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Psikiyatri Konsültasyonlarının Adli Rapor Düzenleme Sürecine Etkisi
2020
Journal:  
Adli Tıp Bülteni
Author:  
Abstract:

Amaç: Bu çalışmada, farklı türden travmaya maruz kalmış olgulara Adli Tıp polikliniği tarafından istenen Psikiyatri konsültasyonun, olgularda travmaya bağlı ruhsal etkilenmenin varlığı ve sıklığının ortaya koyulması ile adli rapor üzerindeki etkisinin önemine dikkat çekilmesi amaçlanmıştır. Gereç ve Yöntem: Haziran 2016 – Eylül 2019 tarihleri arasında adli rapor için gönderilen olgular arasından Psikiyatri bölümüne konsülte edilen 192 olguya ait veriler retrospektif olarak incelenmiştir. Olguların psikiyatrik değerlendirmesi psikiyatri uzmanları tarafından DSM-5’e (Diagnostic and Statistical Manual of Mental Disorders-5) göre yapılmıştır. Bulgular: Çalışmada 54’ü (%28,1) erkek, 138’i (%71,9) kadın olmak üzere 192 olgu değerlendirilmiştir. Olguların yaş ortalaması 39,44 (± 13,84) olarak bulunmuştur. 164 (%85,4) olguda DSM-5’e göre bir psikiyatrik bozukluğu karşılayan tanı kriterlerinin mevcut olduğu belirlenmiştir. Psikiyatrik bir bozukluk saptanan 164 olgunun 147’sinde (%89,6) travmanın bedensel etkileri “Basit Tıbbi Müdahale ile Giderilebilecek Ölçüde Hafif Nitelikte” olmasına rağmen travmanın ruhsal etkileri de göz önüne alındığında mevcut yaralanmalarının “Basit Tıbbi Müdahale ile Giderilebilecek Ölçüde Hafif Nitelikte Olmadığı” tespit edilmiştir. Cinsiyet ile olayın türü arasındaki ilişki incelendiğinde; darp eyleminin %76,6’sının (n=118) kadınlara karşı işlendiği (p<0,05) belirlenmiştir. Sonuç: Bu çalışmada; ruhsal travmanın bulguları ortaya konulmuş ve adli raporun sonucuna etki ettiği belirlenmiştir. Adli makamlar tarafından gönderilen olgular ruhsal açıdan mutlaka değerlendirilmeli ve ruhsal travmanın bulguları adli raporlarda belirtilmelidir. Travma olgularında multidisipliner yaklaşım daha sağlıklı bir yargılama yürütülmesini sağlayacaktır.

Keywords:

The impact of psychiatric consultations on the judicial reporting process
2020
Journal:  
Adli Tıp Bülteni
Author:  
Abstract:

Purpose: In this study, it is intended to draw attention to the importance of psychiatric consultation requested by the Judicial Medical Clinic on the incidents exposed to different types of trauma, the presence and frequency of psychological influence associated with trauma in the incidents and the impact on the judicial report. Method and means: The data of 192 cases consulted to the psychiatric department from the cases sent for judicial report between June 2016 and September 2019 have been examined retrospectively. The psychiatric assessment of the events was carried out by psychiatrists according to the DSM-5 (Diagnostic and Statistical Manual of Mental Disorders-5) Results: In the study, 54 (28.1%) men and 138 (71.9%) women were evaluated in 192 cases. The average age of the cases was 39,44 (± 13,84) In 164 (85.4) cases, according to DSM-5 diagnosis criteria that meet a psychiatric disorder were determined. In 147 of 164 symptoms of a psychiatric disorder identified (89.6 percent), the physical effects of the trauma were "light in the measure that can be removed by simple medical intervention" although the mental effects of the trauma were also taken into account, the current injuries were "unlight in the measure that can be removed by simple medical intervention". When the relationship between gender and the type of incident was studied, it was determined that 76.6 percent of the shock act (n=118) was committed against women (p<0,05) Result: In this study, the findings of mental trauma have been revealed and it has been determined that it affects the result of the judicial report. The facts sent by the judicial authorities must be spiritually assessed and the findings of mental trauma must be indicated in the judicial reports. The multidisciplinary approach in trauma cases will ensure that a healthier trial is carried out.

Keywords:

0
2020
Journal:  
Adli Tıp Bülteni
Author:  
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Adli Tıp Bülteni

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Adli Tıp Bülteni