Yılmaz ZENGİN, Ercan GÜNDÜZ, Mustafa İÇAR, RECEP DURSUN, HASAN MANSUR DURGUN, Hüseyin GÜRBÜZ, Süleyman DEMİR, MAHİR KUYUMCU

Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department

Amaç: Tüm dünyada olduğu gibi Türkiyede de yaşlı nü- fus oranı hızla artmaktadır. Buna paralel olarak ileri yaşta görülen psikiyatrik hastalıklar ve intihar eğilimi önem ka- zanmaktadır. Bu çalışmada, ilaç alımı ile intihar girişimin- de bulunan yaşlı hastaların sosyodemografik özelliklerini belirlemeyi ve mortalite üzerinde etkili olan faktörleri tespit etmeyi amaçladık. Yöntemler: Bir üniversite hastanesi acil servisine 01.01.2004 ile 30.09.2014 tarihleri arasında ilaçla intihar girişimi nedeniyle başvuran 65 yaş üzeri olan hastalar çalışmaya dahil edildi. Hastalar yaşlarına göre gruplara ayrıldı. Sosyodemografik ve klinik özellikler açısından in- tihar girişimi ile mortalite arasındaki ilişki araştırıldı. Has- talar yaşayanlar ve ölenler olmak üzere iki gruba ayrıldı. Bulgular: Hastaların %68,2si kadın, %31,8i erkekti. Hastaların %34,6sı evliydi. En sık intihar girişim sebebini ise ruhsal bunalım (%34,6) ve aile içi şiddet (%30,8) oluş- turuyordu. İntihar amaçlı en sık (%33,6) kullanılan etken madde analjeziklerdi. Çalışmada yalnız yaşama, emekli olma, uyum bozukluğu olması ve anksiyete bozukluğu olmasının intihar girişimi ile mortalite anlamlı faktörler ol- duğu tespit edildi. Sonuç: İntihar girişiminde bulunan yaşlı hastalarda yalnız yaşama, emekli olma, uyum bozukluğu olması ve anksi- yete bozukluğu olması mortalite üzerine etkili risk faktör- leri olarak bulundu.

Acil servise intihar girişimi ile başvuran yaşlı hastalarda mortaliteyi etkileyen sosyodemografik ve klinik faktörler

Objective: The ratio of elderly people in Turkey is rapidly growing. Accordingly, psychiatric problems and suicidality among elderly people are growing concerns. In this study, we aimed to investigate the socio-demographic charac- teristics of older people who attempted suicide by drug and to identify risk factors affecting mortality. Methods: Patients who were over 65 years old and ad- mitted to the emergency department of a university hos- pital due to drug-related suicide attempt between January 1, 2004 and December 30, 2014, were included into this retrospective cross-sectional study. Relationship between suicide attempt and mortality was investigated in regard to socio-demographic and clinical factors. Patients were divided into two groups according to whether they sur- vived or died. Results: Of the 107 patients included in the study, 68.2% were female and 31.8% were male; 34.6% were mar- ried. Common reasons for suicide attempt were depres- sion (34.6%) and domestic violence (30.8%). Analgesics (33.6%) were the most common drugs used in suicide attempts. The analysis of the factors related to suicide at- tempt and mortality revealed that significant factors were loneliness, being widowed, being retired, having adjust- ment disorder and anxiety disorder. Conclusion: Loneliness, being widowed, being retired, adjustment disorder, and anxiety disorder were found as the risk factors affecting mortality in geriatric suicide at- tempts.

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