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Outcomes of patients who commit suicide by burning
O Castana1, P Kourakos, M Moutafidis
1Plastic and Reconstructive Surgery Department.
Annals of Burns and Fire Disasters
|August 23, 2013
Summary
Self-immolation, though uncommon, leads to burns unit admissions globally. This study examines patients burned during suicide attempts, highlighting the need for psychiatric intervention in emergency care.
Area of Science:
- Psychiatry
- Burn Medicine
- Public Health
Background:
- Self-immolation is an uncommon but significant cause of admission to burn units.
- Individuals attempting suicide by fire often have underlying mental health conditions.
- Psychological issues may be overlooked by families or not disclosed.
Purpose of the Study:
- To present the clinical features, characteristics, and outcomes of patients who sustained burns during a suicide attempt.
- To emphasize the critical role of psychiatric assessment in emergency settings for these patients.
Main Methods:
- Retrospective review of burn patients admitted to units.
- Analysis of clinical data, diagnoses, and treatment outcomes.
- Evaluation of the incidence and demographics of self-immolation cases.
Main Results:
- Schizophrenia, depression, and personality disorders are common diagnoses.
- Women appear to have a higher incidence of self-injury by burning.
- Fatal outcomes correlate with larger burn extent, additional injuries, and prolonged hospitalization.
Conclusions:
- Early psychiatric evaluation is crucial for patients attempting suicide by fire.
- Burn units must be equipped to manage the complex psychological needs of these patients.
- Improved recognition and management of mental health issues are vital to reduce self-immolation rates.
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