Evaluation of Adolescents Applying to a Training and Research Hospital for a Seafarer Health Board Report

Öz

Aim: Seafarers under 18 years old undergo annual periodic health examinations by the Seafarers' Health Directive and the International Labour Organization (ILO) Convention No. 77 concerning the Medical Examination for Fitness for Employment of Children and Young Persons. This study aims to highlight the mental health of adolescent seafarers by determining the sociodemographic characteristics and psychiatric diagnoses of adolescent patients evaluated for a seafarer health committee report at the child and adolescent psychiatry outpatient clinic. Methods: The study included 105 adolescents who applied to the Seafarer Health Committee for he first time. The sociodemographic and clinical data of the patients were obtained through a survey created by a child psychiatry specialist, which included personal information, psychiatric diagnoses, and fitness for seafaring. The current and past psychiatric diagnoses of the adolescents were determined using the Kiddie Schedule for Affective Disorders and Schizophrenia (K-SADS), a semi-structured interview method based on DSM-5. Results: Of the 105 cases included in the study, 97.1% (102) were male, and 2.9% (3) were female. The mean age was 13.8 ± 0.8 years. It was observed that 18.1% of the cases had a previous psychiatric referral, and 6.7% had used psychiatric medication before. It was found that 1.9% of the youth received a report stating they were unfit to be seafarers, and 13.3% needed to be monitored at intervals shorter than two years. Conclusion: The results obtained indicate that while there may have been psychiatric disorders in the past among adolescents in the context of seafaring, current psychiatric disorders do not have long-term negative effects on the ability to become a seafarer. The findings of this study could guide both child and adolescent mental health professionals and those developing preventive health policies in raising awareness about the mental health of young people working in the maritime sector.

Anahtar Kelimeler

• Seafarer
• Adolescent
• Health Committee Report

Gemi Adamı Sağlık Kurulu Raporu için Eğitim ve Araştırma Hastanesine Başvuran Ergenlerin Değerlendirilmesi

Öz

Amaç: On sekiz yaş altı denizciler, Denizcilerin Sağlık Direktifi ve Uluslararası Çalışma Örgütü'nün (ILO) Çocuk ve Genç Kişilerin İstihdamına Uygunluk İçin Tıbbi Muayene ile ilgili 77 No'lu Sözleşmesi uyarınca yıllık periyodik sağlık muayenelerinden geçmektedir. Bu çalışma, çocuk ve ergen psikiyatrisi polikliniğinde denizci sağlık komitesi raporu için değerlendirilen ergen hastaların sosyodemografik özelliklerini ve psikiyatrik tanılarını belirleyerek ergen denizcilerin ruh sağlığını vurgulamayı amaçlamaktadır. Yöntem: Çalışmaya Temmuz 2022-Kasım 2022 tarihleri arasında Rize Eğitim ve Araştırma Hastanesi Gemi Adamlığı için Sağlık Kurulu’na ilk kez başvuran, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Polikliniği’nde değerlendirilen 105 ergen alınmıştır. Hastaların sosyodemografik ve klinik verileri çocuk psikiyatri uzmanı tarafından oluşturulan, ergenlerin kişisel verileri psikiyatrik tanıları, gemi adamlığına uygunluğunu içeren anket ile elde edilmiştir. Ergenlerin şimdiki ve geçmiş psikiyatrik tanıları DSM-5’e dayalı yarı yapılandırılmış görüşme yöntemi olan Okul Çağı Çocukları için Duygulanım Bozuklukları ve Şizofreni Görüşme Çizelgesi–Şimdi ve Yaşam Boyu Şekli (ÇDGŞG-ŞY) ile belirlenmiştir. Bulgular: Araştırmaya katılan 105 olgunun %97,1’i (102) erkek, %2,9’u (3) kızdı. Ortalama yaş 13,8 ±0,8 yıl olarak saptandı. Olguların %18.1’inin daha önce psikiyatrik başvurusu olduğu, %6,7’sinin daha önce psikiyatrik ilaç kullanımı olduğu görüldü. Gençlerden %1.9’unun gemi adamı olmaz raporu aldığı, %13,3’ünün ise iki yıldan sık aralıklarla takip edilmesi gerektiği saptandı. Sonuç: Elde edilen sonuçlar ergen yaş grubunda gemi adamlığı açısından geçmişte psikiyatrik hastalıkların olabileceği ancak mevcut psikiyatrik hastalıkların gemi adamı olma açısından uzun süreli olumsuz etkisi olmadığı göstermektedir. Bu araştırmadan elde edilen sonuçlar denizcilik sektöründe çalışan gençlerin ruh sağlığı konusunda farkındalık oluşturulması adına hem çocuk ve ergen ruh sağlığı profesyonellerine hem de koruyucu sağlık politikalarını geliştirenlere rehberlik edebilir.

Anahtar Kelimeler

• Gemi Adamı
• Ergen
• Sağlık Kurulu Raporu

Kaynakça

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