Akademik Veri Yönetim Sistemi
8th Eurasian Congress on Emergency Medicine & 18th Turkish Congress on Emergency Medicine & 17th World Interactive Network Focused on Critical Ultrasound Congress, Antalya, Türkiye, 01 Aralık 2022, ss.346
OBJECTIVE: Suicide attempt is an important public health problem all over the world and emergency services are the entry
point of these patients to health institutions. Evaluation and management of patients who have attempted suicide are
important for emergency physicians. Therefore, emergency physicians need suicide screening tools with proven efficacy and
accuracy when choosing their clinical interventions. Evaluation of suicide risk is a very important part of the psychiatric
interview. In our country, there are a limited number of assessment tools that can be used to assist psychiatric interviewing
to assess suicide risk. In this study, it was aimed to evaluate the validity and reliability of the Columbia Suicide Severity Rating
Scale (C-SSRS), which was previously studied for reliability in adolescents, in adult patients in our country.
MATERIAL and METHODS: This study is a prospective controlled study. Patients who admitted to Eskişehir Osmangazi
University Emergency Service between 15.11.2021 and 15.09.2022 and presented with suicidal ideation and/or attempt
constituted the study group. The control group was obtained from Eskişehir Osmangazi University employees and health
workers who did not have a psychiatric disease, suicidal ideation, or attempt. It was planned to include 105/105 (Power; 95%
CI) people as the patient/control group. So far, 40 patients and 105 control groups have been included in the study. The study
and control groups completed the same questionnaire again 3 months later. The results of the survey were compared with
the Suicide Probability Scale, the validity and reliability of which has been proven today.
RESULT: Fifteen (38%) of the study group were male, mean age was 29.32±11.02 years, and mean education was 11.93±11.03
years. Twenty-one (53%) of the study group had a history of psychiatric diagnosis and treatment. Of 40 patients, 38 (95%)
had a desire to die, and 37 (93%) had non-specific active suicidal thoughts. In their evaluation after 3 months, 4 (10%) had a
desire to die, 8 (20%) had non-specific active suicidal thoughts.In the study group's evaluation 3 months later, in the suicidal
behavior section filled by those who did not have the desire to die and non-specific active suicidal ideation; It was observed
that 29 patients (86%) had attempted suicide before. 6 of 29 patients committed self-injury without suicidal intention (goal,
reaction or awareness). In 6 of 29 patients, the suicide attempt was prevented before it started, and it was stopped during
the attempt in 7 of them. There was a significant decrease in the suicide probability scale (p<0.01) in the evaluation after 3
months of 40 patients in the study group. Looking at the sub-scales of Suicide Probability; While there was a statistically
significant (p<0.01) decrease in the hopelessness, hostility, and suicidal ideation subgroups, a statistically significant (p<0.01)
increase was found in the negative self-assessment subgroup. In the control group, 59 (56%) were male, mean age was
25.4±4.55 years, and mean educational status was 16.7±2.52 years. When the patients in the control group were evaluated
between the Colombian Suicide Risk Assessment Scale and the Suicide Probability Scale at the time of admission and 3 months
later; no statistically significant difference was found (p>0.05).
CONCLUSION: In this study conducted with 40 patients and 105 control groups, when the forms filled in at the time of
admission and 3 months later were statistically evaluated between the Colombian Suicide Risk Assessment Scale and the
Suicide Probability Scale; No statistically significant relationship was found in the control group (p>0.05), but; A statistically
significant relationship was found in the patient group (p:0.737). Columbia Suicide Severity Rating Scale (C-SSRS) may be
feasible to use in patients who admitted to the emergency department with suicidal attempts and/or thoughts.