Özet: Psikolojik otopsi, tamamlanmış intihar kurbanlarıyla ilgili geriye dönük kapsamlı bilgilerin toplandığı bir araştırma yöntemini ifade eder. Psikolojik otopsi; intihar kurbanının aile üyeleri, yakınları, sosyal ve iş arkadaşları ile görüşmeleri, kişiye ait hastane, polis, banka ve iş kayıtlarının araştırılması gibi incelemelerin tümünü kapsar. Tamamlanmış intihar olgularında, psikolojik otopsi yöntemi eksiksiz olarak uygulanmalıdır. Kişinin demografik verileri, sosyo-ekonomik ve sosyo-kültürel durumu, yaşadığı toplum içindeki konumu, fiziksel veya ruhsal sağlığı ve tüm bunların intihar ile ilişkisinin değerlendirilmesi yapılmalıdır. Bu aynı toplumdaki intihar sürecinin aydınlatılmasına, toplumsal ruh sağlığı ile ilgili daha fazla bilgi sahibi olunmasına ve en önemlisi de önlenebilir durumdaki intihar olgularının belirlenmesi ve önlenmesine katkı sağlayacaktır. Çoğu ülkede yaygın bir yöntem olarak kullanılan psikolojik otopsi yönteminin, intihar epidemiyolojisine ışık tuttuğu fakat maalesef ülkemizde bu yöntemin yaygınlaşmadığı görülmektedir. Bu derlemede, psikolojik otopsi tüm yönleri ile irdelenmeye çalışılmıştır.
In the forensic report, whether the injury includes "vascular injury" or not, the life-threatening situation is important for the investigation. In this study, it was aimed to evaluate the vascular injury status and share the data with the literature in cases related to forensic traumatology, which were reflected in the Forensic Medicine Department of Eskişehir Osmangazi University Faculty of Medicine. In the 5-year period between 2015 and 2019, the cases with vascular injury, who applied to the Eskişehir Osmangazi University Faculty of Medicine, Department of Forensic Medicine, were retrospectively analyzed. Report contents and demographic data of the cases were evaluated. It was determined that 52 (1.2%) of 4378 forensic cases evaluated within the scope of the study had vascular injury. 90.3% of the patients with vascular injury were male, they were most frequently in the 19-29 age group, 69.3% of the cases were stab wounds, and the most commonly injured vessel was a.femoralis and its branches (n=11, %21.2). The data obtained in the study were found to be compatible with the literature. It was thought that in-service trainings on this subject were important, especially for emergency room doctors to be more attentive in issuing forensic reports, to take necessary measures to prevent them from being held responsible in cases of vascular injury and other forensic cases, to protect the legal rights of victims.
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