Al-Thani Hassan, Mekkodathil Ahammed, Consunji Rafael, Mollazehi Monira, Ammar Adham A, Parchani Ashok, Jogol Hisham, Hakim Suhail Y, Kanbar Ahad, El-Menyar Ayman
Department of Surgery, Trauma and Vascular Surgery, Hamad General Hospital, Doha, Qatar.
Department of Surgery, Clinical Research, Trauma and Vascular Surgery, Hamad General Hospital, Doha, Qatar.
Int J Crit Illn Inj Sci. 2020 Apr-Jun;10(2):92-98. doi: 10.4103/IJCIIS.IJCIIS_64_19. Epub 2020 Jun 8.
Suicide is a complex phenomenon involving several risk factors. We aimed to describe the frequency, pattern, and outcomes of patients with traumatic injuries following suicide attempts admitted to a level 1 trauma center.
We conducted a retrospective analysis of data obtained from Qatar National Trauma Registry and mortuary database. The study included all patients with traumatic injuries following suicide attempts, admitted to the Hamad Trauma Center (HTC) from April 2008 to March 2018.
During this 10-year period, 206 patients were admitted to the HTC for injuries associated with suicide attempts. The majority were males (76%), young age (mean age 31 years), and expatriates specifically from South Asia (55%). The most common injury was due to self-inflicted cutting and piercing (51%) followed by jumping from height (30%). Females chose jumping from high place more often as a method of suicide attempt (59% vs. 20%), while males chose self-stabbing or cutting their throat (59% vs. 25%) ( = 0.001). Most of the patients had head injuries (30%) that was severe in terms of abbreviated injury scale score (3.6 ± 0.9). More than half (54%) of the patients required psychiatric consultations. The in-hospital mortality was 8% which was comparable in both genders.
The present study revealed that 1.8% of trauma admissions at HTC were related to suicidal attempts. Better understanding of risk factors is important in devising preventive strategies.
自杀是一种涉及多种风险因素的复杂现象。我们旨在描述入住一级创伤中心的自杀未遂后创伤患者的频率、模式和结局。
我们对从卡塔尔国家创伤登记处和停尸房数据库获得的数据进行了回顾性分析。该研究纳入了2008年4月至2018年3月期间入住哈马德创伤中心（HTC）的所有自杀未遂后创伤患者。
在这10年期间，有206例患者因自杀未遂相关损伤入住HTC。大多数为男性（76%），年龄较轻（平均年龄31岁），特别是来自南亚的外籍人士（55%）。最常见的损伤是自残切割和刺伤（51%），其次是高处跳下（30%）。女性更常选择高处跳下作为自杀未遂方式（59%对20%），而男性则选择自我刺伤或割喉（59%对25%）（P = 0.001）。大多数患者有头部损伤（30%），就简明损伤量表评分而言较为严重（3.6±0.9）。超过一半（54%）的患者需要精神科会诊。院内死亡率为8%，两性相当。
本研究表明，HTC创伤入院患者中有1.8%与自杀未遂有关。更好地了解风险因素对制定预防策略很重要。
