Intentional ingestions of foreign objects among prisoners: A review

Abstract

The intentional ingestion of foreign objects (IIFO) is described more commonly in prison populations than in the general population, with an estimated annual incidence of 1 in 1900 inmates in our state correctional facilities. Incidents often involve ingestion of small metal objects (e.g., paperclips, razor blades) or other commonly available items like pens or eating utensils. Despite ingestion of relatively sharp objects, most episodes can be clinically managed with either observation or endoscopy. Surgery should be reserved for those with signs or symptoms of gastrointestinal perforation or obstruction. For those with a history of IIFO, efforts should focus on prevention of recurrence as subsequent episodes are associated with higher morbidity, significant healthcare and security costs. The pattern of IIFO is often repetitive, with escalation both in frequency of ingestions and in number of items ingested. Little is known about successful prevention strategies, but efforts to monitor patients and provide psychiatric care are potential best-practice strategies. This article aims to provide state-of-the art review on the topic, followed by a set of basic recommendations.

Ingestion of foreign bodies among prisoners: a ten years retrospective study at University Hospital of Southern Italy

“…Secondary gain or undiagnosed psychiatric disease can explain the ingestion among prisoner population (6). Sugery is a very rare option.…”

Differences between intentional and accidental ingestion of foreign body in China

“…The patients who intentionally ingested FB form a special group. The study reported that the most commonly intentionally ingested objects included razor blades, batteries, and other sharp metallic items, which were not usually reported in the general population, and there was a greater demand for endoscopic and surgical interventions [6].…”

Patient Self-Harm in the Emergency Department: An Evidence- Based Approach

“…The need for prompt and effective management of DSH in the healthcare setting stems from the pattern of escalation and the high-risk of mortality among hospitalized patients [12,37]. Of concern, suicide and DSH are among the leading causes of death in the United States, and their incidence is projected to increase over the next 2 decades [38].…”