Mental illness as a contributor to intentional self inflicted suicidal burn injury

Shahana, Nahid; Turin, Tanvir Chowdhury; Rumana, Nahid; Rahman, AFM M; Hossain, Sharmin; Nahar, Saifun

doi:10.3329/jdnmch.v18i1.12242

Cited by 4 publications

(4 citation statements)

References 31 publications

(25 reference statements)

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“…Another study by comparing the mental risk factors in low and high income countries concluded that the self-immolation is connected with history of mental problem and drug abuse [7]. Shahana et al ., also found in their review study that 43 to 91 percent of self-immolation cases had mental health problems [56]. Study of Ramim et al ., (2013) among patients of a burns ward in Tehran, Iran found that 94% of the self-immolation cases had introduced the physical and verbal violence as the cause of their action [57].…”

Section: Discussionmentioning

confidence: 98%

Self-immolation in Iran: Systematic Review and Meta-analysis

Saadati

Azami-Aghdash

Heydari

et al. 2019

BEAT

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Objective:To perform a systematic review and meta-analysis of self-immolation epidemiology and characteristics in Iran. Methods:This was a systematic review and meta-analysis study. PubMed, Scopus, Web of science and Science Direct were searched for English literature and SID and Magiran for Persian in the time period of 2000 to 2016. The retrieved studies were screened and reviewed then quality assessed. Random Effect model was applied for meta-analysis. The qualitative data were analyzed by content analysis method. Results:After literature screening, 39 studies included in the analysis. Women were subject to self-immolation more than men. The rate of self-immolation estimated to be 4.5 cases in every 100,000 populations and it was the reason of 16% of hospitalized burns. The average length of hospital stay calculated to be 12.24 (95% CI: 8.85-15.59) days. The total burnt surface area was 65.3% (95% CI: 56.71-73.89). Death due to self-immolation was 62.1%. The major risk factors of self-immolation were having mental health issues, family problems and characteristics and problems in relation/communication with spouses. Conclusion:Despite the low rate of self-immolation in Iran, it comprises one sixth of the hospitalized burns. The mortality rate of self-immolation also is high and this highlights the importance of providing special care. Psychological consultations and mental health screening in the primary health care would help to prevent the self-immolation.

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Section: Discussionmentioning

confidence: 98%

Self-immolation in Iran: Systematic Review and Meta-analysis

Saadati

Azami-Aghdash

Heydari

et al. 2019

BEAT

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“…According to a study conducted by Poeschla et al the main reasons were mental disorders and drug addiction in high-income countries, as well as family disputes and marital issues in low-income countries (21). Shahana et al expressed that 43-91% of the self-immolation cases occur due to mental problems (29). In a systematic review and meta-analysis carried out by Saadati et al, mental and family problems, as well as difficulty in making a relationship with a spouse were the most common reasons for selfimmolation (28).…”

Section: Discussionmentioning

confidence: 99%

Epidemiological study of self-immolated patients referring to Velayat burn and reconstructive surgery center of Rasht

2020

jsurgery

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Introduction: Self-immolation is a deadly and painful issue that incurs high costs socially and individually. People who self-immolatearehardly cured and they will undergo serious mental and physical complications. This study aimed to determine the epidemiological distribution of self-immolated patients referring to Velayat Burn and Reconstructive Surgery Center in Rasht, Iran. Methods: This study was conducted based on a descriptive and cross-sectional design in Velayat Hospital in Rasht, Guilan province. The sample included all cases of self-immolation referring to Velayat Hospital from the beginning of April 2009 to the end of March 2017.The total number of self-immolated patients referred to hospital and registered was 96 individuals. Data were extracted from patients’ records using a researcher-made checklist. Descriptive statistics, such as mean, standard deviation, and analytical tests such as Poisson and multivariate logistic regression have been used for data analysis. Data were completely analyzed using STATA-SE software (version 13.1). Results: According to the results, 51% of the patients were female, and 67% of the cases were married; moreover, 43% of the females were housewives, and 42 % of the patients had a history of mental illness. It is worth mentioning that91% of the cases had no history of self-immolation. The most common reasons for self-immolation has been mental disorders (38.5%) and family problems (37.5%). The frequency of the rate of self-immolation has been almost equal in urban and rural areas, whereas the majority of the cases were observed in Rasht, Talesh, and Lahijan. In total, 60% of the patients died. The mean±SD age, total body surface area (TBSA), and hospitalization period were 37.5±1.5 years, 61.3±2.8, and 9.3±8 days, respectively. Analysis of regressions shows that the mortality rate has a direct and significant relationship with age and TBSA. Moreover, hospitalization time has a direct relationship with gender (i.e., male), TBSA, history of mental disease, previous records of suicide, and marital status (i.e., being married). However, it has a negative relationship with age and education. Conclusions: The level of burns is high in patients who are self-immolating, and mental disorders and familial problems have been the main reason for it. Therefore, although the frequency of self-immolation rate is lower, compared to other suicide methods, thesesmall groups of patients need special care due to the high rate of mortality.

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“…12,13,14 Although the incidence of SIB represents a small percentage of burn patients, the potential economic burden on hospital and health care services is high. 15 In a study looking at selfinflicted burn injury in an Australian burn unit, the average hospital length of stay for selfinflicted burn injury was 52 days compared to 12 days burn unit average. 16 Another study showed that 39% of self-inflicted burn patients required ICU admission, 70% needed surgery and more than 30% had % TBSA greater than 30%.…”

Section: Discussionmentioning

confidence: 99%

Incidence of self-inflicted burn injury in patients with Major Psychiatric Illness

Atwell

Bartley

Cairns

et al. 2019

Burns

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Introduction: Psychiatric disorders are mental illnesses that impair judgment, thought process and mood that can result in physical and emotional disability. According to DSM-IV, mental disorders increases risk of traumatic injury, particularly burn. 1 However, there are few studies that look at patients with pre-existing major psychiatric disorders and burn outcomes. We aim to assess the incidence and intentionality of burn injury in patients with pre-existing psychiatric disorders. Methods: This is a retrospective study of patients admitted to the UNC Jaycee Burn Center from 2002-2015 and entered in the burn registry. Variables analyzed include basic demographics, insurance status, total body surface area (TBSA) of burn, Charlson comorbidity index (CCI), burn etiology, presence of inhalation injury, burn circumstance, intensive care unit (ICU) and hospital length of stay (LOS) and mortality. Chi-square, Analysis of Variance (ANOVA), Kruskal-Wallis test and Multivariate logistic regression was used to analyze the data. Results: 11,650 adult and pediatric patients were entered in the burn registry from 2002-2015 and 494 (4.2%) adult and pediatric patients had preexisting major psychiatric illness (MPI). Within the large cohort of admitted burn patients, 90 (0.8 %) patients presented with self-inflicted burn injuries. 41% of patients with SIB (n=37/90) had MPI. The incidence of self-inflicted burn injury (SIB) within the MPI (n=494) cohort was 7.5% (n=37). Mean age of patients with and without self-inflicted burn injury was 35.3 (±11.6) vs. 41.8 (±17.3), respectively. Mean TBSA was significantly higher in patient with SIB at 18.6(±16.5) vs. 8.5(±12.2) p<0.001. Non-white race had significantly higher rate of SIB compared to white cohort. There was no significant difference in mortality rates between SIB and Non-SIB (5.4% vs. 3.7%, p=0.609), respectively. Median Hospital LOS was significantly increased in patients with SIB compared to NSIB 31 (IQR=55) vs. 9 (IQR=20) days, p=0.004. Multivariate logistic regression for predictors of self-inflicted burn injury showed that minorities were more likely to incur self-inflicted burn injury among patients with major psychiatric illnesses.

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Mental illness as a contributor to intentional self inflicted suicidal burn injury

Cited by 4 publications

References 31 publications

Self-immolation in Iran: Systematic Review and Meta-analysis

Self-immolation in Iran: Systematic Review and Meta-analysis

Epidemiological study of self-immolated patients referring to Velayat burn and reconstructive surgery center of Rasht

Incidence of self-inflicted burn injury in patients with Major Psychiatric Illness

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