Fredj H, Tarchella D, Mokline A, Ben Saad M, Gasri B, Jami I, Messadi A A
Université de Tunis El Manar, Faculté de Médecine de Tunis, Tunisie.
Service de Réanimation des Brûlés, Centre de Traumatologie et des Grands Brûlés, Tunis, Tunisie.
Ann Burns Fire Disasters. 2023 Dec 31;36(4):307-312. eCollection 2023 Dec.
Self-immolation is a violent way of committing suicide. Few studies have focused on this phenomenon in children. The aim of this study was to determine the epidemiological profile of children who committed suicide by fire. A retrospective descriptive study was conducted in an intensive burn care department in Tunis, over a period of 10 years (2011-2020). Of a total 3077 patients, 761 were admitted for burns by suicide attempt, among them 62 children and adolescents (8%). The number was on average six per year. The highest annual prevalence was noted in 2011 (27% of cases). The mean age was 16 and a half years old. The majority of cases were adolescents aged 15 or older. There is a male predominance (sex ratio:3). Total burn surface area (TBSA) was on average 44%. The act of self-immolation occurred in public places in 58% of cases. Socio-economic environment was unfavorable in 60% of cases. The suicidal act of self-immolation was due to a family conflict in 34% of cases (n=21). Seven patients (11%) had a history of mental illness. Forty-three patients (70%) required mechanical ventilation. The length of hospital stay was on average 30 days. The mortality rate was 56.5%. In conclusion, self-immolation is frequent in the pediatric population; it induces severe burns associated with a poor prognosis.
自焚是一种暴力自杀方式。很少有研究关注儿童中的这一现象。本研究的目的是确定自焚自杀儿童的流行病学特征。在突尼斯的一个重症烧伤护理部门进行了一项为期10年（2011 - 2020年）的回顾性描述性研究。在总共3077名患者中，有761名因自杀未遂烧伤入院，其中62名是儿童和青少年（8%）。平均每年有6例。2011年的年患病率最高（占病例的27%）。平均年龄为16岁半。大多数病例是15岁及以上的青少年。男性占主导（性别比：3）。烧伤总面积（TBSA）平均为44%。58%的病例自焚行为发生在公共场所。60%的病例社会经济环境不利。34%的病例（n = 21）自焚自杀行为是由于家庭冲突。7名患者（11%）有精神疾病史。43名患者（70%）需要机械通气。住院时间平均为30天。死亡率为56.5%。总之，自焚在儿科人群中很常见；它会导致严重烧伤且预后不良。
