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    Profiles of the Patient Who Had Compulsory Hospitalization in a District Psychiatric Hospital
    (W B Saunders Co-Elsevier Inc, 2017) Beser, Nalan Gordeles; Arabaci, Leyla Baysan; Bozkurt, Sati; Uzunoglu, Gulcin; Tas, Gulsenay
    OBJECTIVE: It aims to examine the profiles of patients who were treated with compulsory hospitalization between 2011 and 2015 in a district psychiatric hospital. METHOD: In this retrospective and cohort study, hospital records gathered from 202 adult patients who were treated with compulsory hospitalization in units with a bed between 2011 and 2015 in a district psychiatric hospital were examined. In this study, profiles and socio-demographic features of the patients with compulsory hospitalization were evaluated by 23 closed-end and open-ended questions prepared by researchers. In data analysis, Monte Carlo Chi-square test and number-percentage distribution were used. FINDINGS: 57.4% of examined cases was female and mean average was 38.88 +/- 13.06. Of examined cases, 18.8% was people graduated from high school or university and it was detected that 81.7% didn't have any regular job during the compulsory hospitalization. Of which 55.9% has not gotten married and 12.4% was divorced, 48.0% of the population has been living with their parents, sibling or/and their relatives and 17.8% has been living alone or in the nursing home. Of which 59.9% of the cases which were diagnosed with psychosis, 38.1% with psychotic relapse, 22.8% with medication regulation, 22.8% with excitation (expansiveness) and 15.8% having the risk of self mutilation and damage his/her environment were admitted to compulsory hospitalization. Of these cases, the relative or custodian of 74.2%, employee of nursing home of 9.4%, law-enforcement officers of 5.4% and medical staff of 4.0% gave hospitalization approval. While not having any history for alcohol-substance abuse, it was established that 10.9% of the population had a problematic juridical records. Of the cases, hospitalization of 75.7% came to end with recovery/discharge and 20.3% was over with the demand of his/her relative/custodian, 1.5% of the cases escaped from the hospital. CONCLUSION: Patients whose majority was female, person who has never gotten married or was divorced and has low educational level don't have any regular job and live with their relatives. In addition, their relatives made the majority of these patients admit to hospital because of the history of psychotic diagnose and psychotic relapses. According to these results, it is recommended that patients will receive an effective treatment in order to protect the right to decide their own treatment. (C) 2017 Elsevier Inc. All rights reserved.
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    The determination of parent attitude and childhood trauma in adolescent pushed into crime
    (Klinik Psikiyatri Dergisi, 2019) Beser, Nalan Gordeles; Arabaci, Leyla Baysan; Uzunoglu, Gulcin; Bilac, Oznur; Ozan, Erol
    Objective: This study was conducted to determine parent attitude and childhood traumas of adolescents pushed into crime who came to the policlinic of child and adolescent psychiatry for judicial evaluation. Method: Of this descriptive cross-sectional study sample was included 45 adolescents aged between 13 and 18 years, came with their parents to the psychiatric outpatient clinic of child, pushed into crime. Data were collected with Introductory Information Form, Childhood Trauma Questionnaire, Parents Attitude Research Instrument Scale. To evaluation of the data, descriptive statistics, Mann-Whitney-U, Kruskal Wallis Variance analysis and Pearson correlation analysis were used. Results: 84.4 % of adolescent who joined the research were 15-17 age, 60.0% of them were male and 57.8% of them were not unable to continue schooling. The mean of trauma questionnaire of adolescent was found 54.42 +/- 7.53 (middle). It was found that sexual abuse's median points of adolescent who were unable to continue schooling, had a poor commination with father, and physical abuse's median points of adolescent who lived with their family, and physical neglect's median points of adolescent who graduated from primary school, and emotional abuse's median points of adolescent whose father showed irrelevant attitude, and emotional neglects' median points of adolescent who have three or more sisters/brothers, whose mothers showed unbalanced and inconsistent attitude were higher than other's significantly (p<0.05). Discussion: Adolescent who pushed into crime experienced middle level childhood trauma. The repressive-irrelevant parental attitude, unable to continue schooling, poor communication with the father, being in the crowded family, having psychiatric diagnosis from childhood are predictors of childhood mental trauma.
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    The profiles of children pushed to crime who are treated in a regional psychiatric hospital in Turkey
    (CUMHURIYET UNIV TIP FAK PSIKIYATRI ANABILIM DALI, 2016) Gordeles Beser, Nalan; Baysan Arabaci, Leyla; Uzunoglu, Gulcin
    Objective: The study was conducted to determine the profiles of the children pushed into crime who treated in psychiatric hospital between the years of 2010-2014. Methods: The study, designed as a Retrospective cohort, was conducted by examining the file records of 144 adolescents/children pushed into crime. These outpatient or inpatient adolescents / children were treated as forensic case in a Child and Adolescent Psychiatry Inpatient Units in a regional psychiatric hospital between the years of 2010-2014. Results: 79.9% of investigated cases were men and their average age was 15.33 +/- 1.54. It was determined that 59.0% of the cases did not attend school while the treatment period because of the legal cause and 13.2% of these cases worked as a laborer before. 65.3 % them living with their family. Of 72.2% adolescents have negative relationship with their family. 11.8% of adolescents fathers' have alcohol-substance and 4.9% of adolescent fathers' have abuse and legal problems. 70.8% adolescents have diagnosis of chronic mental illness, 13.9% of them has more than one psychiatric diagnosis. 81.2's% adolescents have committed crimes for the first time and 18.8% of hem has repeated crime stories. It was determined that adolescents who have migration story and bad family relationships in their past involved in the crimes. Conclusion: It was determined that many of the adolescents pushed in to crime have mental disorder, their academic success and parents' educational level are low, they have past migration story and the adolescents having a negative family relationships commit repetitive crime.