Rocos Brett, Chesser Tim J
Brett Rocos, Tim J Chesser, Department of Trauma and Orthopaedics, Southmead Hospital, Bristol BS10 5NB, United Kingdom.
World J Orthop. 2016 Mar 18;7(3):182-7. doi: 10.5312/wjo.v7.i3.182.
Suicide as a cause of death, affects every health system, and is a particular problem in heavily urbanised states and low and middle income countries (which account for 75% of suicide deaths). The World Health Organisation records that 800000 commit suicide each year, representing 1.4% of annual global deaths, and that suicide was the second leading cause of death in 15-29 year-olds across the world in 2012. In the United Kingdom, jumping from height accounts for 3%-5% of the 140000 suicide attempts annually is similar incidence to the rest of Europe. The Medline and EMBASE were interrogated for studies examining suicide caused by jumping from height. Manual screening of titles and abstracts was used to identify relevant works before data was extracted and systematically reviewed to identify the characteristics of a patient who jumps from height to commit suicide, delineate their patterns of injury and explore techniques that could be used to limit its occurrence. Emergency departments receiving patients who jump from a height need to have an understanding of the potential pathology that is likely to be encountered in order to deliver multidisciplinary, efficient and timely care in order that the impact of this devastating physical, psychological and social problem could modified to the benefit of the patients involved.
自杀作为一种死因,影响着每个卫生系统,在高度城市化的国家以及低收入和中等收入国家(占自杀死亡人数的75%),这是一个尤为突出的问题。世界卫生组织记录显示,每年有80万人自杀,占全球年度死亡人数的1.4%,并且在2012年,自杀是全球15至29岁人群的第二大死因。在英国,每年14万次自杀未遂事件中,从高处跳下的占3%至5%,这一发生率与欧洲其他地区相似。检索了Medline和EMBASE数据库中关于高处跳下导致自杀的研究。在提取数据并进行系统综述之前,通过手动筛选标题和摘要来识别相关文献,以确定从高处跳下自杀患者的特征,描绘他们的损伤模式,并探索可用于减少此类事件发生的技术。接收从高处跳下患者的急诊科需要了解可能遇到的潜在病理情况,以便提供多学科、高效且及时的护理,从而减轻这一毁灭性的身体、心理和社会问题对相关患者的影响。