title: Differences between intentional and non-intentional burns in India: implications for prevention.
abstract: Non-intentional and deliberate burns in India and other developing countries present particular challenges of prevention and treatment. This exploratory study sought improved understanding of burns in order to inform treatment and prevention. It gathered data in 2011/2012 on burns from the hospital registry (N=768) of a government hospital in India and from interviews with women patients (N=60) admitted to the burns ward. Analysis indicated that: (1) the conditions that facilitate intentional and non-intentional burns are similar, but intentional burns involve additional contributory factors; (2) a high proportion of patients subjected to burns are young women in domestic situations; and (3) a higher proportion of their TBSA was burned, with consequent higher mortality than for men. It was concluded that: (1) Haddon's matrix and the situational crime prevention framework of criminology assist in understanding the etiology of intentional burns and in identifying preventive measures; (2) social service and criminal justice agencies have important roles in dealing with victims of intentional burns during and after treatment; (3) full account should be taken of gender-related physical, psychological and family factors in planning treatment; and (4) maintaining careful records of burns cases is vital for estimating the prevalence and incidence of intentional injuries.
authors.affiliation: John Jay College of Criminal Justice, The City University of New York, Department of Criminal Justice, 524 West 59th Street, New York, NY 10019, United States. Electronic address: mnatarajan@jjay.cuny.edu.
authors.forename: Mangai
authors.initials: M
authors.lastname: Natarajan
mesh_terms: D000059:Accidents / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001830:Body Surface Area; D002056:Burns / Q000453:epidemiology* / Q000517:prevention & control; D017579:Domestic Violence / Q000517:prevention & control / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D007194:India / Q000453:epidemiology; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D012042:Registries; D012307:Risk Factors; D012720:Severity of Illness Index; D017678:Sex Distribution; D014754:Violence / Q000517:prevention & control / Q000706:statistics & numerical data; D055815:Young Adult
keywords: Burns; Crime opportunity; Deliberate; Gender; Haddon's matrix; Non-intentional; Prevention; Public health; Self-immolation; Situational crime prevention; Treatment; Violence