It is indicated that there is a high connection between early traumatic experiences and suicidal behaviors. The aim of this study is to compare early traumatic experience and attachment styles of patients in suicide attempts with the healthy control group. The study involved 76 people who had attempted suicide with drugs and 84 healthy controls who did not have any psychiatric disorder. For evaluation we have used; a sociodemographic data form, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Childhood Traumas Questionnaire (CTQ-28) and Relationship Scales Questionnaire (RSQ) with those who agreed to participate in the study. Fearful attachment styles from the relation scale survey of those who attempted suicide were significantly higher than the control group (p<0.001). BDI (p<0.001), BAI (p<0.001), emotional abuse (p<0.001), physical abuse (p=0.001), emotional neglect (p<0.001), physical neglect (p<0.001) and sexual abuse (p=0.001) scale scores were statistically higher in suicide attempters than those of the control group. Negative early life experiences and attachment style constitute the main beliefs of a person, and these beliefs may be presented in how he/she builds personal relationships and in interpersonal problems. Early traumatic experiences and attachment styles evolving on this axis have an important role in the formation of psychopathologies.Keywords: Suicide, attachment style, childhood traumas, depression, anxiety Öz İlaç Alarak İntihar Girişiminde Bulunan Hastalar ve Sağlıklı Kişiler Arasında Bağlanma Stilleri ve Çocukluk Çağı Travmatik Deneyimlerin KarşılaştırılmasıErken travmatik deneyimler ile intihar davranışı arasında yüksek bir bağlantı olduğu belirtilmektedir. Bu çalışmada; ilaç alarak intihar girişiminde bulunan kişilerdeki bağlanma stilleri ve erken travmatik yaşantıların sağlıklı kontrollerle karşılaştırılması amaçlanmıştır. Çalışmada; ilaçla intihar girişiminde bulunan 76 kişi ve herhangi bir psikiyatrik bozukluğu olmayan 84 sağlıklı kişi ele alınmıştır. Çalışmayı kabul edenlerde; sosyodemografik veri formu, Beck Depresyon Envanteri (BDE), Beck Anksiyete Envanteri (BAE), Çocukluk Çağı Travmaları Ölçeği (CTQ-28) ve İlişki Ölçekleri Anketi (İÖA) kullanılmıştır. İntihar girişiminde bulunan kişilerde ilişki ölçeği anketine ait korkulu bağlanma stilleri, kontrol grubuna göre istatistiksel olarak anlamlı düzeyde yüksek bulunmuştur (p<0,001). İntihar girişiminde bulunan grupta BDE (p<0,001), BAE (p<0,001), duygusal istismar (p<0,001), fiziksel istismar (p=0,001), duygusal ihmal (p<0,001), fiziksel ihmal (p<0,001) ve cinsel istismar (p=0,001) alt ölçek puanları, sağlıklı kontrol grubuna göre istatistiksel olarak anlamlı düzeyde yüksek bulunmuştur. Kişinin erken yaşlardaki olumsuz deneyimleri ve bağlanma biçimleri, kişinin belli başlı inanışlarını oluşturur ve bu inanışlar, ilişki kurma biçimi ve kişiler arası problemlerde kendisini gösterebilir. Erken travmatik deneyimler ve bu eksende gelişen bağlanma stilleri, psikopatolojilerin oluşumunda önemli bir yere sahiptir.
Interferon alfa has antiviral, anti-proliferative and immunomodulatory effects. Treatment with interferon is related to many psychiatric side effects like depression, depressive mood, suicidal thoughts, irritability, tiredness, cognitive impairment, mania and psychosis 1 . These psychiatric side effects are related to duration and dose, and when severe, usually lead to discontinuation of interferon treatment. CASEOur case study is a 17-year-old male patient. Due to frequent crying, suicidal thoughts and feelings of guilt, he was hospitalized. He had been diagnosed with chronic hepatitis B four months previously, and had been receiving 30 MIU interferon alfa 2b three times a week plus 100 mg lamivudine. Depressive symptoms like lack of interest and mental dullness began after 8 weeks of treatment. On psychiatric examination, he showed slumped posture, dullness and slowed speech. Thought content included delusions of being harmed and guilt. His affect was depressed and sometimes dysphoric. He showed decreased appetite and sleep and slowed psychomotor activity. Routine hematological and biochemical test results were normal. His cranial MR and EEG revealed no pathology. On the first day of his hospitalization, interferon and lamivudine treatment were discontinued.The patient was diagnosed with depressive d i s o r d e r w i t h p s y c h o t i c f e a t u r e s , a n d escitalopram 10 mg and risperidone 3 mg p.o.
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