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Positive outcomes for operatively managed self-harm burns.

Laura Shepherd1, Mandeep Kang1, Charlotte Magness1

  • 1Plastic Surgery Department, Nottingham University Hospitals NHS Trust, Hucknall Road, Nottingham, NG5 1PB, United Kingdom.

Burns : Journal of the International Society for Burn Injuries
|August 23, 2022
PubMed
Summary
This summary is machine-generated.

Patients with self-harm burn injuries receive equitable surgical care and outcomes comparable to non-intentional burns. This study suggests similar treatment approaches are warranted for all burn injuries, regardless of intent.

Keywords:
BurnsInjurySelf-harmSelf-inflictedSurgery

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Area of Science:

  • Medical Research
  • Burn Surgery
  • Patient Outcomes

Background:

  • Patients who self-harm often face stigma and inequitable healthcare.
  • Previous research indicates potential disparities in treating small self-harm burn injuries versus non-intentional injuries.
  • There is a lack of literature on surgical outcomes for self-harm burn injuries.

Purpose of the Study:

  • To investigate the surgical management and outcomes of self-harm burn injuries.
  • To compare the treatment and healing of self-harm burns with non-intentional burns.
  • To assess patient compliance and post-operative course in self-harm burn cases.

Main Methods:

  • Retrospective cohort study of adult burn service outpatient attendances over four years.
  • Extraction of demographic, burn injury, treatment, and outcome data from medical records.
  • Identification and analysis of 94 self-harm burn injuries in 58 patients.

Main Results:

  • 54% of self-harm wounds underwent surgical management, with 80% of full-thickness injuries treated surgically.
  • Post-operative course and healing times were similar to non-intentional burn injuries.
  • No reported tampering or non-compliance in 93% of patients, and 94% when treated surgically.

Conclusions:

  • Self-harm burn injuries should receive the same treatment as non-intentional burn injuries.
  • Similar treatment outcomes can be expected for both intentional and non-intentional burn injuries.
  • Further systematic research is recommended to explore these findings comprehensively.