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Self-inflicted gunshot wounds: readmission patterns.

Charlotte M Rajasingh1, Lakshika Tennakoon1, Kristan L Staudenmayer1

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|February 14, 2018
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Summary
This summary is machine-generated.

Survivors of self-inflicted gunshot wounds (SI-GSWs) have frequent readmissions, similar to other self-harm survivors. However, SI-GSW survivors are less likely to be readmitted for repeat self-harm or psychiatric reasons.

Keywords:
Firearm injuryReadmissionsSelf-inflicted gunshot wound

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Area of Science:

  • Trauma Surgery
  • Public Health
  • Epidemiology

Background:

  • Self-inflicted gunshot wounds (SI-GSWs) are often fatal, with approximately 20% of individuals surviving.
  • The post-hospitalization outcomes for SI-GSW survivors remain largely unknown.
  • This study investigates readmission patterns for SI-GSW survivors compared to non-gunshot self-harm survivors.

Purpose of the Study:

  • To determine the frequency of readmissions among SI-GSW survivors.
  • To compare readmission patterns between SI-GSW survivors and survivors of non-gunshot self-harm (SH).
  • To identify differences in reasons for readmission between these cohorts.

Main Methods:

  • Retrospective cohort analysis using the 2013-2014 Nationwide Readmission Database.
  • Inclusion criteria: patients with a diagnosis of deliberate self-harm (SH) in the first six months of the year.
  • Comparison between patients with SI-GSW and those with non-GSW SH.

Main Results:

  • A total of 1987 patients were admitted for SI-GSW; 26% had at least one readmission within six months.
  • Readmission rates were similar between SI-GSW and non-GSW SH cohorts (26% vs. 26%, P=0.60).
  • Readmissions for repeat SH were lower in the SI-GSW cohort (3% vs. 7%, P=0.004), as were readmissions with a primary psychiatric diagnosis (28% vs. 57%, P<0.001).

Conclusions:

  • Readmissions after SI-GSW represent a significant burden beyond the initial hospitalization.
  • Distinct differences exist in readmission patterns between SI-GSW and non-GSW SH patients.
  • These findings suggest that tailored prevention and follow-up strategies are necessary for different self-harm patient groups.