Palmu Raimo, Isometsä Erkki, Suominen Kirsi, Vuola Jyrki, Leppävuori Antero, Lönnqvist Jouko
Helsinki City Eastern Centre, Department of Mental Health, Helsinki, Finland.
Burns. 2004 Aug;30(5):443-7. doi: 10.1016/j.burns.2004.01.020.
The aim of this study was to investigate differences in characteristics of burn patients who had attempted suicide, as compared with other burn patients admitted to the Helsinki Burn Centre during 1989-97. Burn patients were first drawn from a computerised register, after which a psychiatrist examined their medical records and ascertained the suicide attempters. Of the total of 811 burn patients, 46 (5.7%) had attempted suicide. The median total body surface area (TBSA) of suicide attempters (24.0%) was markedly higher than in the other patients (6.0%, P < 0.001). Flame was a much more common cause of burns among suicide attempters (82.1%) than among the remainder (44.5%, P < 0.001). Suicide attempters were also more often unemployed (28.2 versus 12.9%) or on disability pension (30.8 versus 7.1%) before the injury (P < 0.001). Although the proportion with self-inflicted burns among all burn patients was not high, the markedly higher severity of their burns makes them an important clinical subgroup for further study.
本研究的目的是调查与1989年至1997年期间入住赫尔辛基烧伤中心的其他烧伤患者相比，有自杀企图的烧伤患者在特征上的差异。首先从计算机登记册中提取烧伤患者，然后由精神科医生检查他们的病历并确定自杀未遂者。在总共811名烧伤患者中，有46名（5.7%）曾试图自杀。自杀未遂者的全身表面积（TBSA）中位数（24.0%）明显高于其他患者（6.0%，P<0.001）。与其余患者（44.5%，P<0.001）相比，火焰是自杀未遂者中更常见的烧伤原因（82.1%）。自杀未遂者在受伤前失业（28.2%对12.9%）或领取残疾抚恤金（30.8%对7.1%）的情况也更常见（P<0.001）。虽然在所有烧伤患者中，自伤烧伤的比例不高，但他们烧伤的严重程度明显更高，这使他们成为一个重要的临床亚组，有待进一步研究。
