Castana O, Kourakos P, Moutafidis M, Stampolidis N, Triantafyllou V, Pallantzas Ath, Filippa E, Alexandropoulos C
Plastic and Reconstructive Surgery Department.
Ann Burns Fire Disasters. 2013 Mar 31;26(1):36-9.
Cases in which people use fire when attempting or committing suicide are not common but nevertheless constitute a cause of admission to burns units worldwide. Usually these people are suffering from stress and have been diagnosed as mentally ill. Schizophrenia, depression, and personality disorders are the most frequently diagnosed conditions. The psychological problems appear to have been overlooked by the family or not to have been presented to them. The aim of this study is to present the clinical features, characteristics, and outcomes of patients burned during a suicide attempt. The role of the psychiatrist is important, starting in the emergency room. The incidence of patients committing self-injury by burning appears to be higher in women burn patients. Deceased patients usually have a larger extent of burns and a higher incidence of other injuries and require more surgical procedures and longer hospitalization times. The problems for burn unit staff and qualified psychiatric care are discussed.
人们在企图自杀或自杀过程中使用火的案例并不常见，但却是全球烧伤科收治患者的一个原因。通常这些人承受着压力，并且已被诊断患有精神疾病。精神分裂症、抑郁症和人格障碍是最常被诊断出的病症。这些心理问题似乎被家人忽视了，或者家人并未告知医生。本研究的目的是呈现自杀未遂时烧伤患者的临床特征、特点及预后情况。从急诊室开始，精神科医生的作用就很重要。女性烧伤患者中通过烧伤进行自我伤害的患者发生率似乎更高。死亡患者通常烧伤面积更大，其他损伤的发生率更高，需要更多的外科手术且住院时间更长。文中还讨论了烧伤科工作人员面临的问题以及合格的精神科护理。
