Daniels S M, Fenley J D, Powers P S, Cruse C W
Department of Surgery, University of South Florida College of Medicine, Tampa.
J Burn Care Rehabil. 1991 Mar-Apr;12(2):144-7. doi: 10.1097/00004630-199103000-00011.
In this 10-year retrospective survey of 2216 admissions to a regional burn center, 15 patients (0.67%) had self-inflicted burn wounds. The burns were serious, with a mean abbreviated burn severity index of 11.2, and eight patients died of their injuries. Nine patients had a documented history of psychiatric problems, seven of whom had undergone a previous psychiatric hospitalization. A psychiatric assessment was obtained for 12 patients immediately after self-immolation, and all but one had a major psychiatric disorder. Seven patients had major depression and four had chronic paranoid schizophrenia. Motives were assessed, both by chart review and by interview of five available survivors and of relatives of nonsurvivors. Fewer than half actually intended to kill themselves; equally important was the theme of attempting to control internal psychotic states.
在对一家地区烧伤中心2216例入院病例进行的这项为期10年的回顾性调查中，15名患者（0.67%）有自伤烧伤创面。烧伤情况严重，简略烧伤严重程度指数平均为11.2，8名患者因伤死亡。9名患者有精神疾病记录史，其中7人曾接受过精神科住院治疗。12名患者在自焚后立即接受了精神科评估，除1人外均患有重度精神障碍。7名患者患有重度抑郁症，4名患者患有慢性偏执型精神分裂症。通过病历审查以及对5名在世幸存者和非幸存者亲属的访谈来评估动机。实际上打算自杀的人不到一半；同样重要的是试图控制内心精神状态这一主题。
