Lehner R, Lochbaum R, Hoffmann T K, Hahn J
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital of Ulm, Frauensteige 12, 89075, Ulm, Germany.
Eur Arch Otorhinolaryngol. 2025 May;282(5):2571-2580. doi: 10.1007/s00405-024-09138-2. Epub 2024 Dec 19.
Suicide attempts may involve various parts of the body with different severity grades and therefore represent a multidisciplinary challenge. The head and neck region is highly vulnerable to severe self-inflicted injuries, yet literature on this topic remains limited.
A retrospective analysis was performed of patients with suicide attempts in an Otorhinolaryngology (ORL) department of a tertiary referral hospital over a 15-year period. The aim of the study was to analyse their clinical course and injury patterns.
70 patients were included (m: 42/70; f: 28/70). The mean age at suicide attempt was 43.7 years. Women were significantly younger than men (p = 0.046). Seven injury types were differentiated: strangulation (44.3%), stabbing (17.1%), jumping from a height and firearm use (10.0% each), jumping in front of a moving vehicle and ingestion of acids/bases (7.1% each) as well as ingestion of pills (4.3%). Men were dominantly involved in strangulation (14/42; 33.3%) and stabbing (11/42; 26.2%), whereas women appeared with strangulation (17/28; 60.7%) and tablet ingestion (3/28; 10.7%). Men required ORL-specific surgical care significantly more often than women (43.9% vs. 7.1%; p < 0.001). Men chose "violent" methods more frequently than women (90.5% vs. 46.4%; p < 0.001). Women were more likely to receive psychiatric treatment (p = 0.0011).
Violent suicide attempts were more common in males and therefore required more often surgical intervention. Soft attempts and psychiatric diagnoses were more often associated with female gender. Routine laryngoscopy is recommended within 24h after the initial trauma. All individuals were successfully treated in an interdisciplinary setting and survived with moderate morbidity.
自杀未遂可能涉及身体的各个部位，严重程度各不相同，因此是一个多学科的挑战。头颈部极易受到严重的自残伤害，但关于这一主题的文献仍然有限。
对一家三级转诊医院的耳鼻喉科15年间自杀未遂患者进行回顾性分析。该研究的目的是分析他们的临床病程和损伤模式。
纳入70例患者（男：42/70；女：28/70）。自杀未遂的平均年龄为43.7岁。女性明显比男性年轻（p = 0.046）。区分出七种损伤类型：勒颈（44.3%）、刺伤（17.1%）、高处跳下和使用火器（各10.0%）、跳到行驶车辆前和摄入酸/碱（各7.1%）以及吞服药丸（4.3%）。男性主要涉及勒颈（14/42；33.3%）和刺伤（11/42；26.2%），而女性则表现为勒颈（17/28；60.7%）和吞服药片（3/28；10.7%）。男性比女性更频繁地需要耳鼻喉科特定的手术治疗（43.9%对7.1%；p < 0.001）。男性比女性更频繁地选择“暴力”方法（90.5%对46.4%；p < 0.001）。女性更有可能接受精神科治疗（p = 0.0011）。
暴力自杀未遂在男性中更为常见，因此更常需要手术干预。温和的自杀未遂和精神科诊断更常与女性相关。建议在初次创伤后24小时内进行常规喉镜检查。所有患者均在多学科环境中成功接受治疗，存活且发病率中等。
