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Published in: European Journal of Trauma and Emergency Surgery 1/2017

01-02-2017 | Original Article

Analysis of 41 suicide attempts by wrist cutting: a retrospective analysis

Authors: B. Ersen, R. Kahveci, M. C. Saki, O. Tunali, I. Aksu

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2017

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Abstract

Purpose

Self-cutting injuries have a low mortality rate, but this type of injuries has special clinical significance because they have the potential of leading to devastating disability and repeated suicide attempts. The purpose of this study is to analyze the nature and outcomes of wrist-cutting injuries.

Material and method

A retrospective study was designed in order to investigate 41 suicide attempts by wrist cutting attended to Uludag University Faculty of Medicine Emergency Department between June 2008 and December 2014. The patients were analyzed for age, gender, alcohol intake, psychological state, prior suicide attempts, and clinical features such as injury side, injury pattern, and used tool.

Results

It was seen that the severity of wrist-cutting injury variates between gender and age.

Conclusion

Alcohol or drug consumption and having a diagnosed psychiatric disorder create a higher risk for extensive wrist lacerations. It was seen that skin only lacerations were most likely to repeat the act and therefore are most in need of psychiatric intervention.

Level of evidence

Level III, retrospective study.
Literature
2.
go back to reference Reuhl J, Lutz FU. Suicide in a large West German city (1985–1989). Versicherungsmedizin. 1992;44:13–5.PubMed Reuhl J, Lutz FU. Suicide in a large West German city (1985–1989). Versicherungsmedizin. 1992;44:13–5.PubMed
3.
go back to reference Fukube S, Hayashi T, Ishida Y, Kamon H, Kawaguchi M, Kimura A, et al. Retrospective study on suicidal cases by sharp force injuries. J Forensic Legal Med. 2008;15:163–7.CrossRef Fukube S, Hayashi T, Ishida Y, Kamon H, Kawaguchi M, Kimura A, et al. Retrospective study on suicidal cases by sharp force injuries. J Forensic Legal Med. 2008;15:163–7.CrossRef
4.
go back to reference Jaquet JB, van der Jagt I, Kuypers PD, Schreuders TA, Kalmijn AR, Hovius SE. Spaghetti wrist trauma: functional recovery, return to work, and psychological effects. Plast Reconstr Surg. 2005;115:1609–17.CrossRefPubMed Jaquet JB, van der Jagt I, Kuypers PD, Schreuders TA, Kalmijn AR, Hovius SE. Spaghetti wrist trauma: functional recovery, return to work, and psychological effects. Plast Reconstr Surg. 2005;115:1609–17.CrossRefPubMed
5.
go back to reference Yii NW, Urban M, Elliot D. A prospective study of flexor tendon repair in zone 5. J Hand Surg (Br.). 1998;23:642.CrossRef Yii NW, Urban M, Elliot D. A prospective study of flexor tendon repair in zone 5. J Hand Surg (Br.). 1998;23:642.CrossRef
6.
go back to reference Graff H, Mallin KR. The syndrome of the wrist cutter. Am J Psychiatry. 1967;146:789–90. Graff H, Mallin KR. The syndrome of the wrist cutter. Am J Psychiatry. 1967;146:789–90.
8.
go back to reference Rosenthal RJ, Rinzler C, Walsh R, et al. Writs–cutting syndrome: the meaning of a gesture. Am J Psychiatry. 1972;128:1363–8.CrossRefPubMed Rosenthal RJ, Rinzler C, Walsh R, et al. Writs–cutting syndrome: the meaning of a gesture. Am J Psychiatry. 1972;128:1363–8.CrossRefPubMed
9.
go back to reference Simpson MA. The phenomenology of self-mutilation in ageneral hospital setting. Can Psychiatr Assoc J. 1975;20:429–34.PubMed Simpson MA. The phenomenology of self-mutilation in ageneral hospital setting. Can Psychiatr Assoc J. 1975;20:429–34.PubMed
10.
go back to reference Fujioka M, Murakami C, Masuda K, Doi H. Evaluation of superficial and deep self-inflicted wrist and forearm lacerations. J Hand Surg. 2012;37:1054–8.CrossRef Fujioka M, Murakami C, Masuda K, Doi H. Evaluation of superficial and deep self-inflicted wrist and forearm lacerations. J Hand Surg. 2012;37:1054–8.CrossRef
11.
go back to reference Eisenberg TL, Glysch RL, Remington PL, Katcher ML. Youth suicide in Wisconsin: mortality, hospitalizations and risk factors. WMJ. 2005;104(7):54–8 (69).PubMed Eisenberg TL, Glysch RL, Remington PL, Katcher ML. Youth suicide in Wisconsin: mortality, hospitalizations and risk factors. WMJ. 2005;104(7):54–8 (69).PubMed
12.
go back to reference Kapandji A. Clinical test of apposition and counter-apposition of the thumb. Ann Chir Main. 1986;5(1):67–73.CrossRefPubMed Kapandji A. Clinical test of apposition and counter-apposition of the thumb. Ann Chir Main. 1986;5(1):67–73.CrossRefPubMed
13.
go back to reference Bukhari AJ, Saleem M, Bhutta AR, Khan AZ, Abid KJ. Spaghetti wrist: management and outcome. J Coll Physician Surg Pak. 2004;14:608–11. Bukhari AJ, Saleem M, Bhutta AR, Khan AZ, Abid KJ. Spaghetti wrist: management and outcome. J Coll Physician Surg Pak. 2004;14:608–11.
14.
go back to reference Schmidtke A, Bille-Brahe U, DeLeo D, Kerkhof A, Bjerke T, Crepet P, et al. Attempted suicide in Europe: rates, trends andsociodemographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatr Scand. 1996;93:327–38.CrossRefPubMed Schmidtke A, Bille-Brahe U, DeLeo D, Kerkhof A, Bjerke T, Crepet P, et al. Attempted suicide in Europe: rates, trends andsociodemographic characteristics of suicide attempters during the period 1989–1992. Results of the WHO/EURO Multicentre Study on Parasuicide. Acta Psychiatr Scand. 1996;93:327–38.CrossRefPubMed
15.
go back to reference Kemperman I, Russ MJ, Clark WC. Pain assessment in self-injurious patients with borderline personality disorder using signal detection theory. Psychiatry Res. 1997;70:175–83.CrossRefPubMed Kemperman I, Russ MJ, Clark WC. Pain assessment in self-injurious patients with borderline personality disorder using signal detection theory. Psychiatry Res. 1997;70:175–83.CrossRefPubMed
16.
go back to reference Bohus M, Limberger M, Ebner U, et al. Pain perception during self-reported distress and calmness in patients with borderline personality disorder and self-mutilating behavior. Psychiatry Res. 2000;95:251–60.CrossRefPubMed Bohus M, Limberger M, Ebner U, et al. Pain perception during self-reported distress and calmness in patients with borderline personality disorder and self-mutilating behavior. Psychiatry Res. 2000;95:251–60.CrossRefPubMed
17.
18.
go back to reference Ong SG, Fung SC, Chow SP, Kleevens JW. A study of major factors associated with severe occupational hand injury in Hong Kong island. J Soc Occup Med. 1982;32:82–8.CrossRefPubMed Ong SG, Fung SC, Chow SP, Kleevens JW. A study of major factors associated with severe occupational hand injury in Hong Kong island. J Soc Occup Med. 1982;32:82–8.CrossRefPubMed
19.
20.
go back to reference Klonsky ED. The functions of deliberate self-injury: a review of the evidence. Clin Psychol Rev. 2007;27:226–39.CrossRefPubMed Klonsky ED. The functions of deliberate self-injury: a review of the evidence. Clin Psychol Rev. 2007;27:226–39.CrossRefPubMed
21.
go back to reference Runeson B, Tidemalm D, Dahlin M, Lichtenstein P, Langstrom N. Method of attempted suicide as predictor of subsequent successful suicide: national long term cohort study. BMJ. 2010;341:3222.CrossRef Runeson B, Tidemalm D, Dahlin M, Lichtenstein P, Langstrom N. Method of attempted suicide as predictor of subsequent successful suicide: national long term cohort study. BMJ. 2010;341:3222.CrossRef
Metadata
Title
Analysis of 41 suicide attempts by wrist cutting: a retrospective analysis
Authors
B. Ersen
R. Kahveci
M. C. Saki
O. Tunali
I. Aksu
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Trauma and Emergency Surgery / Issue 1/2017
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI
https://doi.org/10.1007/s00068-015-0599-4

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