Taner AKAR, Ender ŞENOL, Ali Fuat IŞIK, Birol DEMİREL, Ahmet DEMİRCAN, Ayfer KELEŞ

Suicide of a healthcare worker: Iv self-injection of sodium pentothal

Dünya çapında her yıl 1.6 milyon kişi şiddet uygulanması sonucu hayatını kaybetmekte olup bu ölümlerin yaklaşık yarısı kendi kendine zarar verme sonucu meydana gelmektedir. Kasıtlı olarak kendine zarar verme, hastaneye acil başvuru nedenleri arasında ilk beş sırada yer almakta ve en yaygın alt grubunu kendini zehirlemeler oluşturmaktadır. İntihar oranları belirli meslek gruplarında daha yüksek olup en yüksek oranlar sağlık çalışanlarında gözlenmektedir. Hemşireler sağlık çalışanlarının en büyük alt grubunu oluşturmaktadır ve bu grupta da intihar çok yüksek oranda görülmektedir. Olgumuz bayan bir hemşiredir ve intihar metodu olarak intravenöz kateter yolu ile kendine sodyum pentotal enjekte etmiştir. Bir ay anestezi yoğun bakımda entübe olarak izlendikten sonra arrest olmuştur.

Sağlık çalışanında intihar: kendi kendine iv yoldan sodyum pentotal enjeksiyonu

Self-inflicted violence accounts for around half of the 1.6 million violent deaths that occur every year worldwide. Deliberate self-harm is one of the top five causes of acute medical admissions to hospital, and the most common subgroup of deliberate self-harm is deliberate self-poisoning. Suicide rates are higher in certain educational groups. The highest rates are generally found in healthcare workers. Nurses are the largest occupational subgroup of healthcare workers and the suicide rate is high in this group. A female nurse working in the intensive care unit of the cardiovascular surgery department attempted suicide by injecting herself with sodium pentothal via an IV catheter. She was followed in the intensive care unit for a month by mechanical ventilation support and at the end of the month she died. Healthcare workers under intensive physical and psychological working conditions may attempt suicide using lethal methods. Hospital managers and healthcare workers must develop strategies to handle stress and stay healthy and productive.

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