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Suicide by self-inflicted burns - A persistent psychiatric problem.

Jordan M Smith1, Jeffrey R Fine2, Kathleen S Romanowski3

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Summary
This summary is machine-generated.

Self-inflicted burns remain a significant suicide attempt method with unchanged incidence. Despite severe injuries, survival rates are comparable to general burn patients when accounting for key factors.

Keywords:
BurnsMortalitySelf-inflictedSmoke inhalation injurySuicide

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Area of Science:

  • Trauma Surgery
  • Burn Care
  • Suicidology

Background:

  • Self-inflicted burns represent a severe form of suicide attempt.
  • Previous studies highlighted the challenges associated with these injuries.

Purpose of the Study:

  • To assess changes in the incidence and outcomes of self-inflicted burns over a decade.
  • To compare self-inflicted burns with accidental burns regarding risk factors and mortality.

Main Methods:

  • Retrospective analysis of burn admissions from 2012 to 2021.
  • Comparison of patients with self-inflicted burns against all other burn admissions.
  • Logistic regression controlling for age, burn size (TBSA), sex, and inhalation injury.

Main Results:

  • The frequency of self-inflicted burns and associated risk factors remained consistent.
  • Patients with self-inflicted burns frequently had co-existing psychiatric conditions (87.4%).
  • Adjusted analysis revealed a 72% lower mortality risk for self-inflicted burns compared to the general burn population.

Conclusions:

  • There has been no improvement in the incidence of self-inflicted burns.
  • Self-inflicted burns lead to severe injuries but have comparable survival rates to other burn types when adjusted for key variables.
  • The study underscores the need for continued focus on prevention and management strategies for self-inflicted burns.