Self-inflicted injury and the older trauma patient: a 20 year review of suicide attempts and outcomes
Autor: | Matthew R. Castelo, Linda Hutkin-Slade, Dunya Bayat, Kathryn B. Schaffer, Summer H. Reames, Tala Dandan, Walter L. Biffl |
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Rok vydání: | 2021 |
Předmět: |
Male
Pediatrics medicine.medical_specialty Population ageing Suicide Attempted Trauma Injury Severity Score Intentional injury Health care Medicine Humans Depression (differential diagnoses) Aged Retrospective Studies Suicide attempt business.industry Trauma center Mental health Older Suicide Concomitant Cohort Self Mutilation Female business Self-Injurious Behavior Research Paper |
Zdroj: | European Geriatric Medicine |
ISSN: | 1878-7649 |
Popis: | Key summary points Aim To describe a cohort of older trauma patients treated for injuries related to intentional injury over 20 years. Findings Intentional injury among older patients is rare, but differences are evident when comparing older and younger survivors of suicide attempts. Differences with mortality method of self-inflicted injury, discharge to home and injury severity between genders were identified. Message Although older patients are not the typical suicide attempt patient presenting at hospitals, their management and discharge planning are often complex and challenging due to undiagnosed mental health conditions, pre-existing comorbidities and difficulties with mental health resource options for this age group. 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 ( |
Databáze: | OpenAIRE |
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