title: Self-inflicted burns in Athens, Greece: a six-year retrospective study.
abstract: Self-inflicted burns represent a major social and medical problem. The aim of this study was to record the epidemiology, mortality and etiology of suicide attempts by burning, in Athens, Greece. Over a 6-year period from April 1997 to April 2003, all the medical charts of the patients who were admitted to the Burn Center of the General State Hospital of Athens, Greece, with self-inflicted burns were retrospectively studied. Of the 1435 burn patients, 53 (3.69%) had attempted suicide by self-inflicted burn. Their ages ranged from 18 to 90 years old (mean 53.5 years). Females (57%) outnumbered males (43%). The mean total body surface area (TBSA) burned was 41.6% (range: 15-100%). The overall mortality rate was very high (75.4%). A preexisting psychiatric disorder was present in 43.3% of the patients. In conclusion, the extent and the depth of the burn injuries could explain the high mortality rate seen in these patients, in correlation with their negativism to the treatment. Burn care professionals should be familiar with self-inflicted burn patients who constitute a considerable proportion of major burns and require constant psychiatric support in addition to burn care.
authors.affiliation: Department of Plastic Surgery, Microsurgery and Burn Center, General State Hospital of Athens G. Gennimatas, Greece.
authors.forename: Evangelia
authors.initials: E
authors.lastname: Tsati
authors.forename: Thomais
authors.initials: T
authors.lastname: Iconomou
authors.forename: Despina
authors.initials: D
authors.lastname: Tzivaridou
authors.forename: Evangelos
authors.initials: E
authors.lastname: Keramidas
authors.forename: Stefanos
authors.initials: S
authors.lastname: Papadopoulos
authors.forename: Dimosthenis
authors.initials: D
authors.lastname: Tsoutsos
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D002053:Burn Units / Q000706:statistics & numerical data; D002056:Burns / Q000453:epidemiology / Q000473:pathology / Q000523:psychology*; D005260:Female; D006115:Greece; D006801:Humans; D015994:Incidence; D008297:Male; D001523:Mental Disorders; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D016728:Self-Injurious Behavior; D012720:Severity of Illness Index; D013406:Suicide, Attempted