Harpoon Suicide Attempt: A Dramatic Experience of the Multidisciplinary Approach

Area of Science:

• Trauma surgery
• Neurosurgery
• Ophthalmology

Background:

• Craniofacial harpoon injuries are exceptionally rare, particularly in suicide attempts.
• The surgical approach for harpoon removal varies based on the device's characteristics (e.g., barbs) and trajectory.

Purpose of the Study:

• To present a successful treatment strategy for a rare case of a harpoon suicide attempt involving craniofacial penetration.
• To highlight the multidisciplinary approach required for managing such complex injuries.

Main Methods:

• Complete and cautious surgical removal of the harpoon from the occipital region.
• Reconstruction of the orbital cavity.
• Evisceration of the left eyeball due to traumatic amaurosis.
• Comprehensive psychiatric follow-up.

Main Results:

• Successful and safe removal of the harpoon.
• Restoration of the orbital cavity.
• Successful management of vision loss (traumatic amaurosis).
• Positive physical and mental health recovery post-treatment.

Conclusions:

• Multidisciplinary surgical and psychiatric management can lead to successful outcomes in rare craniofacial harpoon suicide attempts.
• Careful planning and execution are crucial for device removal and subsequent reconstruction.
• Addressing both physical trauma and psychological distress is vital for patient recovery.