Clinical Characteristic and Psychiatric Features of Self-Inflicted Wrist Laceration: A Single Institute Retrospective Study.
10.12790/jkssh.2015.20.1.1
- Author:
Hee Eun CHO
1
;
Si Gyun ROH
;
Nae Ho LEE
;
Kyung Moo YANG
Author Information
1. Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School, Jeonju, Korea. pssroh@jbnu.ac.kr
- Publication Type:Original Article
- Keywords:
Self mutilation;
Wrist;
Laceration;
Suicide
- MeSH:
Comorbidity;
Female;
Follow-Up Studies;
Glass;
Hand;
Humans;
Lacerations*;
Mood Disorders;
Outpatients;
Retrospective Studies*;
Self Mutilation;
Suicide;
Surgery, Plastic;
Wounds and Injuries;
Wrist*
- From:Journal of the Korean Society for Surgery of the Hand
2015;20(1):1-7
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Self-inflicted wrist laceration is a common injury in the department of hand surgery. The aim of this study was to investigate the clinical characteristics and psychiatric features of self-inflicted wrist laceration using categorization according to wound severity. METHODS: We reviewed 71 patients from 2002 through 2012. All of the patients were grouped into four groups. Data regarding the following characteristics were collected: age, gender, size, structure involved, instruments used, history of previous self-inflicted injury, comorbidities in psychiatric and presentation of follow-up outpatient appointment to the department of plastic surgery and psychiatry. RESULTS: In these patients, approximately 64% of patients were female. About 80% of patients cut their wrist using a knife. And in grade 3-4 injury, percentage of glass injury was relatively high (22%), compared with other grades (3%). Unlike previous studies, patients in grade 3-4 tended to cut their wrist repeatedly. Focusing on psychiatric problems, approximately one quarter of patients had a previous history of self-infliction. In all patient groups, mood disorder was the most common disorder in patients who had a previous psychiatric disorder. But after operation, more than two thirds of patients had not visited department of psychiatry again. CONCLUSION: We identified some other differences among their characteristics. All patients in group also should be evaluated and surgically treated properly. A multidisciplinary approach is required for patients with wrist laceration due to self-injury in comparison to those with laceration due to other causes. Because many of them have previous self-injury experiences and psychiatric disease.
