Verletzungen des Kopfes und des Halses in suizidaler Absicht

Herzog, Mackenzie M.; Hoppe, Florian; Baier, G.; Dieler, R.

doi:10.1055/s-2004-825873

Cited by 19 publications

(5 citation statements)

References 4 publications

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“…Similar treatment patterns were reported by other authors [3,9-11]. Cut throat injuries require a multidisciplinary approach involving the anesthetist and psychiatrists working in conjunction with the Otolaryngologist and could be managed with better prognosis if the patients present early to the hospital and are given prompt attention [11,14,15]. In this study, all patients that attempted suicide were considered for the psychiatric consultation.…”

Section: Discussionsupporting

confidence: 65%

“…The anesthetist secures an uncompromised airway and makes sure the patient is breathing; the otolaryngologist assesses the injury and repairs the severed tissues with the aim of restoration of swallowing, phonation and breathing. The psychiatrist provides adequate care and supervision during and after surgical treatment [9,11,14,15]. However, in most developing countries such as Tanzania, late presentation to health facilities coupled with lack of advanced pre-hospital and ineffective ambulance system for transportation of patients to hospital care contributes significantly to increasing morbidity and mortality [9,16,17].…”

Section: Introductionmentioning

confidence: 99%

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Cut throat injuries at a university teaching hospital in northwestern Tanzania: a review of 98 cases

2014

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BackgroundCut throat injuries though rarely reported in literature pose a great therapeutic challenge because multiple vital structures are vulnerable to injuries in the small, confined unprotected area. A sudden increase in the number of cut throat patients in our centre in recent years prompted the authors to analyze this problem. This study was conducted in our local setting to describe the etiology, patterns and treatment outcome of these injuries.MethodsThis was a combined retrospective and prospective study of cut throat injury patients who were managed at Bugando Medical Centre between February 2009 and January 2013. Statistical data analysis was done using SPSS software version 17.0.ResultsA total of 98 patients with cut throat injuries were studied. Males outnumbered females by a ratio of 2.4: 1. The median age of patients was 26 years (range 8 to 78 years). Majority of patients (79.6%) had no employment and most of them (65.3%) came from rural community. Homicide was the commonest (55.1%) cause, followed by suicidal attempts (34.7%) and accidental (10.2%) injuries. Interpersonal conflict (24.4%) was the most common motivating factor for homicidal injury whereas psychiatric illness (16.2%) and road traffic accidents (9.2%) were the most frequent motivating factors of suicidal attempt and accidental injuries respectively. The majority of injuries were in Zone II accounting for 65.3% of cases and most of them had laryngeal (57.1%) injury. Surgical debridement, laryngeal/hypopharynx repair and tracheostomy were the most common surgical procedures performed in 93.9%, 73.5% and 70.4% of patients respectively. Postoperative complication rate was 57.1%, the commonest being surgical site infections in 28.1% of patients and it was significantly associated with late presentation and anatomical zones (P < 0.001). The overall median duration of hospitalization was 12 days. Patients who had postoperative complications stayed longer in the hospital and this was statistically significant (p = 0.011). Mortality rate was 11.2% and was significantly associated with co-morbidities, delayed presentation and presence of complications (p < 0.001). The follow up of patients was poor.ConclusionsCut throat injuries are a major cause of morbidity and mortality among young adult males in our setting. Addressing the root causes of violence such as poverty, unemployment, and substance abuse will reduce the incidence of these injuries in our environment.

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Section: Discussionsupporting

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Cut throat injuries at a university teaching hospital in northwestern Tanzania: a review of 98 cases

2014

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“…When they occur, a multi disciplinary approach is required in the effective management of affected patients [7]. This requires the close collaboration of the Otolaryngologist, the anesthetist and the psychiatrist.…”

Section: Discussionmentioning

confidence: 99%

“…Cut throat injuries with suicide as the motivating factor usually require rapid and interdisciplinary treatment [7]. The anesthetist and psychiatrists working in conjunction with the Otolaryngologist should manage these patients.…”

Section: Introductionmentioning

confidence: 99%

Management of suicidal cut throat injuries in a developing nation: three case reports

et al. 2010

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IntroductionSuicidal cut throat injuries are either unreported or fortunately rare in our country. The management of these injuries requires a multi-disciplinary approach.Case presentationsThis paper presents our experiences with managing three unemployed adult Nigerian males - two of Hausa ethnicity and one from the Tiv ethnic group presenting with cut throat injuries following suicidal attempts.ConclusionThe purpose of these reports is to emphasize that suicidal cut throat injuries do occur in our environment and there is a need for the collaboration of the otorhinolaryngologist, anesthesiologist and psychiatrist in the effective management of these patients. We recommend the socioeconomic improvement of individuals as a way of reducing the incidence of these injuries as unemployment was cited as a motivating factor for suicide in our patients. Ways must also be found to identify the many people in society without mental disorders who are at risk of suicidal behaviors.

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“…multiple superficial cut marks are diagnostic of suicidal cut throat injury. Psychiatrist provides adequate support and care after surgical treatment [9]. Majority of cases were males with history of psychiatric illness and drug abuse.…”

Section: Introductionmentioning

confidence: 99%

An Epidemiological Study of Cut Throat Injury During COVID-19 Pandemic in a Tertiary Care Centre

Acharya¹,

Dash²,

Das³

et al. 2020

Indian J Otolaryngol Head Neck Surg

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To find out incidence, prevalence, various modes and pattern of cutthroat injury during COVID-19 pandemic and compare with prior non pandemic period. To find out the various factor influencing the suicidal cutthroat and establish the temporal association of suicidal cutthroat with COVID-19 pandemic. It is a retrospective study of cutthroat patients who were managed in ENT Dept. VIMSAR, Burla, Sambalur, Odisha, India from 1st September 2019 to 31st August 2020. Source of information are casualty, IPD and OT registers and online data. Total cases were divided into group-A (prior to COVID-19 pandemic) and group-B (during COVID-19 pandemic) and analysed. Total 24 cutthroat injury cases were treated over 1 year in department of ENT, VIMSAR, Burla, which was 0.054% of total cases attended at casualty and 2.371% of total IPD patients treated. In GROUP-A, total 10 cases with M:F = 9:1,suicidal 4 cases (40%), homicidal 6 cases (60%), and no accidental cases were recorded. While in GROUP-B, total 14 case with M:F = 14:0, suicidal 9 cases (64.28%), homicidal 3 cases (21.42%) and accidental 2 (14.28%) cases were recorded. In our study majority of cases were male with M:F = 23:1. Common age group belongs to 20–30 years with LSES and farmer by occupation. Zone II injury had incidence of 70.83%. Homicide cases proportionally high during non-COVID period while suicide cases high during COVID-19 pandemic. Association of COVID-19 pandemic with suicidal cut throat injury is seems to be significant. Among predisposing risk factors for suicidal, depression during COVID-19 pandemic had seen in 53.84% of total suicidal cases. Incidence and prevalence of Cut throat injury is comparatively high in western odisha which again increases during months of July and August parallel to COVID-19 pandemic. The common mode of cutthroat injury is homicidal, which suddenly changes to suicidal during COVID-19 pandemic. More vulnerable groups were young unemployed male, farmers and labours. Cutthroat injury cases definitely increases during COVID-19 pandemic with most common mode of injury being suicidal attempt, which may be due to economical and psychological imbalances, due to loss of job and fear and social stigma for COVID-19 diseases.

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Verletzungen des Kopfes und des Halses in suizidaler Absicht

Abstract: The presented study emphasizes the need of immediate surgical and intensive care treatment of patients with head and neck injuries due to suicide attempts as well as an adequate psychiatric supervision during as well as after the surgical treatment.

Cited by 19 publications

References 4 publications

Cut throat injuries at a university teaching hospital in northwestern Tanzania: a review of 98 cases

Cut throat injuries at a university teaching hospital in northwestern Tanzania: a review of 98 cases

Management of suicidal cut throat injuries in a developing nation: three case reports

An Epidemiological Study of Cut Throat Injury During COVID-19 Pandemic in a Tertiary Care Centre

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