Saaiq Muhammad, Ashraf Bushra
Department of Plastic Surgery and Burn Care Centre, Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan;
MCH Centre, Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan.
World J Plast Surg. 2014 Jul;3(2):107-14.
Self-inflicted burn injuries carry considerable mortality and morbidity among otherwise fit young individuals. This study assessed the epidemiologic pattern and outcome of these injuries in a burn care facility in Pakistan.
The study was carried out at Pakistan Institute of Medical Sciences (PIMS) Burn Care Centre in Islamabad over a period of 2 years. It included all adult patients of either gender, aged over 14 years who presented as cases of burn suicides and attempted burn suicides during the study period. Convenience sampling technique was employed. The sociodemographic profile of the patients, motives underlying the act of self-immolation, any underlying psychiatric illness, alcohol abuse, total body surface area (TBSA) burnt, depth of burn injury, associated inhalation injury, duration of hospital stay, and mortality were all recorded.
Seventy five patients (80.64%) were female while 18 patients (19.35%) were male. The overall mean age was 26.89±6.1 years (range=15-52 years). The affected TBSA ranged from 15%-100% with an overall mean of 69.30±25.42%. The hospital stay ranged from 1-37 days with a mean of 7.16±6.60 days. Marital conflicts constituted the most frequent motive underlying the suicidal attempts (n=57; 61.29%) followed by failed love affairs (n=9; 9.67%). There was an overall mortality of 84.95%. The most common sufferers of self inflicted burn injuries were young, married, illiterate housewives who were resident of rural area. Getting marriage was the most common triggering cause for such injuries.
There is need to institute appropriate preventive measures to address the issue in a national perspective.
在原本健康的年轻人群中，自残性烧伤导致相当高的死亡率和发病率。本研究评估了巴基斯坦一家烧伤护理机构中这些损伤的流行病学模式及转归。
本研究在伊斯兰堡的巴基斯坦医学科学研究所（PIMS）烧伤护理中心进行，为期2年。纳入所有年龄超过14岁的成年患者，无论性别，在研究期间因烧伤自杀及自杀未遂前来就诊。采用方便抽样技术。记录患者的社会人口学特征、自焚行为的潜在动机、任何潜在的精神疾病、酒精滥用情况、烧伤总面积（TBSA）、烧伤深度、合并吸入性损伤、住院时间及死亡率。
75例患者（80.64%）为女性，18例患者（19.35%）为男性。总体平均年龄为26.89±6.1岁（范围=15 - 52岁）。烧伤总面积范围为15% - 100%，总体平均为69.30±25.42%。住院时间为1 - 37天，平均为7.16±6.60天。婚姻冲突是自杀未遂最常见的潜在动机（n = 57；61.29%），其次是恋爱失败（n = 9；9.67%）。总体死亡率为84.95%。自残性烧伤最常见的受害者是农村地区年轻、已婚、文盲的家庭主妇。结婚是此类损伤最常见的触发原因。
需要从国家层面制定适当的预防措施来解决这一问题。
