Adolescent patients presenting to the emergency department due to falls from heights: a comparative analysis of suicidal and non-suicidal cases
Öz
Aims: This study aims to categorize adolescent patients presenting to the hospital due to falls from heights into two groups: suicidal and non-suicidal. It seeks to compare the clinical characteristics, trauma patterns, and outcomes between these groups.
Methods: A total of 69 patients were included in the study. The demographic features, trauma patterns, imaging methods, medical interventions, and clinical outcomes of the patients were retrospectively assessed.
Results: 63.8% (n=44) of the patients were categorized in the suicidal group, while 36.2% (n=25) were in the non-suicidal group. There was no statistically significant difference observed between the mean age of the suicidal group (16.27±2.52) and the non-suicidal group (15.96±2.85) (p=0.638). In the suicidal group, the incidence rates of maxillofacial trauma, pelvic trauma, and thoracic trauma were statistically significantly higher compared to the non-suicidal group (respectively; p=0.041, p=0.014, p<0.001). The in-hospital mortality rate in the suicidal group (22.7%, n=10) was statistically significantly higher than in the non-suicidal group (0%, n=0) (p=0.007).
Conclusion: Cases of falls from heights due to suicide attempts result in more severe outcomes compared to accidental falls. These patients require a more comprehensive medical assessment and intervention.
Anahtar Kelimeler
Destekleyen Kurum
Financial Disclosure: The authors declared that this study has received no financial support.
Kaynakça
- Kusior ME, Pejka K, Knapik M, Sajuk N, Kłaptocz S, Konopka T. Analysis of the nature of injuries in victims of fall from height. Analiza charakteru obrażeń u ofiar upadków z wysokości. Arch Med Sadowej Kryminol. 2016;66(2):106-124.
- Taviloğlu K, Aydın A, Çuhalı BD, Demiralp T, Güloğlu R, Ertekin C. Olgularımızın birinci derece travma merkezine sevk edilme kriterlerine uygunluğunun değerlendirilmesi. Ulusal Travma Derg. 2001;7(3):146-150.
- World Health Organization. 2012. Retrieved 3 December 2012.
- World Health Organization. Preventing suicide: a global imperative. Switzerland: Geneva; 2014.
- Çuhadaroğlu F, Akdemir D. Ergenlerde intihar davranışı. Katkı Pediatri Derg. 2013;1:97-105.
- Shain B, Braverman PK, Adelman WP. Committee on adolescence. suicide and suicide attempts in adolescents. Pediatr. 2016;138(1):e20161420.
- Alizo G, Sciarretta JD, Gibson S, et al. Fall from heights: does height really matter? Eur J Trauma Emerg Surg. 2018;44(3):411-416.
- Lee S, Koo B, Yang S, Kim J, Nam Y, Kim Y. Fall-from-height detection using deep learning based on IMU sensor data for accident prevention at construction sites. Sensors. 2022;22(16):6107.
- Robson LS, Lee H, Amick III BC, Landsman V, Smith PM, Mustard CA. Preventing fall-from-height injuries in construction: effectiveness of a regulatory training standard. J Safety Res. 2020;74:271-278. doi.org/10.1016/j.jsr.2020.06.007
- Lohanathan A, Hazra D, Jyothirmayi CA, Kundavaram AP. An elucidation of pattern of injuries in patients with fall from height. Indian J Crit Care Med. 2020;24(8):683-687.
- Lim KT, Choi WJ. Effect of fall characteristics on the severity of hip impact during a fall on the ground from standing height. Osteoporos Int. 2020;31(9):1713-1719.
- Salimi JZM. An epidemiologic study of trauma patients admitted to the Hospital Ahwaz Golestan. Payesh Quarterly. 2008;7(2):115-120.
- Zamani M, Esmailian M, Mirazimi MS, Ebrahimian M, Golshani K. Cause and final outcome of trauma in patients referred to the emergency department: a cross sectional study. Iranian J Emerg Med. 2014;1(1):22-27.
- Papadakis SA, Pallis D, Galanakos S, et al. Falls from height due to accident and suicide attempt in Greece. a comparison of the injury patterns. Injury. 2020;51(2):230-234.
- Choi JH, Kim SH, Kim SP, et al. Characteristics of intentional fall injuries in the ED. Am J Emerg Med. 2014;32(6):529-534.
- Dickinson A, Roberts M, Kumar A, Weaver A, Lockey DJ. Falls from height: injury and mortality. J R Army Med Corps. 2012;158(2):123-127.
- Kort I, Hmandi O, Grayaa M, et al. A comparative study of the injury pattern between suicidal and accidental falls from height in Northern Tunisia. J Forensic Leg Med. 2023;97:102531.
- Madigan S, Korczak DJ, Vaillancourt T, et al. Comparison of paediatric emergency department visits for attempted suicide, self-harm, and suicidal ideation before and during the COVID-19 pandemic: a systematic review and meta-analysis. Lancet Psychiatry. 2023;10(5):342-351.
- Peng JL, Liu X, Peng C, Shao Y. Comprehensive factor analysis and risk quantification study of fall from height accidents. Heliyon. 2023;9(12):e22167. doi:10.1016/j.heliyon.2023.e22167
- Türkoğlu A, Sehlikoğlu K, Tokdemir M. A study of fatal falls from height. J Forensic Leg Med. 2019;61:17-21. doi:10.1016/j.jflm.2018.10.008
Öz
Kaynakça
- Kusior ME, Pejka K, Knapik M, Sajuk N, Kłaptocz S, Konopka T. Analysis of the nature of injuries in victims of fall from height. Analiza charakteru obrażeń u ofiar upadków z wysokości. Arch Med Sadowej Kryminol. 2016;66(2):106-124.
- Taviloğlu K, Aydın A, Çuhalı BD, Demiralp T, Güloğlu R, Ertekin C. Olgularımızın birinci derece travma merkezine sevk edilme kriterlerine uygunluğunun değerlendirilmesi. Ulusal Travma Derg. 2001;7(3):146-150.
- World Health Organization. 2012. Retrieved 3 December 2012.
- World Health Organization. Preventing suicide: a global imperative. Switzerland: Geneva; 2014.
- Çuhadaroğlu F, Akdemir D. Ergenlerde intihar davranışı. Katkı Pediatri Derg. 2013;1:97-105.
- Shain B, Braverman PK, Adelman WP. Committee on adolescence. suicide and suicide attempts in adolescents. Pediatr. 2016;138(1):e20161420.
- Alizo G, Sciarretta JD, Gibson S, et al. Fall from heights: does height really matter? Eur J Trauma Emerg Surg. 2018;44(3):411-416.
- Lee S, Koo B, Yang S, Kim J, Nam Y, Kim Y. Fall-from-height detection using deep learning based on IMU sensor data for accident prevention at construction sites. Sensors. 2022;22(16):6107.
- Robson LS, Lee H, Amick III BC, Landsman V, Smith PM, Mustard CA. Preventing fall-from-height injuries in construction: effectiveness of a regulatory training standard. J Safety Res. 2020;74:271-278. doi.org/10.1016/j.jsr.2020.06.007
- Lohanathan A, Hazra D, Jyothirmayi CA, Kundavaram AP. An elucidation of pattern of injuries in patients with fall from height. Indian J Crit Care Med. 2020;24(8):683-687.
- Lim KT, Choi WJ. Effect of fall characteristics on the severity of hip impact during a fall on the ground from standing height. Osteoporos Int. 2020;31(9):1713-1719.
- Salimi JZM. An epidemiologic study of trauma patients admitted to the Hospital Ahwaz Golestan. Payesh Quarterly. 2008;7(2):115-120.
- Zamani M, Esmailian M, Mirazimi MS, Ebrahimian M, Golshani K. Cause and final outcome of trauma in patients referred to the emergency department: a cross sectional study. Iranian J Emerg Med. 2014;1(1):22-27.
- Papadakis SA, Pallis D, Galanakos S, et al. Falls from height due to accident and suicide attempt in Greece. a comparison of the injury patterns. Injury. 2020;51(2):230-234.
- Choi JH, Kim SH, Kim SP, et al. Characteristics of intentional fall injuries in the ED. Am J Emerg Med. 2014;32(6):529-534.
- Dickinson A, Roberts M, Kumar A, Weaver A, Lockey DJ. Falls from height: injury and mortality. J R Army Med Corps. 2012;158(2):123-127.
- Kort I, Hmandi O, Grayaa M, et al. A comparative study of the injury pattern between suicidal and accidental falls from height in Northern Tunisia. J Forensic Leg Med. 2023;97:102531.
- Madigan S, Korczak DJ, Vaillancourt T, et al. Comparison of paediatric emergency department visits for attempted suicide, self-harm, and suicidal ideation before and during the COVID-19 pandemic: a systematic review and meta-analysis. Lancet Psychiatry. 2023;10(5):342-351.
- Peng JL, Liu X, Peng C, Shao Y. Comprehensive factor analysis and risk quantification study of fall from height accidents. Heliyon. 2023;9(12):e22167. doi:10.1016/j.heliyon.2023.e22167
- Türkoğlu A, Sehlikoğlu K, Tokdemir M. A study of fatal falls from height. J Forensic Leg Med. 2019;61:17-21. doi:10.1016/j.jflm.2018.10.008
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Acil Tıp |
| Bölüm | Research Articles |
| Yazarlar | |
| Yayımlanma Tarihi | 15 Ocak 2024 |
| Gönderilme Tarihi | 25 Ekim 2023 |
| Kabul Tarihi | 11 Aralık 2023 |
| Yayımlandığı Sayı | Yıl 2024 Cilt: 6 Sayı: 1 |
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Not: Dergimiz WOS indeksli değildir ve bu nedenle Q olarak sınıflandırılmamaktadır.
Yüksek Öğretim Kurumu (YÖK) kriterlerine göre yağmacı/şüpheli dergiler hakkındaki kararları ile yazar aydınlatma metni ve dergi ücretlendirme politikasını tarayıcınızdan indirebilirsiniz. https://dergipark.org.tr/tr/journal/3449/page/10809/update
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