Hassan Zadeh Tabatabaei Mahgol Sadat, Baigi Vali, Zafarghandi Mohammadreza, Rahimi-Movaghar Vafa, Pourmasjedi Sobhan, Khavandegar Armin, Naghdi Khatereh, Salamati Payman
Sina Trauma and Surgery Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
J Res Health Sci. 2023 Sep 29;23(3):e00587. doi: 10.34172/jrhs.2023.122.
Intentional injuries, including self-harm, suicide, conflict, and interpersonal violence are a significant public health concern in Iran, but they have not been adequately documented. This study aimed to investigate intentional injuries in cases admitted to Sina Hospital in Tehran, Iran, affiliated with the National Trauma Registry of Iran. A retrospective cohort study.
A registry-based study on the characteristics of 852 intentional injury cases was conducted from 2016 to 2023. Information on various aspects, including baseline characteristics, injury characteristics, and injury outcomes was compared between groups of self-harm/suicide, conflict/interpersonal violence, and others (abuse and legal prosecution).
Of 6,692 registered trauma cases, 852 (12.7%) had intentional injuries. Men accounted for 92 (77.3%) self-harm/suicide and 650 (96.4%) conflict/interpersonal violence cases (<0.001). Self-harm/ suicide mostly occurred at home in 89 (74.8%) cases, while 73 (10.8%) conflict/interpersonal violence cases happened at home (<0.001). Falls were the cause of trauma in 12 (10.1%) self-harm/suicide cases compared to 7 (1.0%) conflict/interpersonal violence cases (<0.001). Furthermore, blunt trauma was the cause of trauma in one (0.8%) case of self-harm/suicide and 66 (9.8%) conflict/interpersonal violence cases (<0.001). Moreover, 14 (11.8%) self-harm/suicide and 34 (5.0%) conflict/interpersonal violence cases required ventilation (=0.010). Additionally, 74 (8.7%) intentional injury cases had multiple traumas, which were seen in nine (7.6%) self-harm/suicide and 58 (8.6%) conflict/interpersonal violence cases (<0.001).
Men were the majority of self-harm/suicide and conflict/interpersonal violence cases. Self-harm/suicide incidents mostly occurred at home and resulted in more injuries from falls, while conflict/ interpersonal violence resulted in increased blunt traumas and multiple traumas.
故意伤害，包括自我伤害、自杀、冲突和人际暴力，是伊朗一个重大的公共卫生问题，但相关记录并不充分。本研究旨在调查伊朗德黑兰西纳医院收治的、与伊朗国家创伤登记处相关的故意伤害病例。一项回顾性队列研究。
对2016年至2023年期间852例故意伤害病例的特征进行基于登记处的研究。比较了自我伤害/自杀、冲突/人际暴力及其他（虐待和法律诉讼）组之间在包括基线特征、伤害特征和伤害结局等各个方面的信息。
在6692例登记的创伤病例中，852例（12.7%）为故意伤害。男性占自我伤害/自杀病例中的92例（77.3%）和冲突/人际暴力病例中的650例（96.4%）（<0.001）。自我伤害/自杀大多发生在家中，有89例（74.8%），而冲突/人际暴力病例中有73例（10.8%）发生在家中（<0.001）。跌倒导致了12例（10.1%）自我伤害/自杀病例的创伤，而冲突/人际暴力病例中为7例（1.0%）（<0.001）。此外，钝器伤导致了1例（0.8%）自我伤害/自杀病例和66例（9.8%）冲突/人际暴力病例的创伤（<0.001）。而且，14例（11.8%）自我伤害/自杀病例和34例（5.0%）冲突/人际暴力病例需要通气（=0.010）。另外，74例（8.7%）故意伤害病例有多处创伤，自我伤害/自杀病例中有9例（7.6%），冲突/人际暴力病例中有58例（8.6%）（<0.001）。
男性是自我伤害/自杀和冲突/人际暴力病例的主要群体。自我伤害/自杀事件大多发生在家中，且因跌倒导致更多伤害，而冲突/人际暴力导致钝器伤和多处创伤增加。
