No abstract

Objectives: Autism Spectrum Disorders (ASD) may be commonly misdiagnosed as schizophrenia due to common symptoms and accompanying psychotic manifestations in both adolescence and adulthood. The purpose of this study is to examine and compare the autistic symptoms and positive and negative symptoms of schizophrenia in cases diagnosed as Autism Spectrum Disorder. Methods: Twenty-one patients between ages of 16-36 who have admitted to outpatient clinic have previously been diagnosed as autism spectrum disorders (autistic disorder, Asperger Syndrome, pervasive development disorder not otherwise specified) according to DSM-IV diagnosis criteria, have an IQ of 50 or above, have been included in the study. Control group have been composed of 21 patients between ages of 21-39 who have been diagnosed as schizophrenia according to DSM-IV diagnosis criteria and have an IQ of 50 or above. Psychiatric assessment has been made with Childhood Autism Rating Scale (CARS), Scale for the Assessment of Positive Symptoms (SAPS), Scale for the Assessment of Negative Symptoms (SANS), SCID-I and WAIS. Results: The negative symptoms of ASD are found to be higher than schizophrenia cases where as the positive symptoms of schizophrenia cases are found to be higher than ASD cases. Twenty percent (n = 4) of OSB cases do not meet autism symptoms while none of the schizophrenia cases meet autism symptoms. In one case of the ASD group, additional schizophrenia diagnosis was present. Conclusions: In this study, it has been found that negative symptoms of schizophrenia are widely observed in adolescent and adult patients followed with ASD diagnosis. Consequently, autism spectrum disorders are manifested common symptoms with schizophrenia in adolescence and adulthood.

The aim of this study is to determine clinical diagnosis which will lead to prevention, treatment and keeping from reoccurrence of suicide among young adults with self injury behavior, and to determine borderline personality characteristics and temperament and character features. Materials and Methods: 18-20 year old 93 patients followed in Adolescent and Young Adult Psychiatry second step clinic, have been given deliberate self harm inventory, self harm behavior questoinnarie. and divided into two groups as those who have attempted suicide and those who have not. These patients have been given sociodemographic data form, SCID I and II application, temperament and character inventory and borderline personality inventory. Results: 48.4% of the patients have attempted suicide and 93.3% of these attempts have been made by females. Repetitive self injury behavior, attempted suicide, using suicide as a threat and idea of suicide, borderline personality disorde and borderline psychopathology are significantly more frequent compared to the group of those who have not. No significant differences have been determined between the two groups with respect to temperament and character features. Conclusion: Self-mutilation of the facts in respect to men, female gender, borderline personality psychopathology, and those repetitive self-injurious behavior, past suicide attempt those who attempted suicide for the greater risk. Amaç: Bu çalışmada kendine zarar verme davranışında bulunan genç erişkinlerde intiharı önleme, tedavi ve tekrarını engellemede yol gösterecek klinik tanıları, borderline kişilik özelliklerini ve mizaç ve karakter özelliklerini tespit etmek amaçlanmaktadır. Gereç ve Yöntem: Ergen ve Genç Erişkin Psikiyatrisi İkinci basamak polikliniğinde izlenen 18-20 yaşları arasındaki kendine zarar verme davranışı olan 93 hasta Kasıtlı Kendine Zarar Verme Anketi, Kendine Zarar Verme Davranışı Anketi ile intihar girişimleri olanlar ve olmayanlar olmak üzere iki gruba ayrıldı. Sosyodemografik Veri Formu, SCID I ve SCID II uygulaması, Mizaç ve Karakter Envanteri ve Borderline Kişilik Envanteri uygulandı. Bulgular: Çalışmaya katılan olguların %48.4' ünün intihar girişiminde bulunduğu, intihar girişiminde bulunanların %93.3'ünü kadınların oluşturduğu saptandı. İntihar girişimde bulunan grupta tekrarlayıcı kendine zarar verme davranışının, intihar düşüncesi, intihar tehditi ve intihar girişimlerinin, borderline kişilik bozukluğu tanısının, borderline psikopatolojinin intihar girişimi olmayan gruba göre anlamlı olarak daha fazla olduğu saptandı. Mizaç ve karakter özellikleri açısından iki grup arasında anlamlı farklılık saptanmadı Sonuç: Kendine zarar verme davranışı olan olgular içinde kadın cinsiyet, kendine zarar verme davranışının sıklığı ve şiddeti, daha önceki intihar girişimleri ve borderline psikopatolojinin ağırlığı intihar girişimleri için risk faktörlerindendir.