Division of Trauma and Surgical Critical Care, Los Angeles Medical Center, University of Southern California, Los Angeles, CA 90033-4525, USA.
J Pediatr Surg. 2010 Apr;45(4):796-800. doi: 10.1016/j.jpedsurg.2009.08.006.
Recent reports have demonstrated increasing lethality among young women after inflicted injuries (SII). The aim of this study was to examine sex differences in the methods and outcomes of childhood and adolescent SII.
The National Trauma Databank (v 7.0) was used to identify all patients 18 years or younger who sustained a SII. Demographic data, clinical data, and outcomes were compared between male and female patients.
During the study period, a total of 1853 (61.1%) male and 1182 (38.9%) female patients sustained a SII. The most common SII mechanism in male patients was gunshot wound (32.1% vs 6.8%, P < .001); in female patients, poisoning (45.6% vs 9.6%, P < .001). For younger patients (<12 years) hanging was the most common method for both male and female patients (36.5% and 29.2%, respectively). The most lethal method in both male and female patients was gunshot wound (32.3% and 38.0%, respectively). This was followed by hanging which had a high rate of lethality particularly in male adolescents 14 years or younger (36.5% and 33.2% for males <12 years and 12-14 years, respectively).
Self-inflicted injuries in childhood and adolescence show distinct sex differences primarily with regard to mechanism. Males favor shooting; females, poisoning; younger ages, hanging. Gunshot wound and hanging were the 2 most lethal methods of self-inflicted injury.
最近的报告表明，遭受伤害后（SII）年轻女性的死亡率不断上升。本研究旨在探讨儿童和青少年 SII 中性别差异的方法和结果。
使用国家创伤数据库（v 7.0）确定所有 18 岁或以下遭受 SII 的患者。比较男女患者的人口统计学数据、临床数据和结局。
在研究期间，共有 1853 名（61.1%）男性和 1182 名（38.9%）女性患者遭受 SII。男性患者最常见的 SII 机制是枪击伤（32.1%比 6.8%，P<0.001）；女性患者最常见的机制是中毒（45.6%比 9.6%，P<0.001）。对于年龄较小的患者（<12 岁），男女患者最常见的自杀方式都是上吊（分别为 36.5%和 29.2%）。男女患者中最致命的方法都是枪击伤（分别为 32.3%和 38.0%）。其次是上吊，尤其是在 14 岁或以下的男性青少年中（<12 岁和 12-14 岁的分别为 36.5%和 33.2%）。
儿童和青少年的自伤行为主要表现出明显的性别差异，主要表现在机制上。男性倾向于枪击，女性倾向于中毒，年龄较小的患者倾向于上吊。枪击伤和上吊是自伤行为中最致命的两种方法。
