Multiple blunt trauma after suicidal attempt: an analysis of 4,754 multiple severely injured patients

Topp, Tobias; Müller, T.; Kiriazidis, I.; Lefering, Rolf; Ruchholtz, Steffen; Kühne, C.

doi:10.1007/s00068-011-0114-5

Cited by 12 publications

(10 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Several previous studies have compared accidental and suicidal falls. [8][9][10][11] In these reports, relative to accidental falls, suicidal falls were more likely to occur in younger female patients, and injury patterns appeared to differ between groups. However, whether suicidal intent is associated with poor outcomes remains unclear.…”

Section: Introductionmentioning

confidence: 72%

“…Detailed examination of the differences in outcomes according to fall height are warranted, as low-level falls are sometimes associated with mortality. 15 Topp et al 10 demonstrated that while suicidal fall patients sus-tained severe injuries, which determined their outcomes, there was no difference in prognoses between patient groups with comparable injury severity. Nevertheless, suicide intent and injury severity were both risk factors for mortality in the present study.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Suicidal intent as a risk factor for mortality in high-level falls: a comparative study of suicidal and accidental falls

2021

View full text Add to dashboard Cite

Objective Suicide is a major issue in South Korea, and falling is a common method of suicide. Further, accidental falls are a common cause of death. However, whether suicidal falls differ from accidental falls is inconclusive. This study aimed to compare suicidal and accidental falls to identify risk factors for mortality.Methods From March 2010 to December 2016, patients admitted to our hospital because of falls were reviewed retrospectively. Characteristics and outcomes were compared between suicide and accident groups. Injury distribution was compared using the Injury Severity Score and Abbreviated Injury Scales. Multivariate analysis was performed to identify risk factors, including suicide intent, for mortality. ResultsOf 242 patients, 42 were included in the suicide group and 200 were included in the accident group. The suicide group showed higher fall heights and injuries of greater severity. The accident group was younger and included a higher number of men. The suicide group showed a higher mortality (23.8% vs. 6.5%, P = 0.001) and a higher proportion of injuries in the lower extremities or abdomen. In the multivariate analysis, Glasgow Coma Scale score (0.575 [0.433-0.764], P< 0.001), body mass index (1.638 [1.194-2.247], P= 0.002), suicide intent (9.789 [1.026-93.404], P = 0.047) and Injury Severity Score (1.091 [1.000-1.190], P = 0.049) were identified as risk factors for mortality. ConclusionSuicidal falls were associated with poorer outcomes and a greater tendency to land feet first relative to accidental falls. Suicide intent was a risk factor for mortality.

show abstract

Section: Introductionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Suicidal intent as a risk factor for mortality in high-level falls: a comparative study of suicidal and accidental falls

2021

View full text Add to dashboard Cite

show abstract

“…[ 9 ] Suicide attempts often cause severe injuries when compared to unintentional injuries and associated with increased hospital length of stay (HLOS), hospital cost as well as in-hospital mortality. [ 10 11 12 ] The present study aimed to determine the frequency of various methods of suicide, injury characteristics, and outcomes by gender of patients admitted to a level 1 trauma center in Qatar following suicide attempts.…”

Section: Introductionmentioning

confidence: 99%

Traumatic injuries associated with suicide attempts: A retrospective study from single national level 1 trauma center

Al-Thani

Mekkodathil

Consunji

et al. 2020

Int J Crit Illn Inj Sci

View full text Add to dashboard Cite

Background: Suicide is a complex phenomenon involving several risk factors. We aimed to describe the frequency, pattern, and outcomes of patients with traumatic injuries following suicide attempts admitted to a level 1 trauma center. Methods: We conducted a retrospective analysis of data obtained from Qatar National Trauma Registry and mortuary database. The study included all patients with traumatic injuries following suicide attempts, admitted to the Hamad Trauma Center (HTC) from April 2008 to March 2018. Results: During this 10–year period, 206 patients were admitted to the HTC for injuries associated with suicide attempts. The majority were males (76%), young age (mean age 31 years), and expatriates specifically from South Asia (55%). The most common injury was due to self-inflicted cutting and piercing (51%) followed by jumping from height (30%). Females chose jumping from high place more often as a method of suicide attempt (59% vs. 20%), while males chose self-stabbing or cutting their throat (59% vs. 25%) ( P = 0.001). Most of the patients had head injuries (30%) that was severe in terms of abbreviated injury scale score (3.6 ± 0.9). More than half (54%) of the patients required psychiatric consultations. The in-hospital mortality was 8% which was comparable in both genders. Conclusions: The present study revealed that 1.8% of trauma admissions at HTC were related to suicidal attempts. Better understanding of risk factors is important in devising preventive strategies.

show abstract

“…In PT patients, severe injuries of the thorax are regularly observed. At least 53.2% of the PT patients after a fall from a height [ 2 ], 42.8% of the pedestrians, and 60.1% of the motor vehicle occupants with a blunt trauma [ 3 ] presented with a severe injury of the thorax with an Abbreviated Injury Scale (AIS) [ 4 ] ≥ 3. Osseous injuries of the thorax are associated with a high level of pain [ 5 ] and, potentially, with a longer hospital stay and a prolonged invasive ventilation, especially when associated with sternal fractures [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Retrospective Analysis of the Clinical Outcome in a Matched Case-Control Cohort of Polytrauma Patients Following an Osteosynthetic Flail Chest Stabilization

Niemann

Graef

Tsitsilonis

et al. 2020

JCM

View full text Add to dashboard Cite

Background: In polytrauma (PT) patients, osseous thoracic injuries are commonly observed. One of the most severe injuries is the flail chest where the rib cage is broken in such a way that leads to a partial functional detachment of the thoracic wall. Especially in PT patients, the integrity of the respiratory system and especially, of the respiratory muscles is essential to prevent respiratory failure. Besides conservative treatment options, flail chest injuries may be surgically stabilized. However, this treatment option is rarely carried out and evidence on the outcome of surgically treated flail chest patients is rare. Objective: This study intends to investigate the clinical outcome of PT patients with the diagnosis of a flail chest who received an osteosynthetic stabilization for that compared to the same group of patients without an operative treatment. The between-groups outcome was compared regarding the duration of the total hospital and the intensive care unit (ICU) stay, the total of the invasive ventilation days, the incidence of pneumonia, and the dosage of the pain medication at the hospital discharge. Methods: A retrospective analysis was conducted including all PT patients who received an osteosynthetic stabilization of a flail chest. Furthermore, another cohort of PT patients and the diagnosis of a flail chest but without operative treatment was determined. Both groups were case-control matched for the Injury Severity Score (ISS) and age. Further statistical analysis was performed using the Wilcoxon signed-rank test and the McNemar’s test. Results: Out of eleven operatively and 59 conservatively treated patients, eleven patients per group were matched. Further analysis revealed no significant differences in the normal ward treatment duration (5.64 ± 6.62 and 6.20 ± 5.85 days), the invasive ventilation duration (was 6.25 ± 7.17 and 7.10 ± 6.14 days), the morphine equivalent dosage of the oral analgesia (61.36 ± 67.23 mg and 39.67 ± 65.65 mg), and the pneumonia incidence (36.4 and 54.5%) when conservatively and operatively treated patients were compared, respectively. However, surgically treated patients had a longer ICU (25.18 ± 14.48 and 15.27 ± 12.10 days, Z = −2.308, p = 0.021) and a longer total hospital treatment duration (30.10 ± 13.01 and 20.91 ± 10.34 days, Z = −2.807, p = 0.005) when compared to conservatively treated patients. Conclusion: In the present study cohort, there was no outcome difference between conservatively and operatively treated patients with the diagnosis of a flail chest regarding the normal ward treatment duration, the invasive ventilation duration, the morphine equivalent dosage of the oral analgesia, and the pneumonia incidence while ICU treatment duration and hospital treatment duration was longer in operatively treated patients.

show abstract

Multiple blunt trauma after suicidal attempt: an analysis of 4,754 multiple severely injured patients

Cited by 12 publications

References 23 publications

Suicidal intent as a risk factor for mortality in high-level falls: a comparative study of suicidal and accidental falls

Suicidal intent as a risk factor for mortality in high-level falls: a comparative study of suicidal and accidental falls

Traumatic injuries associated with suicide attempts: A retrospective study from single national level 1 trauma center

Retrospective Analysis of the Clinical Outcome in a Matched Case-Control Cohort of Polytrauma Patients Following an Osteosynthetic Flail Chest Stabilization

Contact Info

Product

Resources

About