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Two important risk factors in committed suicides: Existance of physical illness and inadequacy of psychiatric treatment

Gıyasettin Ekici, Haluk A. Savaş, Serhat Çıtak.

Objective: In this study we aimed to determine whether there is
role of existance of physical illness and inadequacy of psychiatric treatment in committed suicides or not.

Method: Between the dates 1.1.1996-31.6.1997 police notes
were reviewed about committed suicides in İstanbul. Then the
persons in that list were checked to see if they had been treated
in Bakırköy Mental Hospital(n=48). The files of persons who
committed suicide and who were treated there, were surveyed
about physical illness and inadequacy of treatment with the aid
of a semi-structured form. A matched group who didn't
commit suicide but have same first axis diagnosis, same gender
and age were used as a control group(n=48).

Results: In the suicide group physical illness and drug treatment
with inadequate doses are found to be more frequent than the
control group.

Conclusion: To decrease the suicide risk of patients we should
treat them with drugs in adequate doses and also consider
whether they have a physical illness or not . And if there is a
physical illness, it should be evaluated immediately and treated
with the same importance as psychiatric illness.

Key words: suicide, physical illness, inadequacy of treatment, antipsychotic, antidepressant

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