?ntihar ama?l? olmayan kendine zarar verme davran??? ve intihar ili?kisi; tan?, borderline ki?ilik bozuklu?u ve miza? ve karakter ?zelliklerinin rolü

摘要

Ama?: Bu ?al??mada kendine zarar verme davran???nda bulunan gen? eri?kinlerde intihar? ?nleme, tedavi ve tekrar?n? engellemede yol g?sterecek klinik tan?lar?, borderline ki?ilik ?zelliklerini ve miza? ve karakter ?zelliklerini tespit etmek ama?lanmaktad?r. Gere? ve Y?ntem: Ergen ve Gen? Eri?kin Psikiyatrisi ?kinci basamak poliklini?inde izlenen 18-20 ya?lar? aras?ndaki kendine zarar verme davran??? olan 93 hasta Kas?tl? Kendine Zarar Verme Anketi, Kendine Zarar Verme Davran??? Anketi ile intihar giri?imleri olanlar ve olmayanlar olmak üzere iki gruba ayr?ld?. Sosyodemografik Veri Formu, SCID I ve SCID II uygulamas?, Miza? ve Karakter Envanteri ve Borderline Ki?ilik Envanteri uyguland?. Bulgular: ?al??maya kat?lan olgular?n %48.4’ ünün intihar giri?iminde bulundu?u, intihar giri?iminde bulunanlar?n %93.3’ünü kad?nlar?n olu?turdu?u saptand?. ?ntihar giri?imde bulunan grupta tekrarlay?c? kendine zarar verme davran???n?n, intihar dü?üncesi, intihar tehditi ve intihar giri?imlerinin, borderline ki?ilik bozuklu?u tan?s?n?n, borderline psikopatolojinin intihar giri?imi olmayan gruba g?re anlaml? olarak daha fazla oldu?u saptand?. Miza? ve karakter ?zellikleri a??s?ndan iki grup aras?nda anlaml? farkl?l?k saptanmad? Sonu?: Kendine zarar verme davran??? olan olgular i?inde kad?n cinsiyet, kendine zarar verme davran???n?n s?kl??? ve ?iddeti, daha ?nceki intihar giri?imleri ve borderline psikopatolojinin a??rl??? intihar giri?imleri i?in risk fakt?rlerindendir. Purpose: The aim of this study is to determine clinical diagnosis which will lead to prevention, treatment and keeping from reoccurrence of suicide among young adults with self injury behavior, and to determine borderline personality characteristics and temperament and character features. Materials and Methods: 18-20 year old 93 patients followed in Adolescent and Young Adult Psychiatry second step clinic, have been given deliberate self harm inventory, self harm behavior questoinnarie. and divided into two groups as those who have attempted suicide and those who have not. These patients have been given socio-demographic data form, SCID I and II application, temperament and character inventory and borderline personality inventory. Results: 48.4% of the patients have attempted suicide and 93.3% of these attempts have been made by females. Repetitive self injury behavior, attempted suicide, using suicide as a threat and idea of suicide, borderline personality disorde and borderline psychopathology are significantly more frequent compared to the group of those who have not. No significant differences have been determined between the two groups with respect to temperament and character features. Conclusion: Self-mutilation of the facts in respect to men, female gender, borderline personality psychopathology, and those repetitive self-injurious behavior, past suicide attempt those who attempted suicide for the greater risk.