Clinical and Psychiatric Characteristics of Self-Inflicted Burn Patients in the United States

Rietschel, Carly; Reese, Jennifer Barsky; Hahn, A.; Fauerbach, James A.

doi:10.1097/bcr.0000000000000100

Cited by 13 publications

(4 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Self-inflicted burns results in worse outcomes compared to assault burns due to the complexity of intentional self-injury. Self-inflicted burn patients were 11 times more likely to report prior psychiatric treatment, four times more likely to have abused alcohol, report worse pre-burn mental health, and have greater propensity to repeat self-harm [16,17].…”

Section: Discussionmentioning

confidence: 99%

The epidemiologic characteristics and outcomes following intentional burn injury at a regional burn center

Atwell

Bartley

Cairns

et al. 2020

Burns

View full text Add to dashboard Cite

Introduction: Intentional burn injury outcomes are usually more severe, have a high mortality and are seen more often in low and middle-income countries. This study will examine the epidemiological characteristics of intentional burn injury patients and mortality outcomes at a regional Burn Center. Methods: This is a retrospective study of 11,977 patients admitted to a regional Burn center from 2002 to 2015.Variables analyzed were basic demographics (sex, age, and race), total body surface area of burn (%TBSA), presence of inhalation injury, Charlson comorbidity index, intent of injury, mortality, and hospital and ICU length of stay (LOS). Chi-square tests, bivariate analysis and logistic regression models were utilized to determine the effect of burn intent on outcomes. Results: Eleven thousand eight hundred and twenty-three (n = 11,823) adult and pediatric patients from 2002 to 2015 were included in the study. Three hundred and forty-eight (n = 348, 2.9%) patients had intentional burn injuries (IBI). Patients with IBI were younger, 26.5 AE 20 years compared to the non-intentional burn injury (NIBI) group (32 AE 22 years, p < 0.001). Mean %TBSA was significantly higher in the IBI vs. NIBI group at 14.6 AE 20 vs. 6.4 AE 10%, p < 0.001, respectively. Overall, Non-whites (n = 230, 66%) were more likely to have IBI, p < 0.001. Inhalation injury and mortality were statistically significant in the IBI group compared to the NIBI group, (n = 54,16%) vs. (n = 30, 9%) and (n = 649,6%) vs. (n = 329,2.9%), p < 0.001, respectively. Multivariate logistic regression did not show any significant increase in odds of mortality based on burn intent. In subgroup analysis of self-inflicted (SIB) vs. assault burns, SIB patients were significantly older, 38 years (AE14.7) vs. 22.4 years (AE20.5), p < 0.001 and had a higher %TBSA, 26.5 (AE29.6) vs. 10.3 (AE13.6), p < 0.001. Seventy three percent (n = 187, 73%) of assault burn patients were Nonwhite and Whites were more likely to incur self-inflicted burns, (n = 53% p < 0.001). Conclusion:We show that patients with intentional burn injuries have an associated increased %TBSA and inhalation injury without increased adjusted odds for mortality.Intentional burns increase health care expenditures. Violence prevention initiatives and access to mental health providers may be beneficial in reducing intentional burn injury burden.

show abstract

Section: Discussionmentioning

confidence: 99%

The epidemiologic characteristics and outcomes following intentional burn injury at a regional burn center

Atwell

Bartley

Cairns

et al. 2020

Burns

View full text Add to dashboard Cite

show abstract

“…Therefore, they require a high degree of self-regulation and EI. [4] This finding was supported with Rietschel et al (2015), [39] they illustrated that standards of care plays a great role in optimizing patients' clinical outcomes in burn units.…”

Section: Discussionmentioning

confidence: 62%

The effect of emotional intelligence intervention on nursing students’ practice and patients’ clinical outcomes at burn intensive care unit

Al-Metyazidy

El-Ghafar²,

Weheida³

2019

JNEP

View full text Add to dashboard Cite

Background and objective: Emotional intelligence in nursing practice helps students better deal with clinical pressures and communicates effectively with patients. Therefore, developing students' emotional maturity may seem more important than their physical responsibilities. The current study was carried out to evaluate the effect of emotional intelligence intervention on nursing students’ practice and their reflections on patients’ clinical outcomes at burn intensive care unit.Methods: This study was carried out in the Faculty of Nursing, Tanta University and Burn Intensive Care Unit at Tanta Emergency Hospital. A quasi experimental research design was utilized in the current study. A convenience sample of 120 undergraduate second year nursing students who studied critical care nursing course at academic year 2017-2018 were selected. They were divided into two equal groups, 60 students in each group as follows: Group I: Students were exposed to emotional intelligence intervention and clinical procedures. Group II: Students were exposed to clinical procedures only. In addition, a convenience sample of 60 adult critically patients with severe burn injury were selected and divided into two equal groups, 30 in each group as follow: Group I: Patients were exposed to intervention from nursing students who were undergoing emotional intelligence intervention during clinical procedures. Group II: Patients were exposed to intervention from nursing students who were trained on clinical procedures only. Three tools were used to collect the study data. Tool I: Emotional Intelligence Scale, Tool II: Nursing student's: observational checklist, and Tool III: Critically ill patient with severe burn injury’s clinical outcomes assessment.Results: There was a statistically significant improvement in the total practice mean score level among nursing students in group I than group II. Also, patients who received care from group I showed improvement in physical and psychological outcome compared to students in group II.Conclusions: Based on the results of the present study, it can be concluded that, merging emotional intelligence into practice is a favorable method which provides the undergraduate nursing students with a higher level of practice regarding burn intensive care unit. Students who acquired intelligence practice had a statistical significant effect on improving psychological and physical outcomes of patients with severe burn injury than nursing students who are not exposed to such emotional intelligence intervention during clinical practice. Recommendation: The emotional intelligence should be incorporated into the critical care nursing course and training the students’ about the appropriate way of implementation to improve their knowledge and practice and improve patients’ clinical outcomes.

show abstract

“…Psychogenic pain has also been shown in burn patients, particularly among patients with traumatic burn injuries from self-immolation, assault, or accident. 84 Advances in the treatment of patients in the acute phase of their burn injuries has led to marked improvements in survival rates of burn patients over the past few decades. However, research on the tremendous impact that prolonged pain and disfigurement have on long-term quality of life and functional status of these patients is only beginning to emerge.…”

Section: Introductionmentioning

confidence: 99%

“…Psychogenic pain has also been shown in burn patients, particularly among patients with traumatic burn injuries from self-immolation, assault, or accident. 84 …”

Section: Introductionmentioning

confidence: 99%

Adverse childhood experiences and burn pain: a review of biopsychosocial mechanisms that may influence healing

Werthman

Colloca

Oswald

2022

PR9

View full text Add to dashboard Cite

Adverse childhood experiences (ACEs) affect over half of the adults in the United States and are known to contribute to the development of a wide variety of negative health and behavioral outcomes. The consequences of ACE exposure have been studied in patient populations that include individuals with gynecologic, orthopedic, metabolic, autoimmune, cardiovascular, and gastrointestinal conditions among others. Findings indicate that ACEs not only increase risks for chronic pain but also influence emotional responses to pain in many of these individuals. A growing body of research suggests that these effects may be the result of long-lasting changes induced by ACEs in neurobiological systems during early development. However, one area that is still largely unexplored concerns the effects of ACEs on burn patients, who account for almost 450,000 hospitalizations in the United States annually. Patients with severe burns frequently suffer from persistent pain that affects their well-being long after the acute injury, but considerable variability has been observed in the experience of pain across individuals. A literature search was conducted in CINAHL and PubMed to evaluate the possibility that previously documented ACE-induced changes in biological, psychological, and social processes might contribute to these differences. Findings suggest that better understanding of the role that ACEs play in burn outcomes could lead to improved treatment strategies, but further empirical research is needed to identify the predictors and mechanisms that dictate individual differences in pain outcomes in patients with ACE exposure and to clarify the role that ACErelated alterations play in early healing and recovery from burn injuries.

show abstract

Clinical and Psychiatric Characteristics of Self-Inflicted Burn Patients in the United States

Cited by 13 publications

References 30 publications

The epidemiologic characteristics and outcomes following intentional burn injury at a regional burn center

The epidemiologic characteristics and outcomes following intentional burn injury at a regional burn center

The effect of emotional intelligence intervention on nursing students’ practice and patients’ clinical outcomes at burn intensive care unit

Adverse childhood experiences and burn pain: a review of biopsychosocial mechanisms that may influence healing

Contact Info

Product

Resources

About