Manasyan Artur, Cannata Brigette, Malkoff Nicolas, Stanton Eloise W, Stoycos Sarah A, Yenikomshian Haig A, Gillenwater T Justin
Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
Division of Plastic and Reconstructive Surgery, Keck School of Medicine, Los Angeles, CA 90033, USA.
J Burn Care Res. 2025 Jan 24;46(1):241-246. doi: 10.1093/jbcr/irae192.
Self-inflicted burns (SIBs) represent a distinct entity in burn care often associated with an underlying psychiatric etiology. In this review, we summarize the existing evidence on SIBs in North America to inform targeted prevention and interventions for patients afflicted with SIBs. The following databases were queried to identify relevant articles used for literature review: PubMed, Embase, and Scopus. The main outcome measures were burn characteristics and risk factors of SIBs in the American population. A total of 14,189 patients were included across 13 included studies. The percent of total body surface area burned ranged from less than 1% to 100%, with a mean of 29.6% ± 20.7%. Depressive disorders were the most reported overall; however, among mood disorders, bipolar disorder was also reported frequently, while anxiety was reported least. Motives for self-inflicting burn injury included premeditated self-injury as a coping mechanism, escape or response to delusions, impulsive self-injury, and most commonly, suicidal intention. The majority of the studies reported that preadmission drug and alcohol abuse were associated with the occurrence of SIBs. Other identified risk factors for SIB injury included female sex, younger age, unemployment, and unmarried status. From this, it is imperative that targeted interventions are developed to address the complex interplay of psychiatric disorders, drug use, and other demographic risk factors among the American population. It is crucial for initiatives to emphasize early identification of individuals at risk of self-harm, better access to mental health services, and stronger drug abuse programs to target SIB occurrence in the United States.
自伤性烧伤（SIBs）在烧伤护理中是一种独特的情况，通常与潜在的精神病因有关。在本综述中，我们总结了北美关于自伤性烧伤的现有证据，以为患有自伤性烧伤的患者提供有针对性的预防措施和干预方法。我们查询了以下数据库以识别用于文献综述的相关文章：PubMed、Embase和Scopus。主要结局指标是美国人群中自伤性烧伤的烧伤特征和危险因素。13项纳入研究共纳入了14189例患者。烧伤总面积的百分比范围从不到1%到100%，平均为29.6%±20.7%。总体而言，抑郁症是报告最多的；然而，在情绪障碍中，双相情感障碍也经常被报告，而焦虑症报告最少。自伤性烧伤的动机包括作为应对机制的有预谋的自我伤害、逃避或对妄想的反应、冲动性自我伤害，最常见的是自杀意图。大多数研究报告称，入院前药物和酒精滥用与自伤性烧伤的发生有关。其他确定的自伤性烧伤危险因素包括女性、年轻、失业和未婚状态。据此，必须制定有针对性的干预措施，以解决美国人群中精神疾病、药物使用和其他人口统计学危险因素之间的复杂相互作用。对于各项举措来说，强调早期识别有自我伤害风险的个体、更好地获得心理健康服务以及加强药物滥用项目以针对美国自伤性烧伤的发生至关重要。
