Tahir Syed Mohammed, Memon Abdul Razak, Kumar Mahesh, Ali Syed Asad
Department of Plastic & Burn Surgery, Liaquat University of Medical & Health Sciences, Jamshoro, Sindh, Pakistan.
J Pak Med Assoc. 2010 May;60(5):338-41.
To highlight the demographic profile, various methods of self inflicted burn, and to probe into the problem by knowing various precipitating factors that may lead to self inflicted burn in our part of the country.
This is a study of 154 cases of self-inflicted burns treated at the Burn Emergency Unit of Liaquat University of Medical and Health Sciences Jamshoro Pakistan, during a period of 08 years. These self inflicted burns, were divided into two groups, those with suicidal intent called suicide attempter and those who mutilate themselves as self immolator. Except that these patients throughout the period of their hospital stay were under surveillance of a psychiatrist, they were managed according to the routine protocol of our unit. The patients were analyzed with respect to age, sex, method used for self inflicted burns, place of burn, psychiatric history, interpersonal problems, total body surface area (TBSA) burnt, depth of burn and outcome. The continuous variables were compared using t-test while for categorical data chi-square test was used. SPSS 15 was used as statistical software.
The prevalence of self inflicted burns was 9.80% with a consistent rise in number of self inflicted burns from 2001 through 2008. The self immolators were significantly younger then suicide attempters. Males dominated in self immolators, while in suicide attempters female outnumbered males. The mean TBSA affected was significantly higher in suicide attempters when compared to self immolators. The mean hospital stay did not differ significantly in both groups. The mortality for self immolators was 6.38%, in contrast to suicide attempter where it was 33.65%.
The radical change in the socioeconomic condition of common people, traditional joint family system, political system and justice, has reflected as increased prevalence of self infliction both as self mutilators and suicide attempters.
强调人口统计学特征、各种自我烧伤的方式，并通过了解我国该地区可能导致自我烧伤的各种诱发因素来探究这一问题。
本研究对在巴基斯坦詹姆肖罗利亚卡特医科与健康科学大学烧伤急诊室接受治疗的154例自我烧伤病例进行了为期8年的研究。这些自我烧伤病例分为两组，有自杀意图的称为自杀未遂者，以及自焚自残者。除了这些患者在住院期间全程接受精神科医生的监护外，他们按照我们科室的常规方案进行治疗。对患者的年龄、性别、自我烧伤所采用的方法、烧伤部位、精神病史、人际关系问题、烧伤的总体表面积（TBSA）、烧伤深度和预后进行了分析。连续变量采用t检验进行比较，分类数据则使用卡方检验。使用SPSS 15作为统计软件。
自我烧伤的患病率为9.80%，从2001年到2008年自我烧伤的数量持续上升。自焚自残者明显比自杀未遂者年轻。自焚自残者中男性占主导，而自杀未遂者中女性多于男性。与自焚自残者相比，自杀未遂者受影响的平均总体表面积明显更高。两组的平均住院时间没有显著差异。自焚自残者的死亡率为6.38%，相比之下自杀未遂者的死亡率为33.65%。
普通民众社会经济状况、传统大家庭制度、政治制度和司法的根本变化，已反映为自我伤害（包括自残者和自杀未遂者）患病率的上升。
