Objective: Metacognition is an essential process regarding decision-making and coping with stressful life events. In this present study, we aimed to examine the metacognitive beliefs and coping strategies of suicide attempters with subthreshold depressive symptoms. Methods: Thirty suicide attempters (mean age of 25.50±7.66 years) with subthreshold depressive symptoms and 30 healthy participants (mean age of 28.27±7.13 years) were compared with regard to Metacognition Questionnaire-30 (MCQ-30) and COPE Questionnaire. Results: The MANOVA results revealed significant differences between the groups for the subscales of MCQ-30 namely, "negative beliefs about thoughts", "need to control thoughts" and "lack of cognitive confidence". The results also indicated significant difference regarding "positive reinterpretation", "seeking social support for instrumental reasons", "active coping, planning, and problem-focused coping", "behavioral disengagement", "alcohol-drug disengagement" and "dysfunctional coping" subscales of COPE Questionnaire. In addition, moderate correlations were found between the MCQ-30 and the COPE subscales based on the Pearson's correlation coefficients. Conclusions: This study revealed the effect of particular metacognitive beliefs and type of coping style on suicidal behavior. This study is important for identifying risk factors and explaining how metacognitive beliefs and coping strategies are related to suicidal behavior. Maladaptive metacognitions may lead to overestimation of perceived stress and underestimation of cognitive resources and coping skills which may prevent individulas to produce adaptive coping strategies against stressful life events.

Objective: Association between the COVID-19 pandemic and mental well-being has been researched in several studies. State-Trait Anxiety Inventory is one of the most widely test used for measurement of anxiety. In this study, we aimed to determine the anxiety levels of patients waiting for gastrointestinal endoscopic procedure during the COVİD 19 pandemic Material and Methods: Patients above 18 years of both genders  who were waiting for the gastroenterological endoscopic procedure included in the study. State-Trait Anxiety Inventory applied to the patient waiting in line for the procedure Results: A total of 150 patients were included in the study. During the pandemic, a greater proportion of women (36.9%) feared endoscopy than men (19.7%) (chi-square =0.016). The number of patients (94, 62.7%) reporting they feared visiting the hospital during pandemic (p<0.001, chi-square) had a significantly higher fear of undergoing endoscopy during the pandemic (87.5%, n=49). The median STAI-S score (39 [IQR 30.25 - 47]) was significantly lower in patients who had previously undergone endoscopy than in patients who had not (p=0.028). ). The mean STAI-T score of women (46.11+-7.62) was 5.08 (95% CI 2.67 - 7.48) higher than that of men (41.03+-7.09) (p<0.001, Student's t test). Conclusion: Mortality and morbidity experienced during the COVİD-19 period had devastating effects on the mental health of patients, but some groups were more affected by this situation. Therefore, identifying vulnerable groups, paying special attention to these groups, and providing more intense information will reduce potential concerns.

Background: The aim of this study was to investigate the prognostic value of the troponin/creatinine ratio in patients presenting with chest pain and to identify laboratory values affecting mortality. Methods: Between October 1st, 2016 and April 30th, 2019, a total of 5,079 patients (2,844 males, 2,235 females; median age: 65 years; range, 49 to 83 years) who presented to the emergency department with chest pain and whose troponin and creatinine measurements were done were retrospectively analyzed. Laboratory data and 28-day mortality rates were evaluated. The patients were divided into two groups according to 28-day mortality rates after the initial emergency department admission as survivors (n=4,793) and non-survivors (n=286). Results: There were statistically significant differences in the white blood cell count, C-reactive protein, creatinine, high-sensitivity troponin I, and troponin/creatinine ratio between the groups (p<0.05). The high-sensitivity troponin I ?31.96 pg/dL, creatinine ?1.11 mg/dL, C-reactive protein ?43.94 mg/L, and troponin/creatinine ratio ?25.12 were independent predictors of 28-day mortality (p<0.05). A C-reactive protein value of ?43.94 mg/L was found to be more specific (81.14%) than the other markers for mortality. Conclusion: Troponin/creatinine ratio is a predictor of mortality in patients presenting to the emergency department with chest pain and high-sensitivity troponin I, creatinine, and C-reactive protein seem to be independent risk factors for 28-day mortality.

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