Evaluation of the association between bilateral calcaneal fractures and suicide attempts: Findings from 4 different trauma centers in Turkey

Authors : Emre GÜLTAÇ, Ahmet ACAN, Cem Yalın KILINÇ, Nermin GÜNDÜZ, Nihat Demirhan DEMİRKIRAN, Mehmet YÜCENS, Nevres AYDOĞAN

Pages : 221-226

View : 53 | Download : 8

Publication Date : 2021-05-01

Article Type : Research Paper

Abstract :Background: We aimed to to determine the association between bilateral calcaneal fractures and suicide attempt and some socio-demographic characteristics. Methods: This study was conducted among patients admitted to the emergency departments of four trauma centers with bilateral calcaneal fractures between January 2014 and March 2017. The Sociodemographic Data Form, Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders fourth edition insert ignore into journalissuearticles values(DSM-IV); and Axis I Disorders insert ignore into journalissuearticles values(SCID-I); were applied to participants. Comparisons about age and gender was made between suicidal and non-suicidal patiens with bilateral calcaneal fractures. Results: Twenty-three patients with bilateral calcaneus fractures were included in the study. Of the 23 patients with bilateral calcaneal fractures, 14 insert ignore into journalissuearticles values(61%); were evaluated as suicidal and 9 insert ignore into journalissuearticles values(39%); were evaluated as not suicidal. The majority of suicidal jumpers were female insert ignore into journalissuearticles values(n = 11, 78.6%);. Suicidal patients were younger compared with non-suicidal fallers. As a result of SCID I interview, 9 insert ignore into journalissuearticles values(64.3%); of 14 suicidal jumpers were diagnosed with serious psychiatric diagnoses: One patient was diagnosed with first episode psychotic disorder, one with schizophrenia, one with Schizoaffective Disorder, one with Bipolar Disorder, two with Major Depressive Disorder and three with Adjustment Disorder. Conclusion: Based on our study results we determined that suicidal jumpers are frequently diagnosed with serious psychiatric disorders. Therefore, the psychiatric dimension should be taken into consideration in the treatment plan for patients with bilateral calcaneal fractures and the multidisciplinary approach should be taken.
Keywords : bilateral calcaneus fractures, suicidal high falls, suicide attempts

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