@article{ref1,
title="Self-inflicted injuries: the intersection of mental health and traumatic injury in Malawi",
journal="Tropical doctor",
year="2021",
author="Williams, Brittney M. and Kayange, Linda and Purcell, Laura and Gallaher, Jared and Charles, Anthony",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="Self-inflicted injury, the most common form of intentional injury, disproportionately affects low-income countries, but is poorly described in this setting. This retrospective review of the 2008-2018 trauma registry at a referral hospital in Malawi included all victims of intentional injury ≥10 years. Self-inflicted injuries were compared to assaults. The primary outcome was in-hospital mortality. Common mechanisms of self-inflicted injuries were fall from height, poisoning, and penetrating injury. In-hospital mortality from self-inflicted injury was 8.8% vs. 1.9% for assault. Those who died from self-inflicted injury were more often older (median 34 vs. 26 years, p < 0.001), male (91.9% vs. 67.8%, p < 0.001), unemployed (32.8% vs. 6.4%, p < 0.001), and most commonly died by hanging (60%). The odds of in-hospital mortality after self-inflicted injury was four times assault (OR 4.0 [95% CI 1.4-11.5], p = 0.01). The trauma registry proved useful for describing self-inflicted injury in this setting.<p /> <p>Language: en</p>",
language="en",
issn="0049-4755",
doi="10.1177/00494755211013197",
url="http://dx.doi.org/10.1177/00494755211013197"
}