دورية أكاديمية

Psychiatric Risk Factors and Burn Severity in Self-immolation.

التفاصيل البيبلوغرافية
العنوان: Psychiatric Risk Factors and Burn Severity in Self-immolation.
المؤلفون: Thippaiah, Srinagesh Mannekote, Ayub, Ibraheim, Challita, Youssef P, Ramos, Gilbert, Richey, Karen J, Foster, Kevin N
المصدر: Journal of Burn Care & Research; Jul/Aug2024, Vol. 45 Issue 4, p851-857, 7p
مصطلحات موضوعية: MENTAL health services, SELF-immolation, SUBSTANCE abuse, DEATH rate, PATIENT care
مستخلص: Self-immolation, a form of self-harm involving setting oneself on fire, is associated with high mortality, morbidity, and healthcare burden. This study aimed to characterize potential clinical correlates and predisposing factors for self-immolation based on burn severity using TBSA percentage scoring. Additional objectives included identifying motivational elements, associated risk factors, and clinical characteristics to optimize patient care and reduce future self-immolation incidents. A retrospective review of admissions to the Arizona Burn Center from July 2015 to August 2022 identified 103 self-immolation patients for the study. Burn severity was categorized as mild to moderate (TBSA < 20%) or severe (TBSA ≥ 20%) based on TBSA. This study population had a mortality rate of 21%. Positive urine drug screens were found in 44% of subjects, and 63% having chronic substance use, with methamphetamine (37%) and alcohol (30%), being the most prevalent. Underlying psychiatric illnesses were present in 83% of patients. Suicidal intent strongly predicted severe burns (P <.001) among the 68 severe burn cases identified. In conclusion, this study emphasizes that the presence of suicidal intent among self-immolation patients significantly correlates with burn severity. These findings highlight the importance of involving psychiatric services early in patient care to improve outcomes and reduce the recurrence of self-immolation acts. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:1559047X
DOI:10.1093/jbcr/irae031