Scripps Memorial Hospital Trauma Service, 9888 Genesee Ave., LJ601, La Jolla, CA, 92037, USA.
Eur Geriatr Med. 2022 Feb;13(1):119-125. doi: 10.1007/s41999-021-00561-w. Epub 2021 Sep 20.
Older patients (Older) have complex health management needs often requiring additional resources. Mental health disorders are common among trauma patients, yet minimal information on older suicidal related injury and outcomes exists. A review of trauma patients with intentional self-inflicted injury at one trauma center was done to describe and identify unique elements of this cohort of patients.
Trauma registry data from 2000 to 2019 were reviewed for intentional injury and data abstracted included demographics, injury severity, diagnoses, comorbidities and outcomes. Cohorts by age were compared: Older (65 +) vs Younger (< 65). Values considered significant at p ≤ 0.05.
557 suicide attempts were identified with 9% among Older patients. Most patients were male with median age of 75 years for Older and 35 years for Younger cohort, with similar length of stay (LOS) and injury severity scores (ISS). Penetrating injury was more common among Older patients with firearm used most often, 34% vs 14% for Younger. Differences were evident between male and female Older patients with ISS 16.7 vs 5, p < 0.01 and mortality, p = 0.03. The outcome of discharge to home was significantly different between Older and Younger, 6% vs 20% (p < 0.05). A difference in mortality was evident, Older 38% vs Younger 18% (p < 0.05).
With the growing aging population, it is important to acknowledge the resultant increase in concomitant mental health issues and suicidality among older patients, where depression may be undiagnosed and untreated. Providing care within this cohort may reduce future attempts and lessen the burden on the health care system.
老年患者（Older）通常有复杂的健康管理需求，需要额外的资源。精神健康障碍在创伤患者中很常见，但关于老年自杀相关伤害和结果的信息很少。对一家创伤中心的故意自我伤害的创伤患者进行了回顾性研究，以描述和确定该患者群体的独特特征。
对 2000 年至 2019 年的创伤登记数据进行了回顾，以了解故意受伤的情况，并提取了包括人口统计学、损伤严重程度、诊断、合并症和结果在内的数据。按年龄分为两组：老年组（65 岁以上）和年轻组（<65 岁）。p 值≤0.05 认为有统计学意义。
共发现 557 例自杀企图，其中 9%发生在老年患者中。大多数患者为男性，老年组的中位年龄为 75 岁，年轻组为 35 岁，两组的住院时间（LOS）和损伤严重程度评分（ISS）相似。老年患者中穿透性损伤更为常见，其中 34%的患者使用枪支，而年轻组为 14%。老年男性和女性患者之间存在明显差异，ISS 分别为 16.7 和 5，p<0.01，死亡率，p=0.03。老年组出院回家的比例明显低于年轻组，分别为 6%和 20%（p<0.05）。老年组的死亡率明显高于年轻组，分别为 38%和 18%（p<0.05）。
随着人口老龄化的增长，重要的是要认识到老年患者随之而来的心理健康问题和自杀率的增加，其中抑郁可能未被诊断和治疗。为这一群体提供护理可能会减少未来的尝试，并减轻医疗保健系统的负担。
