Research Article
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Year 2019, Volume: 1 Issue: 3, 91 - 96, 28.11.2019

Abstract

Giriş: Zehirlenmeler genellikle intihar amaçlı veya bilinçsizce yüksek miktarda ilaç veya madde alımından kaynaklanır. İntihar, yaşamın gönüllü sonlandırılmasıdır, tüm zehirlenme vakalarının yaklaşık% 95'ini oluşturur ve kadın cinsiyetinde daha yaygındır. Bu çalışmanın amacı intihar girişimi nedeniyle acil servis başvurularında psikiyatrik değerlendirmelerin yeniden başvuru ve prognoz oranları üzerine etkilerini göstermektir.

Gereç ve Yöntemler: Bu çalışma, 18 yaş üstü, Sağlık Bilimleri Üniversitesi Ümraniye Eğitim ve Araştırma Hastanesi Acil Tıp Kliniğine, intoksikasyon veya başka nedenlere bağlı intihar girişimi ile başvuran hastaları kapsayan retrospektif bir çalışmadır. 01.9.2018-01.09.2019 tarihleri arasında, çalışma kriterlerini karşılayan hastalar cinsiyete, ilaca maruz kalmaya ve psikiyatriste danışmaya göre sınıflandırıldı. İntihar hastalarına yaklaşım da ayrıca değerlendirildi.

Bulgular: Çalışmaya alınan hastalardan 102'si (% 56.98) hpsikiyatriste danışılmış ve bu hastalardan 16'sında (% 15.68) intihar düşüncesinin devam ettiği görülmüştür. İntihar düşüncesi olan hastaların 9'u (% 56.25) erkekti, 7'si (% 43.75) kadındı. İntihar düşüncesi olan hastaların 14'ü psikiyatri servisine yatırıldı. Bunlardan 2'si dahiliye servisindeki tıbbi tedavisi tamamlandıktan sonra psikiyatri servisine yatırıldı. 10 (% 5.58) hastanın daha önce intihara teşebbüs ettiği öğrenildi. 9'u (% 90) kadındı; 1 (% 10) erkekti. Daha önce intihar girişiminde bulunan 10 hastadan hiçbiri tekrar başvurmamıştı.

Sonuç: İntihar, eylemin düşüncesi, girişimi ve tamamlanması ile ayrıntılı olarak değerlendirilmesi gereken bir konudur. Hastalar titizlikle değerlendirilmeli ve herhangi bir psikiyatrik hastalığı varsa teşhis edilmelidir.

References

  • 1)Yeşiler F İ, Şendur Ü G, Demiroğlu G İ, Investigation of Acute Intoxication Cases in Intensive Care Unit, Aegean J Med Sci, 2019;1:14-8.
  • 2) Ayaz T, Bilir Ö, Ersunan G, Şahin O Z, Yavaşi Ö, Rakıcı H, Evaluation of Suicidal Drug Poisoning, Konuralp J Med, 2015;7(1):53-6.
  • 3)Özayar E, Değerli S, Güleç H, Şahin Ş, Dereli N, Retrospective analysis of intoxication cases admitted to intensive care unit. Journal of Intensive Care, 2011;3:59-62.
  • 4) Aydın A, Evaluation of Poisoning Cases Followed in the Intensive Care Unit: A Retrospective Study, Firat Med J, 2019; 24(3):129-133.
  • 5) Atasoy E., Kösle M. Suicides world from the perspective of geography, Turkey and Bursa. Tesam Academy Magazine, 2019;6(1):123-165. http: //dx.doi.org/10.30626.
  • 6)Arsel CO, Batıgün AD, Suicide and Gender: An Evaluation in Terms of Gender Roles, Communication Skills, Social Support and Hopelessness, Turkish Journal of Psychology, 2011(26);68:1-10.
  • 7) Bulut ER, Küçüker H ve Bulut NS, A brief over view of the causes and methods of suicide. Cumhuriyet Journal of Medicine, 2012(34):128-37.8)Durkheim E, Suicide, Istanbul: Pozitif Publications, 2013, 136-240.
  • 9)Eskin, M. Suicide Explanation, Evaluation, Treatment and Prevention. Ankara: HYB Publishing, 2012, 6-28.
  • 10)Yakar M, Temurçin A, Kervankıran İ, Suicide in Turkey:its Changes and Regional Differences, Bulletein of Geography: Socio Economic Series, 2017(35) :123-144. https://doi.org/10.1515/bog-2017-0009.
  • 11)Bryan C J, Rozek D C, Butner J, Rudd M D,Patterns of change in suicide ideation signal there currence of suicide attempts among high-risk psychiatric out patients, 2019, https://doi.org/10.1016/j.brat.2019.04.001.
  • 12)Irigoyen M, Segovia A P, Galv´an L, Puigdevall M, Giner L, De Leon S, Baca-Garc´ıa E, Predictors of re-attempt in a cohort of suicide attempters: a survival analysis, https://doi.org/10.1016/j.jad.2018.12.050.
  • 13)World HealthOrganization, 2017. Global HealthObservatory (GHO) data-suiciderates (per 100 000 population). Retrievedfrom. http://www.who.int/gho/mental_health/suicide_rates_male_female/en/.
  • 14) Özdemir S, Kokulu K, Algin A, Akca HS. Demographic and clinicalcharacteristics of applications to the emergency service with mushroom ıntoxication. Eurasian J Tox. 2019;1(2):49-52.
  • 15) Akça HS, Algin A, Ozdemir S, Kokulu K, Altunok I. Evaluation of the relationship of serum digoxin levels with demographic data. Eurasian J Tox. 2019;1(2):61-4.
  • 16)Ocal O, Ozdemir S, Demir H, Eroglu SE, Onu OE, Ozturk TC. Evaluation of domestic violence against women admitted to the emergency room. Turkish Journal of Emergency Medicine2013;13:133-7.
  • 17)Algin A, Erdogan MO. The investigation of blood drug levels and course of acetaminophen poisoning due to application time. Biomedical Research 2017(28);15: 6682-6.

Psychiatric Evaluation of Suicidal Drug Intake in the Emergency Department

Year 2019, Volume: 1 Issue: 3, 91 - 96, 28.11.2019

Abstract

Objective: Poisoning is usually caused by suicidal or unconscious intake of high doses of drugs or substances. Suicides are the voluntary termination oflife, accounting for about 95% of all cases of intoxication, and are more common in female sex.The aim of this study is to show the effects of psychiatric evaluations on the rates of re-admission and prognosis in emergency departmentadmissions due to suicide attempt.

Materials and Methods: This was a retrospective study including patients over 18 years of age who were admitted to the Clinic of Emergency Medicineof University of University of Health Sciences Umraniye Training and Research Hospital, Istanbul, Turkey with suicide attempt due to intoxication or otherreasons between 01.9.2018-01.09.2019. The patients were classified according to gender, exposure to the drug, and consultation with the psychiatrist.Approach to suicidal patients was also evaluated.

Results: Of the patients included in the study, 102 (56.98%) patients were consulted with psychiatrist and 16 (15.68%) of these patients had ongoing suicidalideation. Of the patients with suicidal ideation, 9 (56.25%) were male;7 (43.75%) were female. 14 of the patients with suicidal ideation were admittedto the psychiatric service. 2 of them were admitted to the psychiatric service after medical treatment was completed in the internal medicine service. It waslearned that 10 (5.58%) patients had previously attempted suicide. 9 (90%) were women; 1 (10%) was male. None of the 10 patients who had previouslyattempted suicide had reapplied.

Conclusion: Suicide; It is an issue that needs to be evaluated in detail with the thought, initiative and completion of the action. Patient admissions shouldbe meticulously evaluated and, if any psychiatric illness should be diagnosed. Patients with no pathological findings and a decision to be discharged shouldbe tried to avoid suicidal attempts.

References

  • 1)Yeşiler F İ, Şendur Ü G, Demiroğlu G İ, Investigation of Acute Intoxication Cases in Intensive Care Unit, Aegean J Med Sci, 2019;1:14-8.
  • 2) Ayaz T, Bilir Ö, Ersunan G, Şahin O Z, Yavaşi Ö, Rakıcı H, Evaluation of Suicidal Drug Poisoning, Konuralp J Med, 2015;7(1):53-6.
  • 3)Özayar E, Değerli S, Güleç H, Şahin Ş, Dereli N, Retrospective analysis of intoxication cases admitted to intensive care unit. Journal of Intensive Care, 2011;3:59-62.
  • 4) Aydın A, Evaluation of Poisoning Cases Followed in the Intensive Care Unit: A Retrospective Study, Firat Med J, 2019; 24(3):129-133.
  • 5) Atasoy E., Kösle M. Suicides world from the perspective of geography, Turkey and Bursa. Tesam Academy Magazine, 2019;6(1):123-165. http: //dx.doi.org/10.30626.
  • 6)Arsel CO, Batıgün AD, Suicide and Gender: An Evaluation in Terms of Gender Roles, Communication Skills, Social Support and Hopelessness, Turkish Journal of Psychology, 2011(26);68:1-10.
  • 7) Bulut ER, Küçüker H ve Bulut NS, A brief over view of the causes and methods of suicide. Cumhuriyet Journal of Medicine, 2012(34):128-37.8)Durkheim E, Suicide, Istanbul: Pozitif Publications, 2013, 136-240.
  • 9)Eskin, M. Suicide Explanation, Evaluation, Treatment and Prevention. Ankara: HYB Publishing, 2012, 6-28.
  • 10)Yakar M, Temurçin A, Kervankıran İ, Suicide in Turkey:its Changes and Regional Differences, Bulletein of Geography: Socio Economic Series, 2017(35) :123-144. https://doi.org/10.1515/bog-2017-0009.
  • 11)Bryan C J, Rozek D C, Butner J, Rudd M D,Patterns of change in suicide ideation signal there currence of suicide attempts among high-risk psychiatric out patients, 2019, https://doi.org/10.1016/j.brat.2019.04.001.
  • 12)Irigoyen M, Segovia A P, Galv´an L, Puigdevall M, Giner L, De Leon S, Baca-Garc´ıa E, Predictors of re-attempt in a cohort of suicide attempters: a survival analysis, https://doi.org/10.1016/j.jad.2018.12.050.
  • 13)World HealthOrganization, 2017. Global HealthObservatory (GHO) data-suiciderates (per 100 000 population). Retrievedfrom. http://www.who.int/gho/mental_health/suicide_rates_male_female/en/.
  • 14) Özdemir S, Kokulu K, Algin A, Akca HS. Demographic and clinicalcharacteristics of applications to the emergency service with mushroom ıntoxication. Eurasian J Tox. 2019;1(2):49-52.
  • 15) Akça HS, Algin A, Ozdemir S, Kokulu K, Altunok I. Evaluation of the relationship of serum digoxin levels with demographic data. Eurasian J Tox. 2019;1(2):61-4.
  • 16)Ocal O, Ozdemir S, Demir H, Eroglu SE, Onu OE, Ozturk TC. Evaluation of domestic violence against women admitted to the emergency room. Turkish Journal of Emergency Medicine2013;13:133-7.
  • 17)Algin A, Erdogan MO. The investigation of blood drug levels and course of acetaminophen poisoning due to application time. Biomedical Research 2017(28);15: 6682-6.
There are 16 citations in total.

Details

Primary Language English
Subjects Emergency Medicine
Journal Section Original Articles
Authors

Hatice Şeyma Akça This is me

Serdar Özdemir 0000-0002-6186-6110

Kamil Kokulu 0000-0002-6132-0898

Abdullah Algın 0000-0002-9016-9701

Serkan Emre Eroğlu 0000-0002-3183-3713

Publication Date November 28, 2019
Submission Date October 10, 2019
Published in Issue Year 2019 Volume: 1 Issue: 3

Cite

APA Akça, H. Ş., Özdemir, S., Kokulu, K., Algın, A., et al. (2019). Psychiatric Evaluation of Suicidal Drug Intake in the Emergency Department. Eurasian Journal of Toxicology, 1(3), 91-96.
AMA Akça HŞ, Özdemir S, Kokulu K, Algın A, Eroğlu SE. Psychiatric Evaluation of Suicidal Drug Intake in the Emergency Department. Eurasian J Tox. November 2019;1(3):91-96.
Chicago Akça, Hatice Şeyma, Serdar Özdemir, Kamil Kokulu, Abdullah Algın, and Serkan Emre Eroğlu. “Psychiatric Evaluation of Suicidal Drug Intake in the Emergency Department”. Eurasian Journal of Toxicology 1, no. 3 (November 2019): 91-96.
EndNote Akça HŞ, Özdemir S, Kokulu K, Algın A, Eroğlu SE (November 1, 2019) Psychiatric Evaluation of Suicidal Drug Intake in the Emergency Department. Eurasian Journal of Toxicology 1 3 91–96.
IEEE H. Ş. Akça, S. Özdemir, K. Kokulu, A. Algın, and S. E. Eroğlu, “Psychiatric Evaluation of Suicidal Drug Intake in the Emergency Department”, Eurasian J Tox, vol. 1, no. 3, pp. 91–96, 2019.
ISNAD Akça, Hatice Şeyma et al. “Psychiatric Evaluation of Suicidal Drug Intake in the Emergency Department”. Eurasian Journal of Toxicology 1/3 (November 2019), 91-96.
JAMA Akça HŞ, Özdemir S, Kokulu K, Algın A, Eroğlu SE. Psychiatric Evaluation of Suicidal Drug Intake in the Emergency Department. Eurasian J Tox. 2019;1:91–96.
MLA Akça, Hatice Şeyma et al. “Psychiatric Evaluation of Suicidal Drug Intake in the Emergency Department”. Eurasian Journal of Toxicology, vol. 1, no. 3, 2019, pp. 91-96.
Vancouver Akça HŞ, Özdemir S, Kokulu K, Algın A, Eroğlu SE. Psychiatric Evaluation of Suicidal Drug Intake in the Emergency Department. Eurasian J Tox. 2019;1(3):91-6.

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