Severe injury after suicide atempt. A data analysis from the traumaregistry of the german society for traumasurgery

Ilias Kiriazidis, Ruchholtz, Steffen (Prof. Dr), Operative Medizin
2012
Purpose: The suicidal attempt is a significant cause for multiple severe injuries in Germany. The aim of the present study was to obtain information regarding injury patterns, clinical treatment, and outcome. Methods: We analyzed the data of 4,754 patients of the Trauma Registry of the German Trauma Society (1993–2007) with an Injury Severity Score (ISS) C9 after a suicidal jump from a height (SUICIDE) and after an accidental fall from a height (ACCIDENT). Results: Comparing the data of 3,682
more » ... the data of 3,682 patients with accidental fall versus those with intentional fall/jump (n =1,072), we found that male patients were predominant in the ACCIDENT group (84.9 vs. 52.2%). The SUICIDE group had more severe injuries (ISS: 31.8 vs. 26.4). The ACCIDENT group suffered more severe head injuries (51.1 vs. 36.6%). Mortality (21.4 vs. 14.2%), length of stay in hospital (29.5 vs. 26.5 days), and costs (€34,833 vs. €24,701) were higher in the SUICIDE group. Conclusions: Falls from a height are a common cause of injury among severely injured patients. The resulting trauma composes a particular form of blunt trauma with severe and multiple injuries, which depends on the fact of whether the free fall from a height was caused by an accident or as a result of a suicidal attempt. Taking the injury severity into consideration, there is no difference in the prognosis of the patients.
doi:10.17192/z2012.1025 fatcat:cvzus55esnex3b6qgihipa3pxa