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Standart Intiharlar Önlenebilir Ölümler Arasinda

Dünya Saglik Örgütü tarafindan her yil 10 Eylül tarihinde düzenlenen “Dünya Intihari Önleme Günü”nde, intihar davranisi, krize müdahale ve intihari önleme, ruh sagligi bakis açisi gibi farkli konular masaya yatiriliyor.

Intiharlar Önlenebilir Ölümler Arasinda
Toplumda intihar girisimi ile ilgili yanlis bilgiler oldugunu belirten ve gerçekler hakkinda farkindalik yaratilmasi adina bu günün önemine deginen Üsküdar Üniversitesi Ögretim Üyesi Yrd. Doç. Dr. Psikiyatrist Serdar Nurmedow, sivil toplum örgütleri de dahil toplumun her kesimine büyük görevler düstügünü belirtti. Nurmedow; “Düzenlenen çesitli etkinlikler ve intihari önleme adina yapilacak çalismalar çok önemli. Çünkü intiharlar büyük ölçüde önlenebilir ölüm nedenleri arasinda yer aliyor. Tümü olmasa bile bu girisimlerin büyük bölümü öngörülerek önlenebilir. Intihar vakalari psikiyatride riskli olgulardan biri. Çogu zaman hastaneye yatis gerektiriyor. Ilaç tedavisi gerekebiliyor. Nasil ki genel cerrahlar için apandistin patlamasi acil bir müdahale gerektiriyorsa, intihar da psikiyatri için ayni anlama geliyor. Bu nedenle bu girisimlere müdahale önemli” diye konustu.

Ölümle Sonuçlanan Intiharlarda Aslinda Bir Ipucu Hep Var
Intihar girisiminde bulunan kisilerin çogunun öncesinde bir takim ipuçlari biraktigina deginen Psikiyatrist Serdar Nurmedow, kisilerin intihar düsüncesini bir sekilde çevresindekilere en az bir kere söyledigini belirtti. Kisilerin üstü kapali mesajlar verdigini, bunlari iyi anlayip analiz etmek gerektigini, sözel olarak bir sey yapilmasa da bazi davranislardan intihar düsüncesinin anlasilabildigini bu nedenle kisi yakinlarinin ve ailelerin çok dikkatli olmalari konusunda uyarilarda bulundu. Nurmedow, bankadaki paralarin bir yere aktarilmis olmasi gibi rutin davranislarin bazen önemli bir ipucu olabilecegine degindi.

Bayanlar Daha Çok Tesebbüs Ediyor Ama Ölüm Orani Erkeklerde Daha Yüksek
Psikiyatrist Serdar Nurmedow, bayanlarin daha çok intihar girisiminde bulundugunu ancak ölümle sonuçlanan vaka istatistiklerine bakildiginda erkeklerin sayisinin daha yüksek oranda çiktigini belirtti. Nurmedow , “Çünkü erkekler intihar girisimlerinde agirlikli olarak kesici, delici, atesli araçlar kullaniyor, kadinlar ise daha çok ilaç içme, bilek kesme seklinde eylemler gerçeklestiriyor” dedi.

65 Yas Intihar Riski Olan Grup
Toplumsal olarak geleneksel Türk aile yapisindan uzaklasip bireysellesme oraninin arttigini vurgulayan Nurmedov; kisilerin yogun is temposu içinde, hatta ayni anda birkaç isle mesgul olmasinin da etkisiyle çevresine, ailesine ve büyüklerine yeterli zamani ayiramamasi gibi davranislarin özellikle yaslilarda olumsuz etki yaptigini belirtti. 65 yas üstü kisilerin kendilerini yasamda yük olarak görebildigini, degersiz hissetmeye basladigini ‘bize artik ihtiyaç yok’ düsüncesine kapilabildigini, bu duygulara eslik eden yasliliga bagli bir takim kronik rahatsizliklar da olunca sonucun intihar olabilecegini ifade etti.

Intihari önlemek mümkün mü?
Üsküdar Üniversitesi Ögretim Üyesi Yrd. Doç. Dr. Psikiyatrist Serdar Nurmedow, intihar vakalarinin bir bölümünü önlemenin mümkün olduguna isaret ederek, sunlari söyledi: “Sahit oldugumuz bazi vakalarda, kisi mesaj amaçli intihar tesebbüsünde bulunabiliyor. Intihar amaçli degil de savunma mekanizmasi olarak bir sekilde etrafa mesaj vermek amaciyla kendine zarar veren hasta gruplari var. Bu gibi olaylari önlemek mümkün”.
Nurmedow, her yasin gereksinimlerinin farkli oldugunu belirterek, “intiharlari önlemek üzere, her yas grubu için farkli stratejilerin belirlenmesi gerekir. Örnegin ergenler yas itibariyle dürtü kontrolü noktasinda sikinti yasayabilirler, yaslilarin ise daha farkli ihtiyaçlari vardir. Bu nedenle yasa göre farkli önlemler alinmasi lazim” dedi.

Madde kullanimi kisiyi intihara sürükleyebilir
Madde kullaniminin da intihar girisimini destekledigine dikkat çeken Nurmedow; “Kimlik arayisi, aidiyet duygusu, bir gruba, topluma ait olma hissi bütün ergenlerde görülen bir tablo. Kendilerine ben neyim, kimim sorusunu sorarlar. Hayati sorgulayan ergen cevabi önce aile içinde arar bulamayinca farkli arayislara girer. Bu süreçte ailesinden destek ve ilgi görmeyen ergen farkli alanlara yönelimlerde bulunabiliyor. Yani çocuklarina zaman ayirmayan ebeveynler çocuklarini farkli arayislara sürükleyebiliyor. Bu arayista olan gençler bir takim gruplara dahi olabiliyor. Ve o gruba ait olmak için sart kosulan kriterleri yerine getirme gayretinde olabiliyor. Bu kilik kiyafet, davranis olabilecegi gibi madde kullanimi da olabiliyor. Ve bu dönemde kontrolsüz bir sekilde alinan alkol ve uyarici madde, kendisinin de toksik etkisi ve çesitli komplikasyonlarla kisiyi intihara sürükleyebiliyor.”

Üsküdar Üniversitesi Npistanbul Hastanesi Uzman Psikolog Asli Basabak;
Intihar Çaresizlik, Çözüm Yolu Olarak Görülüyor
15-24 yas araligi intihar olgularinda riskli yas grubu. Ergenlikteki bu kisiler dürtüleri kontrolde zorlanabiliyor. Çünkü dönem hassas. Hayata yeni basladiklari bir dönem. Aslinda herkes bu dönemi yasiyor. Neden bu yasta intihar girisimi fazla buna bakmak gerekiyor.
Intihar bir çaresizlik çözüm yolu olarak görülüyor. Kisi yapacak bir seyim kalmadi, her sey bitti, çaresizim…vs. diyor. Hayatindan vazgeçiyor, hayatindan vaz geçmesi her seyden vazgeçtigi anlamina geliyor. Yogun duyguyla oluyor bu. Kisi en yakinindakilerle, ailesi, arkadaslariyla sosyal destegi göremeyebiliyor, sorun yasabiliyor. Anlasilmazlik, dinlenmeme, yalnizlik… Intihar riskini artiriyor bu yas grubunda.

Çatismali Ailelerde Intihar Riski Yüksek
Intihar eden gençlerin ailesine bakildiginda klinikte gördügümüz ailelerde hep bir çatisma söz konusu. Bireysellesmenin önde oldugu bir dönemden geçiyoruz. Bakiyorsunuz aile bireyleri birbirlerinden ilgisiz, kopuk. Böyle olunca bu dönemdeki ergenler alternatif yollar bulamayabiliyor içine kapanabiliyor. Hayat zor, ben bas edemiyorum, ne yapacagim diye düsünmeye basliyor ve çikisi intiharda görebiliyor.

Bireysellik Sart Ama Kivami Önemli
Ergenler için bireysellesme önemli ancak dozu ayarlamak gerekiyor. Ergene sorumluluk, özgün birey oldugu hissinin verilmesi önem arz ediyor ancak bizde bu doz ayarlanamiyor maalesef. Biz ya hep yanindayiz ya da hiç yaninda olmuyoruz. Belli döneme kadar onu sarip sarmaliyoruz bir dönemden sonra da aman ne yaparsa yapsin diyoruz. Bu yaklasim dogru degil. Ona ait serbest bir alanin olusturulmasi gerekiyor. Ergene ebeveynler olarak sorunlar karsisinda güvenli bir limanin olabilmeyi basarmak gerekir. Yani bireysellik sart ama kivamini ayarlayabilmeli.
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