TANER ÖZNUR, Havva ÖZNUR, ABDULLAH BOLU, Serdar ATİK, Abdullah AKGÜN, ŞAHİN KAYMAK, CEMİL ÇELİK, KAMİL NAHİT ÖZMENLER, ÖZCAN UZUN

Relationship Between Suicide Attempts and Synthetic Cannabinoids in Adjustment Disorder

Objective: Although it has been known that adult patients with an adjustment disorder diagnosis do not have suicidal behavior similar to adolescents, the validity of this assertion in particular groups is unknown. This study was designed to determine the prevalence and risk factors associated with suicide in patients with adjustment disorder that resulted in suicide among young men performing compulsory military service. Method: Of 202 young men with a diagnosis of adjustment disorder, 125 (61.9%) were admitted with adjustment problems and 77 (38.1%) with suicide attempt. Demographic characteristics, substance abuse, psychiatric disorders, suicide attempts, family history of suicide, self-mutilation, and physical and sexual trauma histories of both groups were compared. Results: Of the patients who attempted suicide, 83.1% (n=64) selected methods unlikely to fail including firearms, hanging, jumping, cutting tools, and burning. Significant differences were found between the two groups (those who attempted suicide versus those who did not) in terms of SC use and self mutilation history. In addition, the use of synthetic cannabinoids was associated with past suicide attempts. But, it is difficult to generalize the results of the study to all patients with adjustment disorder. Conclusion: These findings may help to predict suicidal behavior in young men showing symptoms of adjustment disorder.

Uyum bozukluğunda intihar girişimi ile sentetik kanabinoid kullanımı arasındaki ilişki

Amaç: Uyum bozukluğu tanısı olan erişkin hastaların, adolesanlara benzer şekilde intihar davranışında bulunmadıkları bilinmesine rağmen, bunun özel gruplardaki geçerliliği bilinmemektedir. Bu çalışma, askerlik hizmetini yapmakta olan ve intihar girişimi ile sonuçlanan uyum bozukluğu tanısı olan genç erkek bireylerdeki intiharla ilişkili prevalansı ve risk faktörlerini saptamak için tasarlanmıştır. Yöntem: Uyum bozukluğu tanısı alan 202 genç erkeğin 125’i (%61.9) uyum sorunları ile, 77’si (%38.1) intihar girişimi ile başvurdu. Her iki grup demografik özellikler, madde kötüye kullanımı, psikiyatrik hastalıklar, intihar girişimleri, ailede intihar öyküsü, kendine zarar verme girişimleri, fiziksel ve cinsel travma öyküleri açısından karşılaştırıldı. Bulgular: İntihar girişiminde bulunan hastaların %83.1’ i (n=64) ateşli silahlar, asma, atlama, kesici aletler ve yanma dahil olmak üzere başarısız olma ihtimali düşük olan yöntemleri seçmişlerdi. İntihar girişiminde bulunan grup ile intihar girişiminde bulunmayan grup kıyaslandığında, sentetik kanabinoid kullanımı ve kendine zarar verme girişimleri açısından istatistiksel olarak anlamlı farklılıklar bulundu. Ayrıca, sentetik kanabinoidlerin kullanımı geçmişteki intihar girişimleri ile de ilişkilendirildi. Ancak, çalışmanın sonuçlarını uyum bozukluğu olan tüm hastalara genellemek zor görünüyor. Sonuç: Bu bulgular, uyum bozukluğu belirtileri gösteren genç erkeklerde, intihar davranışını öngörmede yol gösterici olabilir.

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