Paper Information

Journal:   HEALTH SCOPE   AUGUST 2014 , Volume 3 , Number 3; Page(s) 0 To 0.
 
Paper: 

SELF-INFLICTED BURN INJURIES IN KERMANSHAH: A PUBLIC HEALTH PROBLEM

 
 
Author(s):  FAZELI SHAHRAM, KARAMI MATIN REZA, KAKAEI NEDA, POURGHORBAN SAMIRA, AMINI MOGHADAM MEHRI, SAFARI FARAMANI SAMIRA, SAFARI FARAMANI ROYA*
 
* DEPARTMENT OF BIOSTATISTICS AND EPIDEMIOLOGY, KERMANSHAH UNIVERSITY OF MEDICAL SCIENCES, KERMANSHAH, IR IRAN
 
Abstract: 

Background: Around 30% of suicides are committed by burning. The problem of self-immolation remains a crisis even after population based interventions and still a considerable proportion of admissions of burn ward is belonged to suicide cases. Objectives: This study was designed to present the epidemiologic profile of these patients and compare completed self-immolation and attempted ones.
Patients and Methods: All patients with self-immolation admitted to the burn ward of Imam Khomeini Hospital of Kermanshah were entered. The study period was from 20th March 2011 to 21th March 2012. A trained person was responsible to fill the forms by asking victims or their families. Multiple logistic regressions was applied to identify mortality risk and protective factors. Chi-squared test was used to compare attempted cases with complete ones.
Results: In total, 164 cases of self-immolation were admitted (30% of total admission to the burn center). One-hundred and forty-two were female and the median age was 25 (IQR: 21-36). The most common used substance for burning was kerosene (85%). The commonest motive of self-immolation was sadness, followed by conflict with spouse. Overall mortality rate was 38.1%. TBSA was the most important determinant of death when adjusted for age and sex. Odds ratio of death was increased by 3 percent for each percent increase of TBSA (P<0.0001). There were no statistically significant differences between the attempted cases and completed ones except for TBSA, which was higher among completed cases (P<0.0001). Conclusions: Suicide is a tragic way to end life. As the most common motive was sadness, it is recommended to implement mental health programs and educate problem-solving skills to population, particularly young housekeeper girls.

 
Keyword(s): SELF, SUICIDE, WOMEN, BURNING
 
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