84 Yaşinda ilk manik atak [First episode of mania at 84 years of age]

Bipolar disorder is a chronic mood disorder with the peak age of onset between 20 and 40 years. The majority of patients have onset prior to age 50. Age of onset can have a significant impact on the etiology, nature and course of the illness. Mania in old age needs a careful assessment for underlying neurological diseases, especially cerebrovascular disease. A 84 year old woman who had complaints of excessive and meaningless talking, irritability, restlessness, anger and insomnia for the first time in her life is presented in this case report. The patient was evaluated and diagnosed as first episode manic attack. Rarity of first manic attack in old age is the significant aspect of the case. Taking notice of items about diagnosing and treating in this kind of patients are discussed in this case report

Suicide attempts via drug intake [Ilaç alimi yoluyla özkiyim girişimleri]

Objective: In this study, socio-demographic and psychiatric evaluation of the patients who attempted suicide by drug intake was aimed. Material and Methods: Patients over the age of 18, who agreed to participate in our study, and admitted to the emergency department with conscious suicidal behavior between January 2009-January 2011 were enrolled in this prospective study. Results: A total of 122 patients were enrolled in the study. The most majority of the patients were consisted of female gender (68.9%), in the 18-24 age group, single, unemployed, graduate from elementary or high school, a member of a large family including 4-5 people, with a monthly income below TL 1000, and the individuals were found to be in economic distress. Chronic systemic disease, psychiatric disorders, and suicide attempts in the past, and a family history of suicide attempts were statistically significantly increased the assets of suicidal thinking. Most of the patients were diagnosed as depression and anxiety disorders, and they were recommended to use psychiatric drug therapy and psychiatric follow-up support to come again. Conclusions: Suicide motion, a method that is applied as a result of the social, economic, familial and psychiatric problems, with which individual faces, is a way of expressing oneself or a way of alternative solution according to the individual. Through the support given to individuals having suicide tendency, a decrease in suicide risk among the mentioned people can be actualized. For this purpose, the sociodemographic features of patients attempted suicide must be well known and must be evaluated by psychiatry