Yıl: 2015 Cilt: 42 Sayı: 3 Sayfa Aralığı: 279 - 283 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

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

Öz:
Amaç: Tüm dünyada olduğu gibi Türkiyede de yaşlı nü- fus oranı hızla artmaktadır. Buna paralel olarak ileri yaştagörülen psikiyatrik hastalıklar ve intihar eğilimi önem ka- zanmaktadır. Bu çalışmada, ilaç alımı ile intihar girişimin- de bulunan yaşlı hastaların sosyodemografik özelliklerinibelirlemeyi ve mortalite üzerinde etkili olan faktörleri tespitetmeyi amaçladık. Yöntemler: Bir üniversite hastanesi acil servisine01.01.2004 ile 30.09.2014 tarihleri arasında ilaçla intihargirişimi nedeniyle başvuran 65 yaş üzeri olan hastalarçalışmaya dahil edildi. Hastalar yaşlarına göre gruplaraayrıldı. 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 sebebiniise ruhsal bunalım (%34,6) ve aile içi şiddet (%30,8) oluş- turuyordu. İntihar amaçlı en sık (%33,6) kullanılan etkenmadde analjeziklerdi. Çalışmada yalnız yaşama, emekliolma, uyum bozukluğu olması ve anksiyete bozukluğuolmasının intihar girişimi ile mortalite anlamlı faktörler ol- duğu tespit edildi.Sonuç: İntihar girişiminde bulunan yaşlı hastalarda yalnızyaşama, emekli olma, uyum bozukluğu olması ve anksi- yete bozukluğu olması mortalite üzerine etkili risk faktör- leri olarak bulundu.
Anahtar Kelime:

Konular: Cerrahi

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

Öz:
Objective: The ratio of elderly people in Turkey is rapidlygrowing. Accordingly, psychiatric problems and suicidalityamong elderly people are growing concerns. In this study,we aimed to investigate the socio-demographic charac- teristics of older people who attempted suicide by drugand 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 January1, 2004 and December 30, 2014, were included into thisretrospective cross-sectional study. Relationship betweensuicide attempt and mortality was investigated in regardto socio-demographic and clinical factors. Patients weredivided 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 suicideattempts. The analysis of the factors related to suicide at- tempt and mortality revealed that significant factors wereloneliness, being widowed, being retired, having adjust- ment disorder and anxiety disorder. Conclusion: Loneliness, being widowed, being retired,adjustment disorder, and anxiety disorder were found asthe risk factors affecting mortality in geriatric suicide at- tempts.
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Aslan M, Hocaoğlu Ç. Suicidal behavior in elderly. Current Approaches in Psychiatry 2014;6:294-309. 2. Shah A, Bhat R, Mackenzie S, Koen C. Elderly suicide rates: cross-national comparison of trends over a 10 years period. Int Psychogeriatr 2008;20:673-678. 3. Psychogeriatrics. Report of a WHO scientific group. World Health Organ Tech Rep Ser 1972;507:1-48. 4. The uses of epidemiology in the study of the elderly. Report of a WHO scientific group on the epidemiology of aging. World Health Organ Tech Rep Ser 1984;706:1-84. 5. Seydaoglu G, Satar S, Alparslan N. Frequency and mortal- ity risk factors of acute adult poisoning in Adana, Turkey, 1997-2002. Mt Sinai J Med 2005;72:393-401. 6. Akıncı E, Akıllı NB, Köylü R, Cander B. A retrospective evaluation of the patients over 65 years old who treated in toxicology intensive care unit because of uninten- tional or suicidal poisoning. Turkish Journal of Geriatrics 2013;16:330-334. 7. Zengin Y, Gündüz E, Dursun R, et al. Evaluation of pregnant patients admitted to the emergency department with suicide attempt. J Clin Exp Invest 2015;6:115-120. 8. Hawton K. Assessment of suicide risk. Br J Psychia- try.1987;150:145–153. 9. Lynch TR, Mendelson T, Robins CJ, et al. Perceived social support among depressed elderly, middle aged and young adult samples: cross-sectional and longitudinal analyses. J Affect Disord 1999;55:159-170. 10. Duru G, Özdemir L. Causes of elderly suicide and preven- tive applications. Journal of Hacettepe University Faculty of Nursing 2009;16:34–41. 11. Sudak HS. Suicide-Psychiatric emergencies, In: Sadock BJ, Sadock VA, Ruiz P (Eds). Kaplan and Sadock’s Com- prehensive Textbook of Psychiatry. 9th edition. Lippincott Williams and Wilkins, Philadelphia 2010, pp 2717-2731. 12. Lynch TR, Mendelson T, Robins CJ, et al. Perceived social support among depressed elderly, middle aged and young adult samples: cross-sectional and longitudinal analyses. J Affect Disord 1999; 55:159-170. 13. Murphy E, Kapur N, Webb R, et al. Risk factors for repeti- tion and suicide following self-harm in older adults: mul- ticentre cohort study. Br J Psychiatry. 2012;200:399-404. 14. McClure GMG. Changes in suicide in England and Wales, 1960-1997. Br J Psychiatry 2000;176:64-67. 15. Van den Berg MD, Oldehinkel AJ, Bouhuys AL, et al. De- pression in later life: three etiologically different subgroups. J Affect Disord 2001;65:19-26. 16. Denning DG, Conwell Y, King D, Cox C. Method choice, intent, and gender in completed suicide. Suicide Life Threat Behav 2000;30:282-288. 17. Pearson JL, Conwell Y, Lindesay J, et al. Elderly suicide: a multi-national view. Aging Mental Health. 1997;1:107-111. 18. Dhossche DM, Meloukheia AM, Chakravorty S. The as- sociation of suicide attempts and comorbit depression and substance abuse in psychiatric consultation patients. Gen Hosp Psychiatry 2000;22:281-288. 19. Sogut O, Sayhan MB, Gokdemir MT, et al. Evaluation of Suicide Attempts in Southeast of Turkey, Around the Sanli- urfa Region. JAEM 2011;10:8-13. 20. Stravynski A, Boyer R: Loneliness in relation to suicide ideation and parasuicide: a population-wide study. Suicide Life Threat Behav 2001;31:32-40. 21. Harris EC, Barraclough B. Suicide as an outcome for mental disorders. A meta-analysis. Br J Psychiatry 1997;170:205- 228. 22. Özgüven HD. The epidemiology of suicidal behavior. Tur- kiye Klinikleri J Psychiatry-Special Topics 2008;1:1-7. 23. Andersen UA, Andersen M, Rosholm JU, Gram LF. Psy- chopharmacological treatment and psychiatric morbidity in 390 cases of suicide with special focus on affective disor- ders. Acta Psychiatr Scand 2001;104:458-465. 24. De Leo D. Cultural issues in suicide and old age. Crisis 1999;20:53-55. 25. Enginyurt Ö, Özer E, Gümüş B, et al. Evaluation of suicide cases in Turkey, 2007–2012. Med Sci Monit 2014;20:614- 623. 26. Yalaki Z, Çakır İ, Taşar MA, et al. Relationship of depres- sive symptoms in mothers and adolescents with adolescent suicides. Dicle Med J 2012;3:350-358. 27. Kurt İ, Erpek AG, Kurt MN, Gürel A. Epidemiology of adult poisoning at the Adnan Menderes University. Journal of Adnan Menderes University Medical Faculty 2004;5:37- 40.
APA ZENGİN Y, GÜNDÜZ E, İÇAR M, Dursun R, DURGUN H, GÜRBÜZ H, DEMİR S, KUYUMCU M (2015). Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department. , 279 - 283.
Chicago ZENGİN Yılmaz,GÜNDÜZ Ercan,İÇAR Mustafa,Dursun Recep,DURGUN HASAN MANSUR,GÜRBÜZ HÜSEYIN,DEMİR Süleyman,KUYUMCU MAHİR Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department. (2015): 279 - 283.
MLA ZENGİN Yılmaz,GÜNDÜZ Ercan,İÇAR Mustafa,Dursun Recep,DURGUN HASAN MANSUR,GÜRBÜZ HÜSEYIN,DEMİR Süleyman,KUYUMCU MAHİR Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department. , 2015, ss.279 - 283.
AMA ZENGİN Y,GÜNDÜZ E,İÇAR M,Dursun R,DURGUN H,GÜRBÜZ H,DEMİR S,KUYUMCU M Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department. . 2015; 279 - 283.
Vancouver ZENGİN Y,GÜNDÜZ E,İÇAR M,Dursun R,DURGUN H,GÜRBÜZ H,DEMİR S,KUYUMCU M Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department. . 2015; 279 - 283.
IEEE ZENGİN Y,GÜNDÜZ E,İÇAR M,Dursun R,DURGUN H,GÜRBÜZ H,DEMİR S,KUYUMCU M "Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department." , ss.279 - 283, 2015.
ISNAD ZENGİN, Yılmaz vd. "Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department". (2015), 279-283.
APA ZENGİN Y, GÜNDÜZ E, İÇAR M, Dursun R, DURGUN H, GÜRBÜZ H, DEMİR S, KUYUMCU M (2015). Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department. Dicle Tıp Dergisi, 42(3), 279 - 283.
Chicago ZENGİN Yılmaz,GÜNDÜZ Ercan,İÇAR Mustafa,Dursun Recep,DURGUN HASAN MANSUR,GÜRBÜZ HÜSEYIN,DEMİR Süleyman,KUYUMCU MAHİR Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department. Dicle Tıp Dergisi 42, no.3 (2015): 279 - 283.
MLA ZENGİN Yılmaz,GÜNDÜZ Ercan,İÇAR Mustafa,Dursun Recep,DURGUN HASAN MANSUR,GÜRBÜZ HÜSEYIN,DEMİR Süleyman,KUYUMCU MAHİR Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department. Dicle Tıp Dergisi, vol.42, no.3, 2015, ss.279 - 283.
AMA ZENGİN Y,GÜNDÜZ E,İÇAR M,Dursun R,DURGUN H,GÜRBÜZ H,DEMİR S,KUYUMCU M Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department. Dicle Tıp Dergisi. 2015; 42(3): 279 - 283.
Vancouver ZENGİN Y,GÜNDÜZ E,İÇAR M,Dursun R,DURGUN H,GÜRBÜZ H,DEMİR S,KUYUMCU M Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department. Dicle Tıp Dergisi. 2015; 42(3): 279 - 283.
IEEE ZENGİN Y,GÜNDÜZ E,İÇAR M,Dursun R,DURGUN H,GÜRBÜZ H,DEMİR S,KUYUMCU M "Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department." Dicle Tıp Dergisi, 42, ss.279 - 283, 2015.
ISNAD ZENGİN, Yılmaz vd. "Socio-demographic and clinical factors related to mortality among the geriatric suicide attempters admitted to the emergency department". Dicle Tıp Dergisi 42/3 (2015), 279-283.