Al-Zacko S M
Consultant Plastic Surgeon, Assistant Professor, Head- Department of Surgery, College of Medicine, University of Mosul, Iraq.
Ann Burns Fire Disasters. 2012 Sep 30;25(3):121-5.
A cross-sectional study was conducted to investigate the different characteristics of attempted suicide by self-inflicted burn cases compared with other accidental burn cases admitted to the Burns Unit in Al-Jumhoori Teaching Hospital in Mosul over a one-year period from March 1, 2011 to March 1, 2012. Of 459 burn cases, 103 (22.44%) had self-inflicted burns. The mean total body surface area of suicide attempters was 61%, markedly higher than in other cases (20%) (P= 0.0001). Among all self-inflicted burn cases, burns were caused by flame, while scald was the commonest cause (56.5%) in accidental burns. There was a significant difference in the sex ratio between self-inflicted burn cases (1:11.9) and accidental burn cases (1:1) (P = 0.0001). Case fatality rates for self-inflicted burn and accidental burn cases were 80.6% and 14.9%, respectively. The overall mean ages for self-inflicted burn and accidental burn cases were 24.3 and 15.6 years, respectively. Compared to all other burn cases, self-inflicted burn cases had a significantly larger mean percentage of surface body area burned (61.0±28.2 versus 20.7±15.8; P = 0.0001). In conclusion, self-inflicted burns remain a common cause of admission to our burn unit. The extent of burns is often large, since most suicide attempters use an accelerant that accounts for the high mortality in this group.
在摩苏尔的朱胡里教学医院烧伤科，于2011年3月1日至2012年3月1日的一年时间里，开展了一项横断面研究，以调查自伤性烧伤自杀未遂病例与其他意外烧伤病例的不同特征。在459例烧伤病例中，103例（22.44%）为自伤性烧伤。自杀未遂者的平均全身表面积为61%，明显高于其他病例（20%）（P = 0.0001）。在所有自伤性烧伤病例中，烧伤由火焰引起，而在意外烧伤中，烫伤是最常见的原因（56.5%）。自伤性烧伤病例与意外烧伤病例的性别比存在显著差异（1:11.9与1:1）（P = 0.0001）。自伤性烧伤和意外烧伤病例的病死率分别为80.6%和14.9%。自伤性烧伤和意外烧伤病例的总体平均年龄分别为24.3岁和15.6岁。与所有其他烧伤病例相比，自伤性烧伤病例的平均烧伤体表面积百分比显著更大（61.0±28.2对20.7±15.8；P = 0.0001）。总之，自伤性烧伤仍然是我们烧伤科常见的入院原因。烧伤程度通常较大，因为大多数自杀未遂者使用了助燃剂，这导致了该组的高死亡率。
