Objective: Compared to the general population, patients with schizophrenia have high smoking rate... more Objective: Compared to the general population, patients with schizophrenia have high smoking rates and low smoking cessation rates. The aim of this study was to explore the experiences of patients with schizophrenia regarding smoking and quitting. Method: The study was carried out based on the phenomenological design, one of the qualitative research methods. Purposeful sampling method was used in the research, and in-depth interviews were conducted with 15 smokers using a semi-structured interview form. Results: In the thematic analysis, 4 themes, "Effects of schizophrenia", "Coping with smoking", "Factors affecting smoking", "Barriers to quitting smoking" and 13 sub-themes were determined. With the research, it has been seen that those with schizophrenia tend to smoke to cope with the problems caused by the disease, drug treatments, boredom, loneliness and emotional intensity. Some patients are reluctant for smoking cessation, some do not have sufficient motivation and medical support. Conclusion: In order to prevent the multidimensional problems caused by smoking, it is recommended to conduct intervention studies that enable to manage the factors that increase smoking, strengthen the factors that reduce smoking and encourage smoking cessation.
... Sosyodemografik ve Klinik Özelliklerle Ilişkisi . Uzerine Bir Çalışma Şafak TAKTAK *, Murat ... more ... Sosyodemografik ve Klinik Özelliklerle Ilişkisi . Uzerine Bir Çalışma Şafak TAKTAK *, Murat ERKIRAN *, Ça ğatay KARŞIDAĞ *, Melih ÖZEREN *, Nihat ALPAY ** ÖZET ... Çalışmanın istatistiksel hesapları SPSS 7.5 bilgi-sayar istatistik programından yararlarularak yap ıl-mıştır. ...
INQUIRY: The Journal of Health Care Organization, Provision, and Financing
This study will help in determining national suicide prevention strategies. Moreover, understandi... more This study will help in determining national suicide prevention strategies. Moreover, understanding the reasons for the lack of awareness about completed suicide will strengthen the measures to be taken in this regard. It was determined that the most important rate among the causes 48 419 completed suicide in Turkey in the years 2004 to 2019 was the 22 645 (46.76%) suicides of unknown cause and there was not enough information about the underlying causes. Suicide statistics data of the Turkish Statistical Institute (TUIK) between 2004 and 2019 were analyzed retrospectively in terms of geographical regions, gender, age groups and seasonality. Statistical analyses of the study were performed using the Statistical Package for Social Sciences for Windows (IBM SPSS version 25.0, Armonk, NY, USA) software. It was determined that the highest crude rate of suicide during 16 years was in the Eastern Anatolia region, the lowest rate was in the Marmara region, and the ratio of the number of fe...
WOS: 000373721600008Objective: Seasonal variations in deaths by suicide have been reported in man... more WOS: 000373721600008Objective: Seasonal variations in deaths by suicide have been reported in many countries. However, in Turkey there is no substantial research on this topic. The aim of this study is to examine the influence of the seasons on suicides by hanging in Istanbul during the period 1979 to 2012 and to assess the associations of seasonal suicide by hanging with gender, age, location and instruments. Material and Method: This paper describes the demographic characteristics of suicidal hanging victims for the past 33 years. A total number of 82871 autopsies were performed in the Council of Forensic Medicine in Istanbul Turkey Morgue Department between 1979 and 2012; 4502 (5.43%) of these deaths occurred as a result of hanging. 4502 suicides by hanging were selected using the study criteria. Results: In this study, most victims were male and the mean age was 37.8 years. Most suicides took place at home but also occurred in prisons, open and built-up areas and workplaces. 455...
Sexual fetishism is defined by recurrent, intense, sexually arousing fantasies, sexual urges or b... more Sexual fetishism is defined by recurrent, intense, sexually arousing fantasies, sexual urges or behaviors involving the use of nonliving objects, such as female shoes. In this article, although it does not require and not the monetary value to the individual, irresistible impulse arising from women's shoe theft case will be processed. Although the individual is treated with psychotherapy and Clomipramine by diagnosis fetishism, depression, obsessive- compulsive disorder and kleptomania, the individual who continue his action was sent to the Istanbul Forensic Medicine Institute for Psychiatric appreciation as mandated by the court. 36-year-old male patient was evaluated in terms of criminal responsibility and shoe fetishism and kleptomania are discussed in terms of the clinical characteristics of forensic psychiatry
WOS: 000310132600006Objective: Purpose of this study to determine general characteristics of the ... more WOS: 000310132600006Objective: Purpose of this study to determine general characteristics of the completed suicide in Istanbul. Methods: Out of 130 cases consecutively referred to Forensic Medicine Institute Morgue Department in April-August, 2002, 124 completed suicides were included in the study based on evaluations of death examinations, autopsies and toxicological examinations, autopsy reports and information obtained from forensic files and relatives of suicide victims by psychiatrists and forensic medicine specialists using psychological autopsy. Findings: Twenty four-one hundred of the totally 124 suicide attempts during the specified period were committed by 83 males (66.9%), while the remaining 41 (33.1%) were committed by women and the suicide attempts were concentrated in 15-24 age group. Most of the individuals in the study (28.2%) showed psychiatric disease as the reason of suicide attempt. Conclusion: The results of this study are similar with literature about sociodemographic aspects related to suicide attempt. (Anatolian Journal of Psychiatry 2012; 13:117-124
International journal of law and psychiatry, Jan 11, 2016
This study is carried out to research the frequency of occurrence and the characteristics of para... more This study is carried out to research the frequency of occurrence and the characteristics of paraphilic cases in Turkey and forensic aspects of them and to explain forensic psychiatric studies of people show paraphilic actions and assess them from legal aspects. This research is done by studying a total of 101,208 cases who were sent to Istanbul Forensic Medicine Institute (FMI) by the judicial organs of 4th Specialization Board between 1984 and 2004 to decide whether they show paraphilic actions or not. When choosing the cases of pedophilic actions, incest incidents were excluded and 307 incidents were taken into assessment. The male subjects are 97.4%, 39.7% of them are 19-29years old, 10% of them are over age 60, 59% of the subjects are single, 36.5% of them are unemployed, 71.7% of the incidents have no physical disorder. The subjects who were imprisoned before were 20.2% and 22.1% of them had undergone psychiatric treatment before the incident. Twenty separate diagnosis are det...
Preeklampsi tanısı ile erken doğum yapan ve doğum yaptığı hastanenin 4. katından, doğumdan sonrak... more Preeklampsi tanısı ile erken doğum yapan ve doğum yaptığı hastanenin 4. katından, doğumdan sonraki 8. günde pencereden atlayarak intihar ettiği iddia edilen 32 yaşındaki kadın cesedine Adli Tıp Kurumu Morg İhtisas Dairesinde otopsi yapıldı. Genel beden travmasına bağlı iç organ yaralanması ve iç kanama sonucu öldüğü tespit edildi. Klinik bulgular, medikal öykü, adli tahkikat dosyası ve otopsi bulguları ile ölümün intihar orjinli olduğu anlaşıldı. Doğum sonrası gelişen depresyon, psikoz, preeklampsinin de etken gösterildiği doğum sonrası mental hastalık ve intihar ile sonuçlanan olgulara dikkat çekmek amacıyla olgu sunuldu.Anahtar kelimeler: Doğum sonrası, intihar, otopsi
Fetishism is a form of paraphilia, a disorder that is characterized by recurrent, intense, sexual... more Fetishism is a form of paraphilia, a disorder that is characterized by recurrent, intense, sexual urges and sexually arousing fantasies generally non-living objects or a highly specific focus on non-genital body parts. While any object may become a fetish, the distinguishing feature is its connection with sex or sexual gratification. Focus in fetishism is on sexual objects closely related to the human body (shoes, gloves, stockings, slippers, etc.). This case chooses the human ejaculate different from those objects used often. Moreover, he cannot help himself from spreading it, which is bought from young men, on his genital area. The case represents an uncommon object selection, which is non-living but comes from living human secretion. This paper aims that the fetish objects should be considered in a wide range.
The aim of this study was to investigate the functioning level of the patiens with mania in remis... more The aim of this study was to investigate the functioning level of the patiens with mania in remission. There were 76 patient with mania (41 women and 35 men) who had admitted the Bak ırköy Mental and Norologic Disease Hospital between February-July 2000 recruited in this study. Cases functioning level were assesed with General Assessment of Functioning chapter in Disability Assessment Schedule. 25 % of patients' level in 70-79, 11.8 % of patients' level in 50-59, 6.6 % of patients' level in 30-49. According to the result from General Assessment chapter of the same schedule, only 41.2 % of patients had shown perfect functioning. In conclusion, we found that quiet amount of patients with mania in remission had faced which sometimes reached severe levels.
n schizophrenia, the search for traditional therapies has a critical impact on early diagnosis, a... more n schizophrenia, the search for traditional therapies has a critical impact on early diagnosis, adherence to medication and the course of the disorder. Understanding the perspective of schizophrenic patients regarding traditional therapy is important to ensure their adherence to medical treatment. The present study aims to describe the traditional therapies used by patients with schizophrenia. This is a cross-sectional and descriptive study conducted with 180 schizophrenic patients who applied to a Community Mental Health Center. The sample was selected with the convenience sampling method, and data collection was performed by means of a ‘Demographic Information Form’ and a ‘Traditional Therapy Applications Form’. The mean age of the participants was 43.59±12.61 years, and the mean duration of the disorder was 13.10±9.28 years. While the majority of patients reported using regular pharmacological treatment, 36.7% reported receiving traditional therapy. After receiving a diagnosis of...
Objective: Compared to the general population, patients with schizophrenia have high smoking rate... more Objective: Compared to the general population, patients with schizophrenia have high smoking rates and low smoking cessation rates. The aim of this study was to explore the experiences of patients with schizophrenia regarding smoking and quitting. Method: The study was carried out based on the phenomenological design, one of the qualitative research methods. Purposeful sampling method was used in the research, and in-depth interviews were conducted with 15 smokers using a semi-structured interview form. Results: In the thematic analysis, 4 themes, "Effects of schizophrenia", "Coping with smoking", "Factors affecting smoking", "Barriers to quitting smoking" and 13 sub-themes were determined. With the research, it has been seen that those with schizophrenia tend to smoke to cope with the problems caused by the disease, drug treatments, boredom, loneliness and emotional intensity. Some patients are reluctant for smoking cessation, some do not have sufficient motivation and medical support. Conclusion: In order to prevent the multidimensional problems caused by smoking, it is recommended to conduct intervention studies that enable to manage the factors that increase smoking, strengthen the factors that reduce smoking and encourage smoking cessation.
... Sosyodemografik ve Klinik Özelliklerle Ilişkisi . Uzerine Bir Çalışma Şafak TAKTAK *, Murat ... more ... Sosyodemografik ve Klinik Özelliklerle Ilişkisi . Uzerine Bir Çalışma Şafak TAKTAK *, Murat ERKIRAN *, Ça ğatay KARŞIDAĞ *, Melih ÖZEREN *, Nihat ALPAY ** ÖZET ... Çalışmanın istatistiksel hesapları SPSS 7.5 bilgi-sayar istatistik programından yararlarularak yap ıl-mıştır. ...
INQUIRY: The Journal of Health Care Organization, Provision, and Financing
This study will help in determining national suicide prevention strategies. Moreover, understandi... more This study will help in determining national suicide prevention strategies. Moreover, understanding the reasons for the lack of awareness about completed suicide will strengthen the measures to be taken in this regard. It was determined that the most important rate among the causes 48 419 completed suicide in Turkey in the years 2004 to 2019 was the 22 645 (46.76%) suicides of unknown cause and there was not enough information about the underlying causes. Suicide statistics data of the Turkish Statistical Institute (TUIK) between 2004 and 2019 were analyzed retrospectively in terms of geographical regions, gender, age groups and seasonality. Statistical analyses of the study were performed using the Statistical Package for Social Sciences for Windows (IBM SPSS version 25.0, Armonk, NY, USA) software. It was determined that the highest crude rate of suicide during 16 years was in the Eastern Anatolia region, the lowest rate was in the Marmara region, and the ratio of the number of fe...
WOS: 000373721600008Objective: Seasonal variations in deaths by suicide have been reported in man... more WOS: 000373721600008Objective: Seasonal variations in deaths by suicide have been reported in many countries. However, in Turkey there is no substantial research on this topic. The aim of this study is to examine the influence of the seasons on suicides by hanging in Istanbul during the period 1979 to 2012 and to assess the associations of seasonal suicide by hanging with gender, age, location and instruments. Material and Method: This paper describes the demographic characteristics of suicidal hanging victims for the past 33 years. A total number of 82871 autopsies were performed in the Council of Forensic Medicine in Istanbul Turkey Morgue Department between 1979 and 2012; 4502 (5.43%) of these deaths occurred as a result of hanging. 4502 suicides by hanging were selected using the study criteria. Results: In this study, most victims were male and the mean age was 37.8 years. Most suicides took place at home but also occurred in prisons, open and built-up areas and workplaces. 455...
Sexual fetishism is defined by recurrent, intense, sexually arousing fantasies, sexual urges or b... more Sexual fetishism is defined by recurrent, intense, sexually arousing fantasies, sexual urges or behaviors involving the use of nonliving objects, such as female shoes. In this article, although it does not require and not the monetary value to the individual, irresistible impulse arising from women's shoe theft case will be processed. Although the individual is treated with psychotherapy and Clomipramine by diagnosis fetishism, depression, obsessive- compulsive disorder and kleptomania, the individual who continue his action was sent to the Istanbul Forensic Medicine Institute for Psychiatric appreciation as mandated by the court. 36-year-old male patient was evaluated in terms of criminal responsibility and shoe fetishism and kleptomania are discussed in terms of the clinical characteristics of forensic psychiatry
WOS: 000310132600006Objective: Purpose of this study to determine general characteristics of the ... more WOS: 000310132600006Objective: Purpose of this study to determine general characteristics of the completed suicide in Istanbul. Methods: Out of 130 cases consecutively referred to Forensic Medicine Institute Morgue Department in April-August, 2002, 124 completed suicides were included in the study based on evaluations of death examinations, autopsies and toxicological examinations, autopsy reports and information obtained from forensic files and relatives of suicide victims by psychiatrists and forensic medicine specialists using psychological autopsy. Findings: Twenty four-one hundred of the totally 124 suicide attempts during the specified period were committed by 83 males (66.9%), while the remaining 41 (33.1%) were committed by women and the suicide attempts were concentrated in 15-24 age group. Most of the individuals in the study (28.2%) showed psychiatric disease as the reason of suicide attempt. Conclusion: The results of this study are similar with literature about sociodemographic aspects related to suicide attempt. (Anatolian Journal of Psychiatry 2012; 13:117-124
International journal of law and psychiatry, Jan 11, 2016
This study is carried out to research the frequency of occurrence and the characteristics of para... more This study is carried out to research the frequency of occurrence and the characteristics of paraphilic cases in Turkey and forensic aspects of them and to explain forensic psychiatric studies of people show paraphilic actions and assess them from legal aspects. This research is done by studying a total of 101,208 cases who were sent to Istanbul Forensic Medicine Institute (FMI) by the judicial organs of 4th Specialization Board between 1984 and 2004 to decide whether they show paraphilic actions or not. When choosing the cases of pedophilic actions, incest incidents were excluded and 307 incidents were taken into assessment. The male subjects are 97.4%, 39.7% of them are 19-29years old, 10% of them are over age 60, 59% of the subjects are single, 36.5% of them are unemployed, 71.7% of the incidents have no physical disorder. The subjects who were imprisoned before were 20.2% and 22.1% of them had undergone psychiatric treatment before the incident. Twenty separate diagnosis are det...
Preeklampsi tanısı ile erken doğum yapan ve doğum yaptığı hastanenin 4. katından, doğumdan sonrak... more Preeklampsi tanısı ile erken doğum yapan ve doğum yaptığı hastanenin 4. katından, doğumdan sonraki 8. günde pencereden atlayarak intihar ettiği iddia edilen 32 yaşındaki kadın cesedine Adli Tıp Kurumu Morg İhtisas Dairesinde otopsi yapıldı. Genel beden travmasına bağlı iç organ yaralanması ve iç kanama sonucu öldüğü tespit edildi. Klinik bulgular, medikal öykü, adli tahkikat dosyası ve otopsi bulguları ile ölümün intihar orjinli olduğu anlaşıldı. Doğum sonrası gelişen depresyon, psikoz, preeklampsinin de etken gösterildiği doğum sonrası mental hastalık ve intihar ile sonuçlanan olgulara dikkat çekmek amacıyla olgu sunuldu.Anahtar kelimeler: Doğum sonrası, intihar, otopsi
Fetishism is a form of paraphilia, a disorder that is characterized by recurrent, intense, sexual... more Fetishism is a form of paraphilia, a disorder that is characterized by recurrent, intense, sexual urges and sexually arousing fantasies generally non-living objects or a highly specific focus on non-genital body parts. While any object may become a fetish, the distinguishing feature is its connection with sex or sexual gratification. Focus in fetishism is on sexual objects closely related to the human body (shoes, gloves, stockings, slippers, etc.). This case chooses the human ejaculate different from those objects used often. Moreover, he cannot help himself from spreading it, which is bought from young men, on his genital area. The case represents an uncommon object selection, which is non-living but comes from living human secretion. This paper aims that the fetish objects should be considered in a wide range.
The aim of this study was to investigate the functioning level of the patiens with mania in remis... more The aim of this study was to investigate the functioning level of the patiens with mania in remission. There were 76 patient with mania (41 women and 35 men) who had admitted the Bak ırköy Mental and Norologic Disease Hospital between February-July 2000 recruited in this study. Cases functioning level were assesed with General Assessment of Functioning chapter in Disability Assessment Schedule. 25 % of patients' level in 70-79, 11.8 % of patients' level in 50-59, 6.6 % of patients' level in 30-49. According to the result from General Assessment chapter of the same schedule, only 41.2 % of patients had shown perfect functioning. In conclusion, we found that quiet amount of patients with mania in remission had faced which sometimes reached severe levels.
n schizophrenia, the search for traditional therapies has a critical impact on early diagnosis, a... more n schizophrenia, the search for traditional therapies has a critical impact on early diagnosis, adherence to medication and the course of the disorder. Understanding the perspective of schizophrenic patients regarding traditional therapy is important to ensure their adherence to medical treatment. The present study aims to describe the traditional therapies used by patients with schizophrenia. This is a cross-sectional and descriptive study conducted with 180 schizophrenic patients who applied to a Community Mental Health Center. The sample was selected with the convenience sampling method, and data collection was performed by means of a ‘Demographic Information Form’ and a ‘Traditional Therapy Applications Form’. The mean age of the participants was 43.59±12.61 years, and the mean duration of the disorder was 13.10±9.28 years. While the majority of patients reported using regular pharmacological treatment, 36.7% reported receiving traditional therapy. After receiving a diagnosis of...
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