Demographic risk factors of self-immolation: a case-control study.
OBJECTIVE
To investigate demographic risk factors for self-immolation patients.


METHODS
In a case-control study, 30 consecutive cases of deliberate self-inflicted burns admitted to the regional Burn centre (Imam Khomeini hospital in Kermanshah province, Iran) were compared with 30 controls who were selected from the community and matched by gender, age, and living area. All cases and controls were reviewed for demographic variables, including: age, gender, living area, family size, marital status, bearing and number of children, Body Mass Index (BMI), birth order, employment state, educational status, early school drop-out, and parent/guardian employment status.


RESULTS
Two variables emerged as related to risk of self-immolation. Being the first or last child in family birth order was associated with increased risk of self-immolation. Moreover, among the married participants, having children was associated with decreased risk of self-immolation. The comparisons of other variables were not statistically significant. In multivariate analyses, none of the variables predicted risk for self-immolation.


CONCLUSIONS
This study suggests that being the first or last child of a family might be a risk factor for self-immolation. For married persons, having children might serve as a protective factor from self-immolation. Other variables such as family size, marital status, number of children, BMI, employment state, educational status, early school drop-out, and parent/guardian employment status did not play a role as individually protective or risk factors for self-immolation.
Ahmadi
Alireza
A
Department of Anesthesiology, Critical Care and Pain Management, Kermanshah University of Medical Sciences, Iran. ahmadiar1012@yahoo.com
Mohammadi
Reza
R
Schwebel
David C
DC
Khazaie
Habibolah
H
Yeganeh
Naser
N
Almasi
Afshin
A
D000328:Adult; D000367:Age Factors; D001722:Birth Order / Q000523:psychology*; D001828:Body Image; D002056:Burns / Q000453:epidemiology / Q000523:psychology*; D016022:Case-Control Studies; D005191:Family Characteristics; D005260:Female; D006801:Humans; D007492:Iran / Q000453:epidemiology; D008297:Male; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000453:epidemiology / Q000523:psychology*; D012737:Sex Factors; D013406:Suicide, Attempted / Q000523:psychology* / Q000706:statistics & numerical data