Self-immolation a common suicidal behaviour in eastern Sri Lanka

Intentional burns in Nepal: A comparative study

“…Of those that died, the %TBSA was significantly higher for intentional burns when compared to unintentional burns (median, 70 vs. 50%). The extensive body surface area involvement of intentional burns is consistent with reports from India of TBSA 45-63% [35,[39][40][41], TBSA 48% in Sri Lanka [37] and TBSA 45-76% reported for countries in the East Mediterranean Region [42]. The mortality rate for intentional burns in this study is lower than that reported of 80% for a study in India [41]; however, the mortality associated with self-inflicted burns is similar to that reported in India of 74.7% b u r n s x x x ( 2 0 1 5 ) x x x -x x x [39], 70% in Sri Lanka [37], and within the range of 56-79.6% reported for countries in the East Mediterranean Region [42].…”

“…While there was a high prevalence of illiteracy and basic education across both patient groups, a b u r n s x x x ( 2 0 1 5 ) x x x -x x x higher proportion of unintentional burn patients were illiterate (32 vs. 22%). These themes are frequently reported in studies in low-income countries, with females more frequently involved in self-inflicted burns [35][36][37][38], and such burns occurring among the socially oppressed and disadvantaged [9,24,38]. The young age (median 25 years) of patients with intentional burns in Asia may be related to the major changes happening at this age, the transition from youth to adulthood and youth to marriage [33].…”

“…Mortality rates were high for both selfharm and assault burns; however, self-harm patients had a significantly higher case fatality rate (62 vs. 39%). The median %TBSA [IQR] of those that died with self-harm burns was twice that of self-harm survivors (70% [60-85] vs. 35% [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40], p < 0.001); no significant gender difference was found (p = 0.401). Of psychosocial factors examined, those with self-inflicted burns were four times more likely to have a psychological condition and 1.6 times more likely not to have family support during their hospitalization than those patients with assault burns.…”

Survival probability in self immolation attempters: a prospective observational cohort study

“…When self-immolation or burns occurs in aged people, it is deeper and more severe, and as a result, the recovery rate and duration of survival in aged people are less than other groups. [22,23] In this study, more than 80% of self-immolations occurred in women, and similar results were achieved from most of other studies in developing countries such as Uzbekistan, [24] Afghanistan, [25] India, [26] and Sri Lanka; [11] however these results were different from other studies that were conducted in most of the developed countries such as Germany, [27] Australia, [28] Finland, [29] England and Wales [30] wheremost of the self-immolations were in men.…”

“…[10] Suicide is a complicated phenomenon which can be affected by various factors. [11,12] Suicide attempts in women are higher than in men, but deaths due to suicide in men are higher than in women. [13] The role of these factors in survival rate is not clear in people who have attempted suicide.…”