Traumatic suicide attempts at a level i trauma center

Pantelis Hadjizacharia, Carlos V R Brown, Pedro G R Teixeira, Linda S. Chan, Kui Yang, Ali Salim, Kenji Inaba, Peter M Rhee, Demetrios Demetriades

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: The purpose of this study is to characterize traumatic suicide attempts (TSA) by age, gender, race, and mechanism of injury. Methods: This is a retrospective review of TSA patients (identified by E-codes) admitted to our urban, level I trauma center from 1992 through 2005. Mechanisms of TSA included jump from height, firearm (gunshot wound [GSW]), cutting or piercing instrument (stab wound [SW]), and motor vehicle (MV)-related. Patients were categorized in groups by age in years (< 18, 1835, 3654, 5569, ≥ 70). Results: A total of 876 TSA patients were identified; 83% were male, with a mean age of 35 years and a mean Injury Severity Score of 10. The most common mechanism was SW (39%), followed by jump (26%), GSW (21%), and MV-related (13%). Primary mechanism of TSA varied by age (p < 0.0001), with GSW most common in those patients aged < 18 years (64%) and ≥ 70 years (44%), and SW most common in all other age groups. Overall, 16% of TSAs were successful. The adjusted odds ratio (AOR) for mortality for age 70+ vs. age 3654 was 12.4 (95% confidence interval [CI] 2.378, p = 0.005), and the AOR for mortality from GSW vs. SW was 9.8 (95% CI 2.644, p = 0.001). Conclusions: The most common mechanism for TSA was SW, although GSW was the most effective. The mechanism of choice for TSA depends on age, with the extremes of age more commonly choosing a firearm. Age and method of TSA are significant contributing factors to success of suicide attempts.

Original languageEnglish (US)
Pages (from-to)411-418
Number of pages8
JournalJournal of Emergency Medicine
Volume39
Issue number4
DOIs
StatePublished - Oct 2010

Fingerprint

Trauma Centers
Suicide
Stab Wounds
Gunshot Wounds
Firearms
Motor Vehicles
Age Groups
Odds Ratio
Confidence Intervals
Injury Severity Score
Mortality
Wounds and Injuries

Keywords

  • firearm
  • suicide attempt
  • trauma

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Hadjizacharia, P., Brown, C. V. R., Teixeira, P. G. R., Chan, L. S., Yang, K., Salim, A., ... Demetriades, D. (2010). Traumatic suicide attempts at a level i trauma center. Journal of Emergency Medicine, 39(4), 411-418. https://doi.org/10.1016/j.jemermed.2008.04.031

Traumatic suicide attempts at a level i trauma center. / Hadjizacharia, Pantelis; Brown, Carlos V R; Teixeira, Pedro G R; Chan, Linda S.; Yang, Kui; Salim, Ali; Inaba, Kenji; Rhee, Peter M; Demetriades, Demetrios.

In: Journal of Emergency Medicine, Vol. 39, No. 4, 10.2010, p. 411-418.

Research output: Contribution to journalArticle

Hadjizacharia, P, Brown, CVR, Teixeira, PGR, Chan, LS, Yang, K, Salim, A, Inaba, K, Rhee, PM & Demetriades, D 2010, 'Traumatic suicide attempts at a level i trauma center', Journal of Emergency Medicine, vol. 39, no. 4, pp. 411-418. https://doi.org/10.1016/j.jemermed.2008.04.031
Hadjizacharia P, Brown CVR, Teixeira PGR, Chan LS, Yang K, Salim A et al. Traumatic suicide attempts at a level i trauma center. Journal of Emergency Medicine. 2010 Oct;39(4):411-418. https://doi.org/10.1016/j.jemermed.2008.04.031
Hadjizacharia, Pantelis ; Brown, Carlos V R ; Teixeira, Pedro G R ; Chan, Linda S. ; Yang, Kui ; Salim, Ali ; Inaba, Kenji ; Rhee, Peter M ; Demetriades, Demetrios. / Traumatic suicide attempts at a level i trauma center. In: Journal of Emergency Medicine. 2010 ; Vol. 39, No. 4. pp. 411-418.
@article{c6b7cb5aeff14f3a80e534c4ab2479f7,
title = "Traumatic suicide attempts at a level i trauma center",
abstract = "Background: The purpose of this study is to characterize traumatic suicide attempts (TSA) by age, gender, race, and mechanism of injury. Methods: This is a retrospective review of TSA patients (identified by E-codes) admitted to our urban, level I trauma center from 1992 through 2005. Mechanisms of TSA included jump from height, firearm (gunshot wound [GSW]), cutting or piercing instrument (stab wound [SW]), and motor vehicle (MV)-related. Patients were categorized in groups by age in years (< 18, 1835, 3654, 5569, ≥ 70). Results: A total of 876 TSA patients were identified; 83{\%} were male, with a mean age of 35 years and a mean Injury Severity Score of 10. The most common mechanism was SW (39{\%}), followed by jump (26{\%}), GSW (21{\%}), and MV-related (13{\%}). Primary mechanism of TSA varied by age (p < 0.0001), with GSW most common in those patients aged < 18 years (64{\%}) and ≥ 70 years (44{\%}), and SW most common in all other age groups. Overall, 16{\%} of TSAs were successful. The adjusted odds ratio (AOR) for mortality for age 70+ vs. age 3654 was 12.4 (95{\%} confidence interval [CI] 2.378, p = 0.005), and the AOR for mortality from GSW vs. SW was 9.8 (95{\%} CI 2.644, p = 0.001). Conclusions: The most common mechanism for TSA was SW, although GSW was the most effective. The mechanism of choice for TSA depends on age, with the extremes of age more commonly choosing a firearm. Age and method of TSA are significant contributing factors to success of suicide attempts.",
keywords = "firearm, suicide attempt, trauma",
author = "Pantelis Hadjizacharia and Brown, {Carlos V R} and Teixeira, {Pedro G R} and Chan, {Linda S.} and Kui Yang and Ali Salim and Kenji Inaba and Rhee, {Peter M} and Demetrios Demetriades",
year = "2010",
month = "10",
doi = "10.1016/j.jemermed.2008.04.031",
language = "English (US)",
volume = "39",
pages = "411--418",
journal = "Journal of Emergency Medicine",
issn = "0736-4679",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - Traumatic suicide attempts at a level i trauma center

AU - Hadjizacharia, Pantelis

AU - Brown, Carlos V R

AU - Teixeira, Pedro G R

AU - Chan, Linda S.

AU - Yang, Kui

AU - Salim, Ali

AU - Inaba, Kenji

AU - Rhee, Peter M

AU - Demetriades, Demetrios

PY - 2010/10

Y1 - 2010/10

N2 - Background: The purpose of this study is to characterize traumatic suicide attempts (TSA) by age, gender, race, and mechanism of injury. Methods: This is a retrospective review of TSA patients (identified by E-codes) admitted to our urban, level I trauma center from 1992 through 2005. Mechanisms of TSA included jump from height, firearm (gunshot wound [GSW]), cutting or piercing instrument (stab wound [SW]), and motor vehicle (MV)-related. Patients were categorized in groups by age in years (< 18, 1835, 3654, 5569, ≥ 70). Results: A total of 876 TSA patients were identified; 83% were male, with a mean age of 35 years and a mean Injury Severity Score of 10. The most common mechanism was SW (39%), followed by jump (26%), GSW (21%), and MV-related (13%). Primary mechanism of TSA varied by age (p < 0.0001), with GSW most common in those patients aged < 18 years (64%) and ≥ 70 years (44%), and SW most common in all other age groups. Overall, 16% of TSAs were successful. The adjusted odds ratio (AOR) for mortality for age 70+ vs. age 3654 was 12.4 (95% confidence interval [CI] 2.378, p = 0.005), and the AOR for mortality from GSW vs. SW was 9.8 (95% CI 2.644, p = 0.001). Conclusions: The most common mechanism for TSA was SW, although GSW was the most effective. The mechanism of choice for TSA depends on age, with the extremes of age more commonly choosing a firearm. Age and method of TSA are significant contributing factors to success of suicide attempts.

AB - Background: The purpose of this study is to characterize traumatic suicide attempts (TSA) by age, gender, race, and mechanism of injury. Methods: This is a retrospective review of TSA patients (identified by E-codes) admitted to our urban, level I trauma center from 1992 through 2005. Mechanisms of TSA included jump from height, firearm (gunshot wound [GSW]), cutting or piercing instrument (stab wound [SW]), and motor vehicle (MV)-related. Patients were categorized in groups by age in years (< 18, 1835, 3654, 5569, ≥ 70). Results: A total of 876 TSA patients were identified; 83% were male, with a mean age of 35 years and a mean Injury Severity Score of 10. The most common mechanism was SW (39%), followed by jump (26%), GSW (21%), and MV-related (13%). Primary mechanism of TSA varied by age (p < 0.0001), with GSW most common in those patients aged < 18 years (64%) and ≥ 70 years (44%), and SW most common in all other age groups. Overall, 16% of TSAs were successful. The adjusted odds ratio (AOR) for mortality for age 70+ vs. age 3654 was 12.4 (95% confidence interval [CI] 2.378, p = 0.005), and the AOR for mortality from GSW vs. SW was 9.8 (95% CI 2.644, p = 0.001). Conclusions: The most common mechanism for TSA was SW, although GSW was the most effective. The mechanism of choice for TSA depends on age, with the extremes of age more commonly choosing a firearm. Age and method of TSA are significant contributing factors to success of suicide attempts.

KW - firearm

KW - suicide attempt

KW - trauma

UR - http://www.scopus.com/inward/record.url?scp=77957287011&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77957287011&partnerID=8YFLogxK

U2 - 10.1016/j.jemermed.2008.04.031

DO - 10.1016/j.jemermed.2008.04.031

M3 - Article

C2 - 18996669

AN - SCOPUS:77957287011

VL - 39

SP - 411

EP - 418

JO - Journal of Emergency Medicine

JF - Journal of Emergency Medicine

SN - 0736-4679

IS - 4

ER -