mpact of Hopelessness and Severity of Depression on Suicidal Behaviour in Depressive Patients

Yıl 2006, , 1 - 7, 01.09.2006

M. Ak K.n. Özmenler A. Bozkurt

https://doi.org/10.1501/Kriz_0000000251

Öz

Depression is the most frequent
disorder anticipated in people with suicidal
behaviour. Underlying etiology of suicidal
behaviours in depressive patients is stil
unknown. The aim of this study was to investigate
the impact of hopelessness and severity of depression on suicidal behaviour in depressive
patients. Material and Method: This study was
conducted in Gülhane Military Medical Academy
Hospital between March 2005 and July 2006.
The study sample consisted of 85 subjects who
were fulfilled selection criteria and who were
admitted our hospital because of suicide
attempt. Patient who initially had submitted to
another hospital and then referred our hospital
also included in the study. Seventy patients who
had been diagnosed and treated as depressive
disorder without suicide attempt at the same
time interval enrolled in the control group. Sociodemographic
data form, SCID (Structured
Clinical Interview For DSM-IV Axis I Disorders),
Beck’s Depression Scale, Beck’s Hopelessness
Scale were used in evaluation. Results: As a
result, no statistically significant difference
between groups was found. Beck’s
Hopelessness score was found to be higher in
suicide group and the difference was statistically
significant. Conclusion: It has been found
that hopelessness is a more important parameter
on evaluating suicide risk and preventing suicide
commitment than the severity of depression
and in view of this fact detecting hopelessness
should be highlightly considered.

Anahtar Kelimeler

Suicide, depression, hopelessness

Depresyon Hastalarında Belirti Şiddeti Ve Umutsuzluğun İntihar Davranışı Üzerindeki Etkisi

Öz

Anahtar Kelimeler

Depresyon, intihar, umutsuzluk.

Kaynakça

• Aydemir Ç, Temiz H, Göka E (2002) Major Depresyon ve Özkıyımda Kognitif ve Emosyonel Faktörler. Türk Psikiyatri Dergisi, 13(1): 33-39.
• Barbe RP, Williamson DE, Bridge JA, Birmaher B, Dahl RE, Axelson DA, Ryan ND (2005) Clinical Differences Between Suicidal and Nonsuicidal Depressed Children Andadolescents. J Clin Psychiatry. Apr; 66(4):492-8.
• Batıgün Durak A (2005) İntihar Olasılığı: Yaşamı Sürdürme Nedenleri, Umutsuzluk ve Yalnızlık Açısından Bir İnceleme. Türk Psikiyatri Dergisi, 16(1): 29-39.
• Beautrais AL, Joyce PR, Mulder RT, Pergusson DM, Deavoll BJ, Nightingale SK (1996) Prevalence and Comorbidity of Mental Disorders in Persons Making Serious Suicide Attempts: A Case-control Study. Am. J. Psychiatry, 153 (8), 1009-1014
• Beck AT, Ster RA, Beck JS (1993) Hopelessness, Depression, Suicidal Ideation, and Clinical Diagnosis of Depression. Suicide Life Threat Behav., 23:139-145.
• Brezo J, Paris J, Turecki G (2006) Personality Traits as Correlates of Suicidal Ideation, Suicide Attempts, And Suicide Completions: A Systematic Review. Acta Psychiatr Scand., 113(3): 180-206.
• Derebaşı I (1996) Beck Umutsuzluk Ölçeği’nin Ege Üniversitesi Öğrencileri Üzerinde Geliştirilmesi. Yüksek Lisans Tezi, Ege Üniversitesi Psikoloji AD., İzmir.
• Deveci A, Yurtsever F, Aydemir Ö (2004) Yatarak Tedavi Gören Majör Depresif Bozukluklu Hastalarda İntihar Girişimi ile İlişkili Etkenler. Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi, 12(3): 203-208.
• Hisli N (1988) Beck Depresyon Envanterinın Geçerliği Üzerine Bir Çalışma, Psikoloji Dergisi, 6: 118-126.
• Holmstrand C, Nimeus A, Traskman-Bendz L (2006) Risk Factors of Future Suicide in Suicide Attempters - A Comparison Between Suicides and Matched Survivors, Nord J Psychiatry, 60(2):162-7.
• Nakano H, Terao T, Shinkai T, Iwata N, Nakamura J (2006) Risk Factors for Suicide: A Questionnaire Survey to Psychiatrists in Fukuoka Prefecture. Seishin Shinkeigaku Zasshi, 108(1): 24- 30.
• Öztürkçigil A, Aydemir Ö, Yıldız M, Danaca AE, Köroğlu E 1999) DSM-IV Eksen I Bozuklukları İçin Yapılandırılmış Klinik Görüşmenin Türkçe'ye Uyarlanması ve Güvenirlik Çalışması. İlaç Tedavi Dergisi, 12: 233-236.
• Raja M, Azzoni A (2004) Suicide Attempts: Differences Between Unipolar and Bipolar Patients and Among Groups with Different Lethality Risk. J Affect Disord. Nov 1;82(3):437-42.
• Seber G, Dilbaz N, Kaptanoğlu C (1993) Umutsuzluk Ölçeği: Geçerlilik ve Güvenirliği, Kriz Dergisi, 1(3): 139-142,
• Sinclair JM, Harriss L, Baldwin DS, King EA (2005) Suicide in Depressive Disorders: A Retrospective Case-Control Study of 127 Suicides. J Affect Disord., 87(1): 107-113.
• Sokero TP, Melartin TK, Rytsala HJ, Leskela US, Lestela-Mielonen PS, Isometsa ET (2005) Prospective Study of Risk Factors for Attempted Suicide Among Patients with DSM-IV Major Depressive Disorder. Br.J.Psychiatry., 186: 314-318.
• Spitzer RL, Michael B, Miriam G, Janet BW (1997) Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Clinical version, Washington D.C., American Psychiatric Press, Inc.
• Sudak HS (2004) Suicide. Kaplan & Sadock’s Comprehensive Textbook of Psychiatry, Eight Edition, Edited by Sadock, BJ, Sadock, VA, Lippincott Williams & Wilkins, 2442-2453.
• Şahin HN, Savaşır I (1997) Bilişsel-Davranışçı Terapiler: Sık Kullanılan Ölçekler, Türk Psikologlar Derneği Yayınları, No: 9, Ankara, 1-38, 61-66, 71-85.