunduğu görülmüştür.
Sonuç: Öz-dövme davranışı yalnızca estetik bir tercih değil, psikososyal sorunların ve kriminal riskin dışavurumu olarak değerlendirilmelidir. Öz-dövmeler, adli tıpta bireyin yaşam öyküsü, ruhsal durumu ve davranış örüntüleri hakkında önemli ipuçları sunabilecek niteliktedir. Bu bağlamda, öz-dövmelerin adli değerlendirme süreçlerine sistematik şekilde dâhil edilmesi önerilmektedir.

Anahtar Kelimeler

Dövme , Kendine zarar verme davranışı , Dürtüsel davranış , Benlik saygısı

Self-Tattooing from a Forensic Medicine Perspective: Its Relationship with Self-Harm, Psychopathy, and Criminal Patterns

Öz

ABSTRACT
Aim: This study aims to examine self-inflicted tattooing behaviors performed by individuals using primitive tools such as sewing needles and to evaluate the sociodemographic, psychological, and criminal characteristics associated with this group.
Methods: The study was conducted in 2020 with 200 tattooed individuals whose criminal responsibility was under forensic evaluation. Participants who exhibited self-inflicted tattooing behavior (n = 66) and those who did not (n = 134) were assessed through semi-structured interviews and psychometric tests. The applied scales included the Barratt Impulsiveness Scale-11, Levenson Self-Report Psychopathy Scale (LRSP), Body Image Scale, Rosenberg Self-Esteem Scale, and Hamilton Anxiety Scale (HAM-A).
Results: Participants in the self-inflicted tattoo group were more likely to have lower educational attainment, irregular or no work history, institutional upbringing, and earlier exposure to crime. Psychometric evaluations revealed significantly higher levels of impulsivity, psychopathic tendencies, anxiety, negative body image, and lower self-esteem in this group. All individuals with self-inflicted tattoos reported at least one form of self-harming behavior.
Conclusion: Self-inflicted tattooing is not merely an aesthetic choice but may reflect deeper psychosocial problems and criminal risk factors. These tattoos can provide valuable clues regarding an individual’s psychological profile and life history during forensic assessments. Thus, systematic inclusion of self-inflicted tattoo evaluation in medico-legal examinations is recommended.

Anahtar Kelimeler

Tattooing , Self-injurious behavior , Impulsive Behavior , Self Concept

Etik Beyan

All ethical principles were observed in the conduct of this study, which was carried out in accordance with applicable institutional and national ethical standards for research involving human participants. Ethical approval was granted by the Scientific Research and Education Committee of the Council of Forensic Medicine (Decision No: 21589509/2020/86, dated 25 February 2020). Additionally, the study was conducted in accordance with the Declaration of Helsinki (1964) and its subsequent revisions. Participants were clearly informed that the data collected would be used solely for scientific research and thesis purposes, and that participation would not influence their psychiatric assessment or forensic reporting in any way. Written informed consent was obtained from all participants through a signed informed consent form, and participation was entirely voluntary.

Destekleyen Kurum

Adli Tıp Kurumu

Teşekkür

I would like to thank the Council of Forensic Medicine for providing the opportunity to conduct this study.

Kaynakça

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