Acta Oncol Tur.. 2020; 53(2): 281-287 | DOI: 10.5505/aot.2020.63308

Evaluatýon Of Suýcýde Cases Applýed To Emergency Servýce

Ömer Canpolat¹, Ýbrahim Yýldýrým², Hüseyin Kafadar³, Mustafa Demir^4
1Elazig Fethi Sekin City Hospital Emergency Department. Turkey
²Abdurrahman Yurtaslan Oncology Training and Research Hospital. Nephrology AD. Ankara Turkey.
³Adýyaman University, Faculty of Medicine, Department of Forensic Medicine. Adiyaman Turkey.
⁴Fýrat University, Faculty of Medicine, Department of Nephrology. Elazig Turkey.

INTRODUCTION: The aim of this study was to evaluate cases with suicide attempts in the emergency department and to determine risk factors for suicides in these patients.
METHODS: The study was performed retrospectively with the data of suicide patients who applied to the emergency department between January-December 2018. These cases’ data were evaluated in terms of marital status, education, age, gender, economic reasons, social characteristics, family incompatibility, psychiatric diagnosis and treatment processes. Moreover, suicide methods and etiology were recorded.
RESULTS: In our study, of the 246 cases, 69.5% were female and 30.5% were male. 93.9% of patients attempted suicide by taking a drug or toxic substance. In 19.5% of these patients, there was a suicide attempt previously. 93.9% of the suicide cases were consulted by a psychiatrist. There was a significant relationship between psychiatric treatment and suicide attempts (p<0.001). 54.2% of the patients with a suicide attempt previously had received psychiatric treatment. According to the frequency distribution of suicide event, June was the most attempted month (11% of patients) and autumn was the most attempted season (%25 of patients). It was observed that 45.9% of the suicide attempts were in the daytime hours.
DISCUSSION AND CONCLUSION: The most commonly used method in suicide attempts is drug and toxic substances. Storing such substances in a safer environment will make it difficult for people with suicidal tendencies to access these substances. Suicide attempts are seen more in women than in men and in the young than in the elderly. So, we believe that increased measures for these people with suicidal tendencies will reduce suicide events.

Keywords: Suicide Risk Factors, Suicide Attempt, Epidemiology of Suicide, Drug - Toxic Substance.

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Acil Servise Baþvuran Ýntihar Giriþimi Vakalarýnýn Deðerlendirilmesi

Ömer Canpolat¹, Ýbrahim Yýldýrým², Hüseyin Kafadar³, Mustafa Demir^4
1Elazýð Fethi Sekin Þehir Hastanesi Acil Servis. Elazýð Türkiye
²Abdurrahman Yurtaslan Onkoloji Eðitim ve Araþtýrma Hastanesi. Nefroloji AD. Ankara Türkiye.
³Adýyaman Üniversitesi, Týp Fakültesi Adli Týp AD. Adýyaman Türkiye.
⁴Fýrat Üniversitesi, Týp Fakültesi Nefroloji AD. Elazýð Türkiye.

GÝRÝÞ ve AMAÇ: Bu araþtýrmanýn amacý, acil servise intihar ve intihar giriþimi nedeniyle baþvuran olgularý incelemek ve riskleri belirlemekti.
YÖNTEM ve GEREÇLER: Çalýþmamýzda; acil servise Ocak 2018 - Aralýk 2018 tarihleri arasýnda intihar giriþimi nedeni ile baþvuran olgularýn verileri retrospektif olarak deðerlendirildi. Bu olgularýn verileri; medeni durum, eðitim durumu, yaþ, cinsiyet, ekonomik nedenler, sosyal özellikler, aile geçimsizliði, psikiyatrik hastalýk tanýsý varlýðý veya yokluðu, tedavi süreçleri açýsýndan incelendi. Ayrýca olgular intihar giriþim yöntemleri ve nedenleri açýsýndan araþtýrýldý.
BULGULAR: Bu çalýþmada ki toplam 246 olgunun %69,5’ i kadýn %30.5’ i erkekti. Hastalarýn %93.9’u ilaç veya toksik madde alarak intihar giriþiminde bulunduðu tespit edildi. Olgulardan %19,5’inin daha önce de intihar giriþiminde bulunduðu, %80,5’nin önceden intihar giriþiminde bulunmadýðý belirlendi. Ýntihar giriþiminde bulunana vakalarýn %93.9’ine psikiyatri konsültasyonu istendiði, %6.1’ine psikiyatri konsültasyonu istenmediði belirlendi. Psikiyatrik tedavi gören ve daha önceden intihar giriþiminde bulunan olgular arasýnda iliþkinin istatistiksel olarak anlamlý olduðu tespit(edildi (p<0.001). Önceden intihar giriþimi olan hastalarýn %54,2’sinin psikiyatrik tedavi aldýðý, %45,8’sinin ise psikiyatrik tedavi almadýðý belirlendi. Ýntihar giriþimlerinin aylara göre daðýlýmý deðerlendirildiðinde %11,0 intihar giriþimi ile en sýk haziran ayýnda, mevsimsel olarak da %25,6 intihar giriþimi ile en sýk sonbahar mevsiminde gerçekleþmiþtir. Ýntihar giriþimlerinin %45,9’unun gündüz saatlerinde olduðu belirlendi.
TARTIÞMA ve SONUÇ: Ýntihar giriþimi yöntemi açýsýndan en sýk kullanýlan yöntemin ilaç ve toksik madde belirlenmiþ olmasý nedeniyle bu tür maddelerin evlerde daha güvenlikli ortamlarda saklanmasý intihar eðilimi olan kiþilerin bu maddelere ulaþmasýný zorlaþtýracaktýr. Ýntihar giriþimi kadýnlarda erkeklerden, gençlerde yaþlýlardan daha fazla görülmesi nedeniyle intihar eðilimi olan kiþilere yönelik önlemlerin arttýrýlmasý intihar giriþimini azaltacaðý kanaatindeyiz.

Anahtar Kelimeler: Ýntihar Risk Faktörleri, Ýntihar Giriþimi, Ýntihar Epidemiyolojisi, Ýlaç - Toksik Madde.

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