@article{ref1,
title="Case-controlled study of patients with self-inflicted burns",
journal="Burns: journal of the International Society for Burn Injuries",
year="2005",
author="Horner, B. M. and Ahmadi, H. and Mulholland, R. and Myers, S. R. and Catalan, Jose",
volume="31",
number="4",
pages="471-475",
abstract="The main objectives of this study were to investigate whether patients with self-inflicted burns have larger burns, and a worse outcome, than patients with accidental burns. The secondary objective was to examine patient pre-injury characteristics to identify ways of preventing the burn occurring. A case-controlled study was performed: 36 deliberate self-burn patients were matched separately to two groups of accidental burn patients. The first group was used to compare burn severity. Patients were matched for age and sex; they were excluded if they had a psychiatric diagnosis, or a non-burn injury. The second group was used to compare outcome. The same matching and exclusion criteria were used as in the first group, with the addition of burn-size. Deliberate self-burn patients have significantly larger burns (p<0.01; median total body surface area (TBSA) 10% versus 1.5%) than accidental burn patients. They also stay in hospital longer, even when matched for burn-size (p<0.02; median stay 15 days versus 9 days). Self-inflicted burns occurred in supervised environments in 28% of cases. The number of deliberate self-burns could be reduced with simple interventions such as restricting smoking in hospitals and prisons, and also by identifying high-risk patients. The poor outcome from deliberate self-burns could be improved by well-coordinated multidisciplinary patient management with early psychiatric team involvement.<p /><p>Language: en</p>",
language="en",
issn="0305-4179",
doi="10.1016/j.burns.2004.12.006",
url="http://dx.doi.org/10.1016/j.burns.2004.12.006"
}