Meyer Heinz-Lothar, Reck Thomas, Polan Christina, Mester Bastian, Burggraf Manuel, Waydhas Christian, Vonderhagen Sonja, Dudda Marcel
Department of Trauma, Hand and Reconstructive Surgery, University Hospital Essen, 45147 Essen, Germany.
Department of Orthopaedics and Trauma Surgery, GFO Kliniken Mettmann-Süd, 40724 Hilden, Germany.
Clin Pract. 2024 Jul 26;14(4):1468-1477. doi: 10.3390/clinpract14040118.
Seriously injured persons with pre-existing psychiatric conditions or those injured due to violent crimes represent a particularly vulnerable treatment group.
All patients with injuries from suicidal attempts (PSAs) or patients with injuries from violent offenses (PVOs) that presented to the university emergency room of a Level 1 trauma center in Germany between 1 January 2017 and 31 November 2022 were retrospectively investigated.
It can be seen that PVOs were significantly younger compared to PSAs ( = 0.03). Total hospital stay was significantly longer for PSAs compared to PVOs ( < 0.001). PSAs were also significantly more severely injured than PVOs ( < 0.001). Our study was able to show a significant difference between both patient groups in the region of injury ( < 0.001). PSAs had a significantly more extensive psychiatric history than PVOs ( < 0.001).
Injuries from suicide attempts and violent offenses are a serious and growing public health problem, but one that can be addressed through timely, evidence-based, and often cost-effective interventions. It requires early interaction among multiple disciplines and a standardized approach.
患有先前存在的精神疾病的重伤者或因暴力犯罪而受伤的人是一个特别脆弱的治疗群体。
回顾性调查了2017年1月1日至2022年11月30日期间在德国一家一级创伤中心的大学急诊室就诊的所有自杀未遂受伤患者（PSA）或暴力犯罪受伤患者（PVO）。
可以看出，与PSA相比，PVO的年龄显著更小（=0.03）。与PVO相比，PSA的总住院时间显著更长（<0.001）。PSA的受伤程度也比PVO严重得多（<0.001）。我们的研究能够显示两组患者在受伤部位存在显著差异（<0.001）。PSA的精神病史比PVO广泛得多（<0.001）。
自杀未遂和暴力犯罪造成的伤害是一个严重且日益严重的公共卫生问题，但可以通过及时、基于证据且通常具有成本效益的干预措施来解决。这需要多学科之间的早期互动和标准化方法。
