Epidemiology and socio-demographic risk factors of self-immolation: A systematic review and meta-analysis

Parvareh, Maryam; Hajizadeh, Mohammad; Rezaei, Satar; Nouri, Bijan; Moradi, Ghobad; Nasab, Nader Esmail

doi:10.1016/j.burns.2017.08.013

Cited by 37 publications

(50 citation statements)

References 30 publications

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“…Findings revealed that the mean age of participants in our study was 26.73 years. This nding is similar to other studies in Iran (21,22] and is fairly consistent with the ndings of most other studies on self-immolation around the world [23,24]. The reports of some studies indicate that the mean age of self-immolation is higher in developed countries [25,26,27] that means in less developed, and low-income countries, people who carry out suicide by self-immolation, are young, with an average of 26 years old such as in Iran [28,29].…”

Section: Discussionsupporting

confidence: 93%

“It was like nobody cared about what I said?” Iranian women committed self- immolation: A qualitative study

Aghakhani

Lopez

Baghaei

2020

Preprint

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Background: Suicide-attempts have increased across the world and have become more higher among females. In Iran, there has been a high prevalence of self-immolation mostly young married women admitted in the burn centers. This study aimed to explore the factors and experiences of self-immolation in Iranian married women to develop prevention strategies to prevent the personal, social and economic impacts of suicide and suicide attempts. Methods: A qualitative descriptive approach using open-ended in-depth face to face interviews was conducted in a purposive sample of 16 married Iranian women aged 16 to 40 years in the burn centers in Urmia city located in northwest Iran. Conventional content analysis was used to analyze the data.Results: Four themes emerged from the data including: (1) antecedents of self-immolation, (2) suicidal ideation method, (3) defeat and humiliation, and (4) pathway to recovery. Each of these themes are supported by sub-themes.Conclusions: The study highlights the need for health professionals to focus in helping and supporting self-immolation survivors to continue a normal life. A comprehensive supportive program based on survivors’ needs to support their pathways to recovery in all its complexities is recommended. Health professional should also not forget that the family of the survivors also will need help to overcome this trauma. Family counselling program may also be provided.

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Section: Discussionsupporting

confidence: 93%

“It was like nobody cared about what I said?” Iranian women committed self- immolation: A qualitative study

Aghakhani

Lopez

Baghaei

2020

Preprint

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“…Self‐immolation is also strongly linked to pre‐existing mental health conditions (Parvareh et al . ). Burn patients with pre‐existing mental health conditions are also likely to have worse outcomes, longer hospital stays, experience higher levels of complications, general increased morbidity (Mahendraraj et al .…”

Section: Introductionmentioning

confidence: 97%

Bringing research to the bedside: Knowledge translation in the mental health care of burns patients

Cleary

Visentin

West

et al. 2018

Int J Mental Health Nurs

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Advances in surgical techniques and wound management have improved outcomes for burn patients; however, the psychological impacts on burn survivors have had less attention. There is a higher rate of mental health disorders amongst burns victims, with those with pre-existing mental health conditions likely to have worse outcomes. To implement effective burns care and rehabilitation, knowledge and understanding of mental health issues is required. This position paper discusses the extent to which clinicians currently translate knowledge around mental health and burns into practice to identify enables and inhibitors. Successful knowledge translation requires dissemination and accessibility of information with the capacity and readiness for change. Clinicians and researchers need to identify how translating research to practice can meet the needs of burn survivors. There is a gap in the utilization of evidence concerning mental health and the needs of burns survivors, and we need to understand what we know as compared to what we do. Clinicians are well placed to determine how and why knowledge does not necessarily translate to practice and how they can better accommodate the needs of burn survivors.

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“…The rate of suspected death due to suicide in Iran has been reported 4.7 cases per hundred thousand people [ 9 ]. One of the violent and dramatic ways of suicide is self-immolation [ 10 ]. Self-immolation, the purposely act of self-inflicting burns, is among the most lethal means of attempting suicide [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…The high rate of mortality (70-90%) and morbidity caused by self-immolation is considerable in Middle East countries in which self-immolation is a common method for suicide [ 15 ]. Self-immolation in Iran is a common method of suicide among young adults, who were mostly women, well-educated and mentally healthy [ 10 ]. In Iran, from 1.39 to 40 per cent of the suicides are due to self-immolation [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

The Estimation of Survival and Associated Factors in Self-Immolation Attempters in Ilam Province of Iran (2011-2015)

Bazyar¹,

Jahangiri²,

Safarpour³

et al. 2018

Open Access Maced J Med Sci

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BACKGROUND:Self-immolation is the most common method of suicide in Ilam province.AIM:This study aimed to estimate the survival rate in self-immolation attempters in Ilam and identify the associated factors.METHODS:A descriptive-analytic study was conducted based on data collected at Taleghani Hospital in Ilam, Iran. All persons passed away due to self-immolation or those hospitalised in the centre of the self-burned patients located in Ilam during 2011 to 2015 were assessed. Survival rate was calculated based on Kaplan-Meier. To compare the survival rate between groups, Univariate Log Rank and for multivariate analysis, the Cox test of STATA12 software was used.RESULTS:During 2011 to 2015, 236 persons including 168 females and 69 males committed self-immolation. The mean and median of survival time in attempters were 32.2 ± 4.7 and 3 ± 0.33 days, respectively. In Univariate Log-Rank test, the following variables including age, sex, burn degree, Total Body Surface Area (TBSA), and burns in neck and head and lower limbs had a significantly meaningful relation with survival, while in multivariate Cox Regression test only two variables including Total Body Surface Area and age remained in the model.CONCLUSION:The mean and median survival rate in self-attempters are very low. Quickly hospitalisation without waste of time should be considered. Providing prompt treatments and compensating dehydration in early hours especially within the first 24 hours of self-immolation are very vital. Younger persons and those with lower burn surface have more chance for longer survival and recuperation.

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Epidemiology and socio-demographic risk factors of self-immolation: A systematic review and meta-analysis

Cited by 37 publications

References 30 publications

“It was like nobody cared about what I said?” Iranian women committed self- immolation: A qualitative study

“It was like nobody cared about what I said?” Iranian women committed self- immolation: A qualitative study

Bringing research to the bedside: Knowledge translation in the mental health care of burns patients

The Estimation of Survival and Associated Factors in Self-Immolation Attempters in Ilam Province of Iran (2011-2015)

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