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Self-inflicted injury and the older trauma patient: a 20 year review of suicide attempts and outcomes

PURPOSE: Older patients (Older) have complex health management needs often requiring additional resources. Mental health disorders are common among trauma patients, yet minimal information on older suicidal related injury and outcomes exists. A review of trauma patients with intentional self-inflict...

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Autores principales: Schaffer, Kathryn B., Dandan, Tala, Bayat, Dunya, Castelo, Matthew R., Reames, Summer H., Hutkin-Slade, Linda, Biffl, Walter L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8450697/
https://www.ncbi.nlm.nih.gov/pubmed/34542844
http://dx.doi.org/10.1007/s41999-021-00561-w
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author Schaffer, Kathryn B.
Dandan, Tala
Bayat, Dunya
Castelo, Matthew R.
Reames, Summer H.
Hutkin-Slade, Linda
Biffl, Walter L.
author_facet Schaffer, Kathryn B.
Dandan, Tala
Bayat, Dunya
Castelo, Matthew R.
Reames, Summer H.
Hutkin-Slade, Linda
Biffl, Walter L.
author_sort Schaffer, Kathryn B.
collection PubMed
description PURPOSE: Older patients (Older) have complex health management needs often requiring additional resources. Mental health disorders are common among trauma patients, yet minimal information on older suicidal related injury and outcomes exists. A review of trauma patients with intentional self-inflicted injury at one trauma center was done to describe and identify unique elements of this cohort of patients. METHODS: Trauma registry data from 2000 to 2019 were reviewed for intentional injury and data abstracted included demographics, injury severity, diagnoses, comorbidities and outcomes. Cohorts by age were compared: Older (65 +) vs Younger (< 65). Values considered significant at p ≤ 0.05. RESULTS: 557 suicide attempts were identified with 9% among Older patients. Most patients were male with median age of 75 years for Older and 35 years for Younger cohort, with similar length of stay (LOS) and injury severity scores (ISS). Penetrating injury was more common among Older patients with firearm used most often, 34% vs 14% for Younger. Differences were evident between male and female Older patients with ISS 16.7 vs 5, p < 0.01 and mortality, p = 0.03. The outcome of discharge to home was significantly different between Older and Younger, 6% vs 20% (p < 0.05). A difference in mortality was evident, Older 38% vs Younger 18% (p < 0.05). CONCLUSION: With the growing aging population, it is important to acknowledge the resultant increase in concomitant mental health issues and suicidality among older patients, where depression may be undiagnosed and untreated. Providing care within this cohort may reduce future attempts and lessen the burden on the health care system.
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spelling pubmed-84506972021-09-20 Self-inflicted injury and the older trauma patient: a 20 year review of suicide attempts and outcomes Schaffer, Kathryn B. Dandan, Tala Bayat, Dunya Castelo, Matthew R. Reames, Summer H. Hutkin-Slade, Linda Biffl, Walter L. Eur Geriatr Med Research Paper PURPOSE: Older patients (Older) have complex health management needs often requiring additional resources. Mental health disorders are common among trauma patients, yet minimal information on older suicidal related injury and outcomes exists. A review of trauma patients with intentional self-inflicted injury at one trauma center was done to describe and identify unique elements of this cohort of patients. METHODS: Trauma registry data from 2000 to 2019 were reviewed for intentional injury and data abstracted included demographics, injury severity, diagnoses, comorbidities and outcomes. Cohorts by age were compared: Older (65 +) vs Younger (< 65). Values considered significant at p ≤ 0.05. RESULTS: 557 suicide attempts were identified with 9% among Older patients. Most patients were male with median age of 75 years for Older and 35 years for Younger cohort, with similar length of stay (LOS) and injury severity scores (ISS). Penetrating injury was more common among Older patients with firearm used most often, 34% vs 14% for Younger. Differences were evident between male and female Older patients with ISS 16.7 vs 5, p < 0.01 and mortality, p = 0.03. The outcome of discharge to home was significantly different between Older and Younger, 6% vs 20% (p < 0.05). A difference in mortality was evident, Older 38% vs Younger 18% (p < 0.05). CONCLUSION: With the growing aging population, it is important to acknowledge the resultant increase in concomitant mental health issues and suicidality among older patients, where depression may be undiagnosed and untreated. Providing care within this cohort may reduce future attempts and lessen the burden on the health care system. Springer International Publishing 2021-09-20 2022 /pmc/articles/PMC8450697/ /pubmed/34542844 http://dx.doi.org/10.1007/s41999-021-00561-w Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research Paper
Schaffer, Kathryn B.
Dandan, Tala
Bayat, Dunya
Castelo, Matthew R.
Reames, Summer H.
Hutkin-Slade, Linda
Biffl, Walter L.
Self-inflicted injury and the older trauma patient: a 20 year review of suicide attempts and outcomes
title Self-inflicted injury and the older trauma patient: a 20 year review of suicide attempts and outcomes
title_full Self-inflicted injury and the older trauma patient: a 20 year review of suicide attempts and outcomes
title_fullStr Self-inflicted injury and the older trauma patient: a 20 year review of suicide attempts and outcomes
title_full_unstemmed Self-inflicted injury and the older trauma patient: a 20 year review of suicide attempts and outcomes
title_short Self-inflicted injury and the older trauma patient: a 20 year review of suicide attempts and outcomes
title_sort self-inflicted injury and the older trauma patient: a 20 year review of suicide attempts and outcomes
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8450697/
https://www.ncbi.nlm.nih.gov/pubmed/34542844
http://dx.doi.org/10.1007/s41999-021-00561-w
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