Citation

Gültaç E, Acan AE, Kilinç CY, Gündüz N, Emirkiran ND, Yücens M, Aydoğan NH. Journal of Experimental and Clinical Medicine (Samsun) 2021; 38(3): 221-226.

Copyright

(Copyright © 2021)

DOI

10.52142/omujecm.38.3.3

PMID

unavailable

Abstract

In this study we aimed to determine the association between bilateral calcaneal fractures and suicide attempt and some socio-demographic characteristics. 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 (DSM-IV) and Axis I Disorders (SCID-I) were applied to participants. Comparisons about age and gender was made between suicidal and non-suicidal patients with bilateral calcaneal fractures. Twenty-three patients with bilateral calcaneus fractures were included in the study. Of the 23 patients with bilateral calcaneal fractures, 14 (61%) were evaluated as suicidal and nine (39%) were evaluated as not suicidal. The majority of suicidal jumpers were female (n = 11, 78.6%). Suicidal patients were younger compared with non-suicidal fallers. As a result of SCID I interview, nine (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. 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. © 2021 Ondokuz Mayis Universitesi. All rights reserved.

Language: en

Keywords

adolescent; adult; human; age; female; male; bipolar disorder; Suicide attempts; sex difference; schizophrenia; psychosis; suicide attempt; major depression; pain; controlled study; clinical article; emergency ward; emergency health service; olanzapine; risperidone; valproic acid; pregabalin; schizoaffective psychosis; Psychiatric disorders; adjustment disorder; DSM-IV; Turkey (republic); calcaneus fracture; auditory hallucination; Article; Structured Clinical Interview for DSM Disorders; diabetic neuropathy; Bilateral calcaneus fractures; Suicidal high falls