Quality of life in patients operated for pelvic fractures caused by suicide attempt by jumping.
OBJECTIVE
jumping from great height is an aggressive method of suicide attempt where the frequent combination of psychiatric disorder and somatic injuries makes treatment difficult. Our aim was to evaluate survival rate and get patient-reported outcome in patients operated for a pelvic or acetabular fracture sustained when jumping from a height as a suicide attempt.


METHODS
during the period 2003-2004, 12 patients (11 women) of whom eight were below 30 years of age, were prospectively included. At two years HRQoL (Health-Related Quality of Life) questionnaires (SF-36 and LiSat-11) were used to describe outcome, and at four years a structured psychiatric interview SCID-I (Structured Clinical Interview for DSM-IV Axis I Disorders) was done.


RESULTS
at four years all patients were alive. One patient had made a new suicide attempt. Eight patients gave adequate reply on SF-36 and LiSat-11 at two years. In all domains patients scored lower than a norm group with the relatively lowest values in physical domains. Younger patients assessed life as better when compared with middle aged patients.


CONCLUSIONS
this study showed a very low recurrence rate into suicidal behaviour in a group of jumpers and all patients were alive at four years after a suicidal attempt by jumping. The high proportion of psychiatric disorder in these patients highlights the need for a combined treatment effort between orthopaedic and psychiatric expertise.
Department of Orthopaedic Surgery, Uppsala University, Uppsala, Sweden. tomas.borg@surgsci.uu.se
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Borg
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Holstad
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Larsson
D000293:Adolescent; D000328:Adult; D005260:Female; D050723:Fractures, Bone / Q000209:etiology / Q000523:psychology / Q000601:surgery*; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D011184:Postoperative Period; D011788:Quality of Life; D011859:Radiography; D012008:Recurrence; D013406:Suicide, Attempted / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult