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  4. Burst Fractures as a Result of Attempted Suicide by Jumping

Burst Fractures as a Result of Attempted Suicide by Jumping

Korean J Neurotrauma, 2014 · DOI: http://dx.doi.org/10.13004/kjnt.2014.10.2.70 · Published: June 1, 2014

Mental HealthTraumaMusculoskeletal Medicine

Simple Explanation

This study reviews eight patients diagnosed with vertebral burst fractures after a suicide attempt by jumping from a height. The study analyzes patient characteristics, therapeutic modalities, and compares these injuries with non-suicide related falls to evaluate the initial assessments of these patients. The most common injury was ankle fracture such as calcaneus, talus, navicular and malleolus

Study Duration
2003-2012
Participants
8 patients diagnosed with vertebral burst fracture
Evidence Level
Not specified

Key Findings

  • 1
    The mean age of the patients was 26.5 years, and there were eleven vertebral burst fractures in eight patients.
  • 2
    Five patients had major depressive disorder, and five patients had made previous suicide attempts.
  • 3
    Six patients showed impaired neurologic function immediately after trauma, and five patients showed improved or unchanged neurologic status after operation.

Research Summary

This retrospective study reviewed eight patients with vertebral burst fractures resulting from suicide attempts by jumping, admitted between 2003 and 2012. The study analyzed demographics, injury characteristics, surgical interventions, and psychological histories. The study concludes that suicidal jumpers differ from accidental fallers due to different injury mechanisms, requiring consideration of age, injury site, psychiatric issues, and combined injuries.

Practical Implications

Comprehensive Assessment

Physicians managing suicidal jumpers need to consider the patient's age, the affected site of injury, any psychiatric problems, and combined injuries.

Interdisciplinary Collaboration

Effective management requires cooperation between departments related to the injuries, as well as psychiatry and rehabilitation from the beginning to the end of treatment.

Surgical Considerations

Surgical treatment should be considered over conservative care for early rehabilitation of vertebral burst fractures in suicide attempt patients.

Study Limitations

  • 1
    Retrospective study design
  • 2
    Small sample size (eight patients)
  • 3
    Single-center study

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