Can Erkan ARSLAN, Melih YÜKSEL, Halil KAYA, Mehmet Oğuzhan AY, Fatma Betül ÇALIŞKAN, Mehtap BULUT

İntihar Girişimi ile Acil Servise Başvuran Hastaların Analizi

Amaç: Özkıyım, dünya çapında önemli bir halk sağlığı sorunudur. Bu çalışmanın amacı acil servise özkıyım girişimi ile başvuran hastaların genel özelliklerini incelemektir. Gereç ve Yöntemler: 01.12.2019 ile 31.05.2020 tarihleri arasında, Acil servise özkıyım girişimi ile başvuran hastalar prospektif olarak incelendi. Yaş, cinsiyet, vital bulguları özkıyım girişimi yöntemi, özgeçmiş ve ek hastalıkları, düzenli kullandıkları ilaçlar kayıt altına alındı. Bulgular: Çalışmaya toplam 247 hasta dahil edildi. Çalışmaya dahil edilen hastaların ortanca yaşı 32 (IQR 25-75: 25-41) idi. Hastaların 157’si (% 63.6) kadındı. Hastaların 222’si (% 89.9) ilaçla özkıyım girişiminde bulunurken 78’i (%31.6) psikiyatrik tedavi alıyordu. Hastaların özkıyım girişim yöntemi ile psikiyatrik tedavi alma durumu arasındaki istatistiksel olarak anlamlı bir ilişki saptanmadı (p>0.05). Yine hastaların son durumu ile psikyatrik tedavi alma durumu arasında da istatistiksel olarak anlamlı bir ilişki saptanmadı(p>0.05) Sonuç: Acil servislere özkıyım girişimi ile başvuran hastalarda en fazla başvurulan yöntem ilaç ile girişimdir. Hastaların özkıyım girişim yöntemi ile psikyatrik tedavi alması arasında bir ilişki yoktur.

Anahtar Kelimeler:

Acil servis, özkıyım, psikiyatri

Analysis of Patients Admitted to the Emergency Department with A Suicide Attempt

Aim: Suicide is an important public health problem worldwide. This study aims to investigate the general characteristics of patients presenting to the emergency department with a suicide attempt. Material and Methods: Patients who presented to the emergency department with a suicide attempt between 01.12.2019 and 31.05.2020 were investigated prospectively. Age, gender, vital signs, method of suicide attempt, past medical history, additional diseases, and regularly used medications were recorded. Results: The study included 247 patients. The median age of the patients was 32 (IQR 25-75: 25-41). 157 (63.6%) of the patients were female. While 222 (89.9%) of the patients attempted suicide by medication overdose, 78 (31.6%) of the patients were receiving psychiatric treatment. There was no statistically significant correlation between the suicide attempt method and the psychiatric treatment status of the patients (p>0.05). Similarly, no statistically significant correlation was found between the outcome of the patients and patients’ psychiatric treatment receiving status. (p>0.05). Conclusion: The most frequent method used for suicide in patients who presented to the emergency services with a suicide attempt is medication overuse. There is no relationship between the method of suicide attempt and the psychiatric treatment status of the patients.

Keywords:

Emergency department, suicide, psychiatry,

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