TY - JOUR PY - 2014// TI - Self-inflicted burn injuries in Kermanshah: a public health problem JO - Journal of health scope A1 - Fazeli, Shahram A1 - Matin, Reza Karami A1 - Kakaei, Neda A1 - Pourghorban, Samira A1 - Moghadam, Mehri Amini A1 - Faramani, Samira Safari A1 - Faramani, Roya Safari SP - e17780 EP - e17780 VL - 3 IS - 3 N2 - BACKGROUND: Around 30% of suicides are committed by burning. The problem of self-immolation remains a crisis even after population based interventions and still a considerable proportion of admissions of burn ward is belonged to suicide cases.

OBJECTIVES: This study was designed to present the epidemiologic profile of these patients and compare completed self-immolation and attempted ones.

PATIENTS AND METHODS: All patients with self-immolation admitted to the burn ward of Imam Khomeini Hospital of Kermanshah were entered. The study period was from 20th March 2011 to 21th March 2012. A trained person was responsible to fill the forms by asking victims or their families. Multiple logistic regressions was applied to identify mortality risk and protective factors. Chi-squared test was used to compare attempted cases with complete ones.

RESULTS: In total, 164 cases of self-immolation were admitted (30% of total admission to the burn center). One-hundred and forty-two were female and the median age was 25 (IQR: 21-36). The most common used substance for burning was kerosene (85%). The commonest motive of self-immolation was sadness, followed by conflict with spouse. Overall mortality rate was 38.1%. TBSA was the most important determinant of death when adjusted for age and sex. Odds ratio of death was increased by 3 percent for each percent increase of TBSA (P < 0.0001). There were no statistically significant differences between the attempted cases and completed ones except for TBSA, which was higher among completed cases (P < 0.0001).

CONCLUSIONS: Suicide is a tragic way to end life. As the most common motive was sadness, it is recommended to implement mental health programs and educate problem-solving skills to population, particularly young housekeeper girls.

KEYWORDS: Self; Suicide; Women; Burning

Language: en

LA - en SN - 2251-8959 UR - http://dx.doi.org/ ID - ref1 ER -