Araştırma Makalesi
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HASTANE ÖNCESİ ÇALIŞANLARININ İNTİHAR GİRİŞİMİ TANISIYLA AMBULANS HİZMETİ ALAN BİREYLERE YAKLAŞIM DURUMU

Yıl 2021, Cilt: 6 Sayı: 2, 213 - 227, 10.09.2021

Öz

Amaç: Bu çalışmanın amacı Hastane öncesi çalışanlarının intihar girişimi vakalarıyla karşılaşma oranlarını, müdahale konusunda kendilerini yeterli hissedip hissetmediklerini, bu vakalarla çalışırken en çok neyi öğrenmek istediklerini sosyo-demografik özelliklerine göre ortaya koymaktır.
Gereç ve Yöntemler: Tanımlayıcı bir çalışma olarak tasarlanan bu çalışma, Eylül 2018 ile Kasım 2019 tarihleri arasında gerçekleştirildi. Veriler, sosyodemografik veri formu ve araştırmacılar tarafından geliştirilen 3 açık uçlu sorudan oluşan bir anket kullanılarak toplandı. Çalışmaya toplam 781 EMS uzmanı dâhil edildi. Veriler IBM SPSS Software versiyon 21.0 kullanılarak ki-kare testi ile değerlendirildi.
Bulgular: Neredeyse her çalışan en az bir kez intihar girişimi vakasıyla karşılaşmış ve bu kişilere bakım vermiştir. (% 95). Ankete verilen cevap kategorilerinde cinsiyet, eğitim düzeyi ve pozisyona göre anlamlı farklılıklar vardır. (p <0.05). Araştırmada erkek çalışanların intihar girişimlerine müdahale etmede kadınlardan daha yeterli, hekimlerin kendilerini diğer gruplara göre daha yetersiz hissettikleri ve eğitim düzeyi arttıkça yeterli hissetme düzeylerinin azaldığı görülmüştür. Katılımcılar en çok intiharın nedenlerini ve intihar vakalarındaki yasal ve adli sorumluluklarını öğrenmeye ihtiyaç duyduklarını belirtmişlerdir.
Sonuç: Çalışanların intihar girişiminde bulunan bireylere müdahale becerilerini geliştirmek, yasal sorumluluklarını öğretmek ve alanda bu vakaların ayrıntılı kayıtlarını tutmayı sağlayacak becerileri geliştirmek için eğitim programlarına ihtiyaç vardır. Çalışanların vakalara bakım sağlamadaki zorluklarını, risklerini, ihtiyaçlarını tartışacak daha fazla çalışmaya ihtiyaç vardır.

Kaynakça

  • Ahmedani, B.K., Simon, G.E., Stewart, C., Beck, A., Waitzfelder, B.E., Rossom, R., et al. (2014). Health care contacts in the year before suicide death. Journal of General Internal Medicine. 29:870-877. doi:10.1007/s11606-014-2767-3
  • Boxer, P. (2010). Variations in risk and treatment factors among adolescents engaging in different types of deliberate self-harm in an inpatient sample. J Clin Child Adolesc Psychol. 39:470-480.
  • Çelebi, İ. (2016). Çanakkale 112 Acil sağlık hizmetleri istasyonlarında görev yapan sağlık çalışanlarının şiddetle karşılaşma durumu ve bu durumun tükenmişlik sendromu üzerine etkisi. Hastane Öncesi Dergisi,. 1(2):1-13.
  • Çevik, A.E., & Özcan, H. (2012). Kastamonu ilinde intihar girişimlerinin psikososyal değerlendirmesi: krizi önleme ve müdahale yöntemleri nasıl olmalı? The Journal of Clinical Psychiatry. 15(3):153-165.
  • Can S.S., & Sayıl I. (2004). Yineleyici intihar girişimleri. Kriz dergisi 12 (3): 53-62
  • Diana, A.H., Olfson, M., Cullen, S.W., & Marcus, S.C. (2020). The relationship between evidence-based practices and emergency department managers' perceptions on quality of care for self-harm patients. J Am Psychiatr Nurses Assoc. 26(3):288-292. doi: 10.1177/1078390319889673.
  • Egan, R., Sarma, K.M., & O'Neill, M. (2012). Factors influencing perceived effectiveness in dealing with self-harming patients in a sample of emergency department staff. J Emerg Med. 43(6):1084-1090. doi: 10.1016/j.jemermed.2012.01.049.
  • Glenn, C.R., Kleiman, E.M., Kellerman, J., Pollak, O., Cha, C.B., Esposito, E.C., Peter, A.C., Wyman, P.A., & Boatman, A.E. (2020). Annual Research Review: A meta‐analytic review of worldwide suicide rates in adolescents, The Journal Of Child Psychology And Psychiatry. 61(3):294-308 doi.org/10.1111/jcpp.13106
  • Güçlü, S.U. (2019). Demographic analysis of suicide victims presenting to the emergency department with drug-induced intoxication. Eurasian Journal of Toxicology. 1(1):25-28.
  • Hedegaard, H., Sally, C., Curtin, C.A., Warner, M. (2020). İncrease in suicide mortality in the United States. 1999-2018. NCHS Data Brief. 362:1- 8
  • Küçük, A., & Çetinkaya, S. (2019). Relationship between non-suicidal self-injury and suicide: the role of diagnosis, borderline personality disorder and temperament and character profile. Cukurova Med J. 44(2):360-368 doi: 10.17826/cumj.466375
  • Klonsky, E.D., & Glenn, C.R. (2013). The Relationship between nonsuısıdal self-injury and attempt suicide: converging evidence from four samples. J Abnorm Psychol. 22:231-237.
  • Kıymet, M.E, Göçeoğlu, Ü.Ü., Yürürdurmaz, B., & Balcı, Y. (2020). Assessment of suicide attempt in the forensic medicine outpatient clinic in Muğla. The Bulletin of Legal Medicine. 25(2): 83-89 doi: 10.17986/blm.1307
  • Lygnugaryte-Griksiene, A., Leskauskas, D., Jasinskas, N., & Masiukiene, M. (2017). Factors influencing the suicide intervention skills of emergency medical services providers., Medical Education Online. 22(1):1-10. doi: 10.1080/10872981.2017.1291869
  • Macit, M., Eren, A.S., Karaman, M., Polat, A., & Akol, H.R. (2018). 112 urgent health services workers' relevance against characteristics: validity reliability study. Journal of Current Researches on Health Sector. 8 (2):19-30. doi: 10.26579/jocrehes_8.2.3
  • Norton, K. (2017). Responding to a suicide death: The role of first responders.Death Stud. 41(10):639-647. doi: 10.1080/07481187
  • Pajonk, F.G., Gruenberg, K.A.S., Moecke, H., & Naber, D. (2002). Suicides and suicide attempts in emergency medicine. Crisis, The Journal of Crisis Intervention and Suicide Prevention. 23(2):68-73. doi.org/10.1027//0227-5910.23.2.68
  • Palmieri, G., Forghieri, M., Ferrari, S, Pingani, L., Coppola, P., Colombini, N, et all. (2008). suicide intervention skills in health professionals: a multidisciplinary comparison. Arch Suicide Res. 12(3):232-237. doi: 10.1080/13811110802101047.
  • Rayner, G., Blackburn, J., Edward, K.L., Stephenson, .J, & Ousey, K.(2019) Emergency department nurse's attitudes towards patients who self-harm: A meta-analysis. Int J Ment Health Nurs,. 28(1):40-53. doi: 10.1111/inm.12550.
  • Rees, N., Rapport, F., Snooks, H., John, A., & Patel, C. (2017) How do emergency ambulance paramedics view the care they provide to people who self-harm? Ways and means. Int J Law Psychiatry. 50:61-67. doi: 10.1016/j.ijlp.2016.05.010.
  • Rees, N., Rapport, F., Thomas, G., John, A., & Snooks, H . (2014). Perceptions of paramedic and emergency care workers of those who self-harm: a systematic review of the quantitative literature. J Psychosom Res. 77(6):449-456. doi: 10.1016/j.jpsychores.2014.09.006.
  • Sinclair, J.M. A., Hawton, K., & Gray, A. (2010). Six-year follow-up of a clinical sample of self-harm patients. J Affect Disord. 121:247–52.
  • Stanley, B., Brown, G.K., Brenner, L.A., Gallfly, H.C., Currier, G.W, Knox, K.L., et al. (2018). Comparison of the safety planning intervention with follow-up vs usual care of suicidal patients treated in the emergency department. JAMA Psychiatry.75(9):894-900 doi:10.1001/jamapsychiatry.2018.1776
  • Stevens, K.P., & Nies, M.A. (2018). Factors related to nurses’ attitudes towards the suicidal patient: an integrative review. Clinical Research and Trials. 4(2):1-6. doi: 10.15761/CRT.1000211
  • Teti, G.L., Rebok, F., Rojas, S.M., Grendas, L., & Daray, F.M. (2014). Systematic review of risk factors for suicide and suicide attempt among psychiatric patients in Latin America and Caribbean. Rev Panam Salud Publica 36 (2) :124-33.
  • Turecki, G., Brent, D.A., Gunnell, D., O’Connor, R.C., Oquendo, M.A, Pirkis, J., & Stanley, B.H. (2019). Suicide and suicide risk. Nature Reviews Disease Primers. 5(1):74. doi.org/10.1038/s41572-019-0121-0
  • Tatlı SF, Şahin EK, Şan İ, Şahin S, Bekgöz B. Ankara İlinde Gerçekleşen İntihar Girişimi Vakalarinin Değerlendirilmesi. Kriz Dergisi. 28 (1): 33‐44
  • TÜİK. Türkiye istatistik kurumu. (2019). İntihar istatistikleri veri tabanı. Retrieved from http://www.tuik.gov.tr/UstMenu.do?metod=temelist
  • Whitlock, J., Muehlenkamp, J., Eckenrode, J., Purington, A., Abrams, G.B., Barreira, P. et al. (2013). Nonsuicidal self-injury as a gateway to suicide in young adults. J Adolesc Health. 52:486-492.
  • WHO.World Health Organization. (2016). Suicide data. http://www.who.int/ mental_health/prevention/suicide/suicideprevent/en/
  • Zhou, E., DeCou, C.R., Stuber, J. , Rowhani-Rahbar, A., Kume, K., & Rivara, F.P. (2020). Usual care for emergency department patients who present with suicide risk: a survey of hospital procedures in Washington state. Arch Suicide Res. 24(3):342-343. doi:10.1080/13811118.2019.1635932

PRE-HOSPITAL WORKERS' APPROACH TO INDIVIDUALS UTULIZING AMBULANCE SERVICE WITH THE DIAGNOSIS OF SUICIDE ATTEMPT

Yıl 2021, Cilt: 6 Sayı: 2, 213 - 227, 10.09.2021

Öz

Objective: The aim of this study is to reveal the rates of pre-hospital staff encountering suicide attempts, whether they feel themselves competent about the intervention, and what they most want to learn while working with these cases, based on their socio-demographic characteristics.
Materials and Methods: This study was designed as a descriptive study and was administered between September 2018 and November 2019. Data were collected using a sociodemographic data form and a questionnaire consisting of 3 open-end questions developed by the researchers. A total of 781 EMS professionals were included in the study. Data were evaluated by chi-square test using IBM SPSS Software version 21.0.
Results: Almost every employee has encountered and cared for at least one suicide attempt case. (95%). Significant differences were determined in the answer categories given to the questionnaire according to gender, education level and position (p <0.05). In the study, it is seen that male employees feel more competent compared to women in intervening suicide attempts, physicians feel more inadequate than other groups, and as the level of education increases, the level of self-sufficiency decreases. Participants stated that they mostly needed to learn the causes of suicide and their legal and judicial responsibilities in suicide cases.
Conclusion: Training programs are needed to develop the skills of workers to develop the intervention skills of individuals who attempted suicide, to teach their legal responsibilities, and to keep detailed records of these cases in the field. More studies are needed to discuss the difficulties, risks and needs of employees in providing care to cases.

Kaynakça

  • Ahmedani, B.K., Simon, G.E., Stewart, C., Beck, A., Waitzfelder, B.E., Rossom, R., et al. (2014). Health care contacts in the year before suicide death. Journal of General Internal Medicine. 29:870-877. doi:10.1007/s11606-014-2767-3
  • Boxer, P. (2010). Variations in risk and treatment factors among adolescents engaging in different types of deliberate self-harm in an inpatient sample. J Clin Child Adolesc Psychol. 39:470-480.
  • Çelebi, İ. (2016). Çanakkale 112 Acil sağlık hizmetleri istasyonlarında görev yapan sağlık çalışanlarının şiddetle karşılaşma durumu ve bu durumun tükenmişlik sendromu üzerine etkisi. Hastane Öncesi Dergisi,. 1(2):1-13.
  • Çevik, A.E., & Özcan, H. (2012). Kastamonu ilinde intihar girişimlerinin psikososyal değerlendirmesi: krizi önleme ve müdahale yöntemleri nasıl olmalı? The Journal of Clinical Psychiatry. 15(3):153-165.
  • Can S.S., & Sayıl I. (2004). Yineleyici intihar girişimleri. Kriz dergisi 12 (3): 53-62
  • Diana, A.H., Olfson, M., Cullen, S.W., & Marcus, S.C. (2020). The relationship between evidence-based practices and emergency department managers' perceptions on quality of care for self-harm patients. J Am Psychiatr Nurses Assoc. 26(3):288-292. doi: 10.1177/1078390319889673.
  • Egan, R., Sarma, K.M., & O'Neill, M. (2012). Factors influencing perceived effectiveness in dealing with self-harming patients in a sample of emergency department staff. J Emerg Med. 43(6):1084-1090. doi: 10.1016/j.jemermed.2012.01.049.
  • Glenn, C.R., Kleiman, E.M., Kellerman, J., Pollak, O., Cha, C.B., Esposito, E.C., Peter, A.C., Wyman, P.A., & Boatman, A.E. (2020). Annual Research Review: A meta‐analytic review of worldwide suicide rates in adolescents, The Journal Of Child Psychology And Psychiatry. 61(3):294-308 doi.org/10.1111/jcpp.13106
  • Güçlü, S.U. (2019). Demographic analysis of suicide victims presenting to the emergency department with drug-induced intoxication. Eurasian Journal of Toxicology. 1(1):25-28.
  • Hedegaard, H., Sally, C., Curtin, C.A., Warner, M. (2020). İncrease in suicide mortality in the United States. 1999-2018. NCHS Data Brief. 362:1- 8
  • Küçük, A., & Çetinkaya, S. (2019). Relationship between non-suicidal self-injury and suicide: the role of diagnosis, borderline personality disorder and temperament and character profile. Cukurova Med J. 44(2):360-368 doi: 10.17826/cumj.466375
  • Klonsky, E.D., & Glenn, C.R. (2013). The Relationship between nonsuısıdal self-injury and attempt suicide: converging evidence from four samples. J Abnorm Psychol. 22:231-237.
  • Kıymet, M.E, Göçeoğlu, Ü.Ü., Yürürdurmaz, B., & Balcı, Y. (2020). Assessment of suicide attempt in the forensic medicine outpatient clinic in Muğla. The Bulletin of Legal Medicine. 25(2): 83-89 doi: 10.17986/blm.1307
  • Lygnugaryte-Griksiene, A., Leskauskas, D., Jasinskas, N., & Masiukiene, M. (2017). Factors influencing the suicide intervention skills of emergency medical services providers., Medical Education Online. 22(1):1-10. doi: 10.1080/10872981.2017.1291869
  • Macit, M., Eren, A.S., Karaman, M., Polat, A., & Akol, H.R. (2018). 112 urgent health services workers' relevance against characteristics: validity reliability study. Journal of Current Researches on Health Sector. 8 (2):19-30. doi: 10.26579/jocrehes_8.2.3
  • Norton, K. (2017). Responding to a suicide death: The role of first responders.Death Stud. 41(10):639-647. doi: 10.1080/07481187
  • Pajonk, F.G., Gruenberg, K.A.S., Moecke, H., & Naber, D. (2002). Suicides and suicide attempts in emergency medicine. Crisis, The Journal of Crisis Intervention and Suicide Prevention. 23(2):68-73. doi.org/10.1027//0227-5910.23.2.68
  • Palmieri, G., Forghieri, M., Ferrari, S, Pingani, L., Coppola, P., Colombini, N, et all. (2008). suicide intervention skills in health professionals: a multidisciplinary comparison. Arch Suicide Res. 12(3):232-237. doi: 10.1080/13811110802101047.
  • Rayner, G., Blackburn, J., Edward, K.L., Stephenson, .J, & Ousey, K.(2019) Emergency department nurse's attitudes towards patients who self-harm: A meta-analysis. Int J Ment Health Nurs,. 28(1):40-53. doi: 10.1111/inm.12550.
  • Rees, N., Rapport, F., Snooks, H., John, A., & Patel, C. (2017) How do emergency ambulance paramedics view the care they provide to people who self-harm? Ways and means. Int J Law Psychiatry. 50:61-67. doi: 10.1016/j.ijlp.2016.05.010.
  • Rees, N., Rapport, F., Thomas, G., John, A., & Snooks, H . (2014). Perceptions of paramedic and emergency care workers of those who self-harm: a systematic review of the quantitative literature. J Psychosom Res. 77(6):449-456. doi: 10.1016/j.jpsychores.2014.09.006.
  • Sinclair, J.M. A., Hawton, K., & Gray, A. (2010). Six-year follow-up of a clinical sample of self-harm patients. J Affect Disord. 121:247–52.
  • Stanley, B., Brown, G.K., Brenner, L.A., Gallfly, H.C., Currier, G.W, Knox, K.L., et al. (2018). Comparison of the safety planning intervention with follow-up vs usual care of suicidal patients treated in the emergency department. JAMA Psychiatry.75(9):894-900 doi:10.1001/jamapsychiatry.2018.1776
  • Stevens, K.P., & Nies, M.A. (2018). Factors related to nurses’ attitudes towards the suicidal patient: an integrative review. Clinical Research and Trials. 4(2):1-6. doi: 10.15761/CRT.1000211
  • Teti, G.L., Rebok, F., Rojas, S.M., Grendas, L., & Daray, F.M. (2014). Systematic review of risk factors for suicide and suicide attempt among psychiatric patients in Latin America and Caribbean. Rev Panam Salud Publica 36 (2) :124-33.
  • Turecki, G., Brent, D.A., Gunnell, D., O’Connor, R.C., Oquendo, M.A, Pirkis, J., & Stanley, B.H. (2019). Suicide and suicide risk. Nature Reviews Disease Primers. 5(1):74. doi.org/10.1038/s41572-019-0121-0
  • Tatlı SF, Şahin EK, Şan İ, Şahin S, Bekgöz B. Ankara İlinde Gerçekleşen İntihar Girişimi Vakalarinin Değerlendirilmesi. Kriz Dergisi. 28 (1): 33‐44
  • TÜİK. Türkiye istatistik kurumu. (2019). İntihar istatistikleri veri tabanı. Retrieved from http://www.tuik.gov.tr/UstMenu.do?metod=temelist
  • Whitlock, J., Muehlenkamp, J., Eckenrode, J., Purington, A., Abrams, G.B., Barreira, P. et al. (2013). Nonsuicidal self-injury as a gateway to suicide in young adults. J Adolesc Health. 52:486-492.
  • WHO.World Health Organization. (2016). Suicide data. http://www.who.int/ mental_health/prevention/suicide/suicideprevent/en/
  • Zhou, E., DeCou, C.R., Stuber, J. , Rowhani-Rahbar, A., Kume, K., & Rivara, F.P. (2020). Usual care for emergency department patients who present with suicide risk: a survey of hospital procedures in Washington state. Arch Suicide Res. 24(3):342-343. doi:10.1080/13811118.2019.1635932
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Acil Tıp
Bölüm Araştırma Makaleleri
Yazarlar

İshak Şan 0000-0002-9658-9010

Günseli Uzunhasanoğlu 0000-0002-0585-0595

Birgül Özkan 0000-0002-1271-8007

Yayımlanma Tarihi 10 Eylül 2021
Gönderilme Tarihi 26 Mart 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 6 Sayı: 2

Kaynak Göster

APA Şan, İ., Uzunhasanoğlu, G., & Özkan, B. (2021). PRE-HOSPITAL WORKERS’ APPROACH TO INDIVIDUALS UTULIZING AMBULANCE SERVICE WITH THE DIAGNOSIS OF SUICIDE ATTEMPT. Hastane Öncesi Dergisi, 6(2), 213-227.