Anka Tıp Dergisi
Yazarlar: Mehmet Hamdi ÖRÜM
Konular:Tıp
DOI:10.38175/phnx.844990
Anahtar Kelimeler:Forensic psychiatry,Forensic case,Guardianship,Mental retardation,Turkish Penal Code
Özet: Objective: Generally, only one specialist physician works in each specialty branch in district state hospitals. The most difficult cases encountered in psychiatry outpatient clinics of these hospitals are forensic cases. In this study, we aimed to examine forensic psychiatry cases in Kahta, which is a relatively large district. Material and Method: In this retrospective study, sociodemographic data, clinical information, Global Assessment Scale (GAS), and Brief Psychiatric Rating Scale (BPRS) findings were used. Results: There were 57 cases in total (10 females, 47 males). Age (p=0.117), GAS (p=0.418) and BPRS (p=0.307) scores were similar between genders. Health insurance of forty-two people was a green card; the diagnosis was mental retardation in 13 patients, schizophrenia in 13 patients, and general psychiatric examination in 24 patients; forensic status in 17 patients was related to guardianship, social healing in 8 patients, realizing and distinguishing in 14 patients, and criminal liability in 10 patients; the sending institution was the district governor's office in 42 patients, and the attorney general's office in 9 patients; twenty-two patients had a history of antipsychotic (AP), 10 patients had a history of depot-long acting AP; thirteen patients had a history of the suicide attempt. There was no difference between the genders in terms of health insurance (p=0.055), diagnosis (p=0.096), sending institution (p=0.205), history of self-destruction (p=0.108), additional physical illness (p=0.525), additional medical medication (p=0.951), psychotropic use history (p>0.05), and suicide attempt (p=0.816). There was a difference between the genders in terms of forensic status (p=0.039) and psychiatric comorbidity (p=0.040). The rate of social healing and guardianship was higher for males. While the diagnosis with the lowest GAS score was mental retardation, the diagnosis with the highest GAS score was the general psychiatric examination. The forensic situation with the lowest GAS score was guardianship. Conclusion: When the forensic cases in our hospital are examined, it is seen that male gender, mental retardation, and schizophrenia diagnoses, guardianship, and related clinical features come to the fore. The most common reason for forensic admission in elderly patients is guardianship.