Acil Servise İntihar Davranışı ile Başvuran Hastaların Klinik ve Sosyodemografik Özelliklerine İlişkin Kesitsel İnceleme

Öz

Özet Amaç: İntihar davranışının etiyolojisi heterojen ve karmaşık bir yapıya sahiptir. Bu nedenle intihar olgularının değerlendirmesinde klinisiyenlerin yaşadığı zorluk aşikârdır. Yapılan bu çalışma ile Tokat Gaziosmanpaşa Üniversitesi Acil Kliniği tarafından talep edilen psikiyatri konsültasyonları geriye dönük olarak incelenmiştir. Bu çalışmayla, intihar davranışı nedeniyle değerlendirilen hastaların, sosyodemografik ve klinik özelliklerinin belirlenmesi amaçlanmıştır. Gereç ve Yöntem: Konsültasyon dosya bilgilerinden elde edilen verilerle sosyodemografik özellikler ve klinik özelliklere ilişkin tanımlayıcı istatistikler uygulanmıştır. Psikiyatrist değerlendirmesi ardından psikiyatri kliniğine yatarak veya ayaktan takip önerilen grupların özellikleri için grup karşılaştırılması yapılmıştır. Bulgular: Yapılan değerlendirme sonucunda hastaların, ağırlıklı olarak genç ve kadın hastalardan oluştuğu görülmüştür. Yatarak tedavi önerilen grupta ayaktan tedavi önerilen gruba göre psikotik bulgu ve psikiyatrik tedavi öyküsü varlığının belirleyici olabileceği saptanmıştır. Sonuç: İntihar davranışı acil servislerde sık karşılaşılan bir başvuru nedeni olup bu alanda yapılacak tanımlayıcı çalışmalar klinisyenlere değerlendirme aşamasında yardımcı olacaktır. Anahtar Sözcükler: İntihar, İntihar Girişimi, Psikiyatrik Acil

Anahtar Kelimeler

• İntihar
• İntihar Girişimi
• Psikiyatrik Acil

A Cross-Sectional Study on Clinical and Sociodemographic Characteristics of Patients Presenting to the Emergency Department with Suicidal Behavior

Öz

Abstract Objective: The etiology of suicidal behavior is heterogeneous and complex. Therefore, the difficulty experienced by clinicians in the evaluation of suicide cases is obvious. In this study, psychiatry consultations requested by Tokat Gaziosmanpaşa University Emergency Clinic were retrospectively analyzed. The aim of this study was to determine the sociodemographic and clinical characteristics of patients evaluated for suicidal behavior. Material and Method: Descriptive statistics on sociodemographic and clinical characteristics were applied with the data obtained from the consultation file information. Group comparisons were made for the characteristics of the groups recommended for inpatient or outpatient follow-up in the psychiatry clinic after psychiatrist evaluation. Results: As a result of the evaluation, the patients were predominantly young and female. The presence of psychotic symptoms and history of psychiatric treatment were found to be determinants in the inpatient group compared to the outpatient group. Conclusion: Suicidal behavior is a common reason for admission to emergency departments and descriptive studies in this field will help clinicians in the evaluation phase. Keywords: Suicide, Suicide Attempt, Psychiatric Emergency

Anahtar Kelimeler

• Suicide
• Suicide Attempt
• Psychiatric Emergency

Kaynakça

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