Adıyaman İlinde Çocuk ve Ergen Psikiyatrisi Polikliniğine Yönlendirilen Adli Olguların Bir Yıllık Geriye Dönük İncelenmesi

Abstract

Olguların sosyodemografik özellikleri, gönderilme sebepleri belirlenmiştir. Çalışmamızda vakaların büyük bölümünü oluşturan suça sürüklenen (n=80) ve cinsel istismar mağduru çocuklar (n=31) üzerine odaklanılmıştır. Bulgular: Suça sürüklenen çocukların yaş ortalaması 13.72 ± 0.94 olup, % 93.8'i erkek cinsiyettir (n=75). Olguların % 63.9'u ilköğretime devam etmekte ve % 93.7'si şehir merkezinde yaşamaktadır. En sık hırsızlık suçu (% 37.5, n=30) sebebiyle gönderilen olguların, % 75'ine işlendiği iddia edilen suçun hukuki anlam ve sonuçlarını algılama ve bu fiille ilgili davranışlarını yönlendirme yeteneğinin yeterince gelişmiş olduğu şeklinde rapor verilmiştir. Cinsel istismar kurbanı çocukların % 71'inin kız cinsiyette olduğu ve % 65.6'inin maruz kaldığı cinsel istismar sonucunda ruh sağlığının bozulduğu tespit edilmiştir. Sonuç: Sayısı gün geçtikçe artan suça sürüklenen çocukların, suç işlemeye yatkınlığını arttıran faktörlerin belirlenmesi ve bu konulara yönelik tedbirlerin alınması gerekmektedir. Cinsel istismar kurbanı olguların çocuk psikiyatrisi polikliniklerinde takip ve tedavilerinin sürdürülmesi, gelecekte ortaya çıkabilecek ruhsal rahatsızlıklara karşı önlem alınması önem arzetmektedir. Anahtar Kkelimeler: Cinsel istismar, çocuk psikiyatrisi, suça sürüklenen çocuklar ABSRACT Purpose: This study's aim is to investigate child and adolescent cases referred for forensic examination to our child and adolescent psychiatry outpatient clinic. Material end Methods: File informations of 121 cases who referred to Adiyaman University Training and Research Hospital, child psychiatry clinic between 01 June 2012 and 31 May 2013 were reviewed retrospectively. Sociodemographic characteristics of the children and reasons for referral determined. The study was focused on delinquent children (n=80) and victims of sexual abuse (n=31) that made up the vast majority of forensic cases. Results: The mean age of the delinquent children was 13.72 ± 0.94, 93.8% were male (n = 75), 63.9% continued to primary education and 93.7% lived in the city center. The most frequent crime was theft (37.5%, n=30) and 75% of the Araştırma Makalesi / Research Article 280

Suça sürüklenen çocuk ve ergenlerin sosyodemografik ve klinik özellikleri

“…It was determined in the study that theft was in the first place. In some similar studies done in different cities in Turkey, the most common crime type in juvenile delinquents was shown to be theft as in the present study 5,[13][14][15] .The reasons for the children's tendency towards the theft involve low income level of the family, the struggle to prove themselves, the opposition to the authority with the psychological effect of the adolescent period and delinquency, envy of the peers with life they dreamed of, growing without attention in a crowded family and not meeting their needs and the education status of parents that is not enough to understand the spiritual development of children 6,20 . Considering that the majority of the children come from families with low educational level and socio-economic backgrounds in the study, it is possible that the mental and physical needs of these children are not adequately met and that crimes committed against assets are seen more.…”

“…It was concluded in the present study that juvenile delinquents perceived the legal meaning and consequences of the act and their ability of directing behaviors developed sufficiently and they had criminal responsibility in 27.8% of the evaluations conducted within the scope of Clause 31/2 of TPC for the cases in the age group of 12-15 years. This rate is between 10.8-93.2% in other studies conducted in Turkey and there is no consistency [13][14][15]27 .As it is expected, it was determined in the present study that children with intellectual limitations had difficulty in perceiving the legal meaning and consequences of the act and directing their behaviors accordingly compared to the children who had normal intelligence level. It cannot be assumed that children with normal intelligence level can perceive the legal meaning and consequences of all acts and they can direct their behaviors accordingly under every conditionand also it cannot be suggested that every child who had intelligence level below normal did not completely have juridical capacity…”

“…In study of Bilac et al, it was determined that there was mental retardationor borderline intelligence in 14.4% of the cases 14 . It was found in a study conducted in Trabzon that 10.5% of juvenile delinquents had borderline intelligence level, 12.7% had mild mental retardation and 4.4% had moderate mental retardation 15 . It was also determined in Cakaloz et al,'s study that 26.8% of the cases hadborderline intelligence capacity and 7.8% had mental retardation 21 .Due to excessive tendency to suggestions in those who have mild mental retardation, they are reported to have crime tendency to the crimes they can commit easily during their youth and adulthood periods 22,23 .…”

“…In the present study, 88.9% of the juvenile delinquents (n=56) were male. Many studies investigating juvenile delinquency have shown that boys had more delinquency than girls similar to the presentstudy 5, [13][14][15] . It was suggested that the biological characteristics of boys, their higher involvement in the social life and higher probability of having friends committing crime, experiencing domestic violence more, and higher tendency to aggressive behaviors increased the likelihood of committing a crime.…”

Early Marriage and Related Mental Illnesses

“…Bu nedenle erken yaĢ evlilikleri sıklıkla çocuk ve ergen psikiyatri polikliniklerine adli rapor talebi veya eĢlik eden fiziksel ruhsal hastalıklar nedeniyle baĢvurmaktadır. Yapılan çalıĢmalar ve klinik gözlemlere bakıldığında adli rapor amacıyla baĢvuru yapan kızlarda ruhsal patoloji oranı incelendiğinde baĢvuru esnasında beklenenin aksine ruhsal hastalık oranlarının oldukça düĢük olduğu görülmüĢtür (12,13). Ancak erken evlilik yapan çocukları daha sonraki dönemlerde (ortalama 14 ay sonra) yaklaĢık yarısının ruhsal bir hastalığa sahip olduğu izlenmiĢtir (14).…”