Citation

Nagel E, Jähne J, Obermann K, Lotz J, Meyer zu Vilsendorf A, Pichlmayr R. Langenbecks Arch. Chir. 1997; 382(1): 29-32.

Vernacular Title

Abdominalchirurgisch relevante Aspekte des Suizidversuchs.

Affiliation

Klinik für Abdominal- und Transplantationschirurgie, Medizinische Hochschule Hannover.

Copyright

(Copyright © 1997, Holtzbrinck Springer Nature Publishing Group)

DOI

unavailable

PMID

9157229

Abstract

In this retrospective study of 24 patients who were treated at our clinic during the last 22 years after having attempted suicide, we evaluated aspects concerning abdominal- and transplantation surgery. There was a predominance of "hard" (70%) versus "soft" (30%) methods for suicide attempt. Intra-abdominal injuries resulting from attempted suicide by stabbing or shooting should lead to laparotomy-the prognosis is then good. Surgical treatment after intoxication, especially caustic ingestion, depends on endoscopic and clinical findings. The highly increased rates of suicide in patients with end-stage renal disease can be reduced significantly by kidney transplantation. The risk of suicide after transplantation is further diminished with improved immunosuppressive treatment. Only in a few cases there is an indication for liver transplantation-in some cases of fulminant hepatic failure caused by self-administered paracetamol overdose. Auxiliary liver transplantation may then be considered.

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