Single and Unhoused Population at Risk for Self-Inflicted Burn Injury: A Retrospective Analysis of an Urban American Burn Center's Experience.

Autor:	Manasyan A; Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA., Malkoff N; Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA., Cannata B; Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA., Stanton EW; Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA., Yenikomshian HA; Division of Plastic and Reconstructive Surgery, Keck School of Medicine, Los Angeles, CA, 90033, USA., Gillenwater TJ; Division of Plastic and Reconstructive Surgery, Keck School of Medicine, Los Angeles, CA, 90033, USA., Stoycos SA; Department of Psychiatry and Behavioral Sciences, Keck School of Medicine, Los Angeles, CA, 90033, USA.
Jazyk:	angličtina
Zdroj:	Journal of burn care & research : official publication of the American Burn Association [J Burn Care Res] 2024 Aug 30. Date of Electronic Publication: 2024 Aug 30.
DOI:	10.1093/jbcr/irae168
Abstrakt:	Despite the growing recognition of self-harm as a pressing public health issue, demographic risk factors of self-inflicted burn (SIB) injuries in the U.S. have not been extensively described. In this retrospective study, we seek to identify demographic risk factors and patterns associated with SIB injuries at an urban burn center. Charts were reviewed of patients admitted to a single American Burn Association (ABA)-verified burn unit between 2015 and 2023 with a history of SIB injury, identified with ICD10 code X76.XXXA. Descriptive statistics, Welch's t-test of unequal variances, and Chi-Squared-analysis were performed. A total of 3,212 patients were admitted to our institution for management of acute burn injury, with 94 (2.9%) patients who presented with SIB injury. SIB patients were more likely than the control cohort to be male (p = 0.035), single (p=0.008), unhoused (p < 0.001), live alone (p < 0.001), and have documented psychiatric diagnoses (72.3% vs. 2.1%, p < 0.001). They had larger %TBSA affected (p < 0.001) and higher rates of inhalation injury (p < 0.001). The SIB cohort also showed significantly higher rates of positive urine toxicology results, primarily for stimulants and opiates (p < 0.001). Patients with SIBs had longer hospital stays (21.7 ± 2.6 days vs. 12.0 ± 22.1 days, p = 0.006), higher rates of ICU admission (p < 0.001), and mechanical ventilation requirement (p < 0.001). Mental health support services, substance abuse rehabilitation programs, and community outreach need to be prioritized, especially targeting vulnerable populations such as the unhoused. (© The Author(s) 2024. Published by Oxford University Press on behalf of the American Burn Association. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.)
Databáze:	MEDLINE
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