title: [Aspects relevant for abdominal surgery of attempted suicide].
abstract: In this retrospective study of 24 patients who were treated at our clinic during the last 22 years after having attempted suicide, we evaluated aspects concerning abdominal- and transplantation surgery. There was a predominance of "hard" (70%) versus "soft" (30%) methods for suicide attempt. Intra-abdominal injuries resulting from attempted suicide by stabbing or shooting should lead to laparotomy-the prognosis is then good. Surgical treatment after intoxication, especially caustic ingestion, depends on endoscopic and clinical findings. The highly increased rates of suicide in patients with end-stage renal disease can be reduced significantly by kidney transplantation. The risk of suicide after transplantation is further diminished with improved immunosuppressive treatment. Only in a few cases there is an indication for liver transplantation-in some cases of fulminant hepatic failure caused by self-administered paracetamol overdose. Auxiliary liver transplantation may then be considered.
authors.affiliation: Klinik für Abdominal- und Transplantationschirurgie, Medizinische Hochschule Hannover.
authors.forename: E
authors.initials: E
authors.lastname: Nagel
authors.forename: J
authors.initials: J
authors.lastname: Jähne
authors.forename: K
authors.initials: K
authors.lastname: Obermann
authors.forename: J
authors.initials: J
authors.lastname: Lotz
authors.forename: A
authors.initials: A
authors.lastname: Meyer zu Vilsendorf
authors.forename: R
authors.initials: R
authors.lastname: Pichlmayr
mesh_terms: D000007:Abdominal Injuries / Q000523:psychology / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D062787:Drug Overdose / Q000523:psychology / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006501:Hepatic Encephalopathy / Q000139:chemically induced / Q000523:psychology / Q000601:surgery; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology / Q000601:surgery; D016030:Kidney Transplantation; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D012189:Retrospective Studies; D013406:Suicide, Attempted / Q000517:prevention & control / Q000523:psychology*; D014948:Wounds, Gunshot / Q000523:psychology / Q000601:surgery; D014951:Wounds, Stab / Q000523:psychology / Q000601:surgery
vernacular_title: Abdominalchirurgisch relevante Aspekte des Suizidversuchs.