ArticleClinical and experimental emergency medicine2021
Suicidal intent as a risk factor for mortality in high-level falls: a comparative study of suicidal and accidental falls.
Article in Clinical and experimental emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Differentiating injury patterns and outcomes in accidental, suicidal and occupational falls from heights.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Fracture Patterns in Fatal Free Falls: A Systematic Review of Intrinsic and Extrinsic Risk Factors and the Role of Postmortem CT.Journal of clinical medicine · 2025Review
- Do the management and functional outcomes of the surgically treated spinal fractures change in suicidal jumpers?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024Article
- Characteristics of fall-from-height patients: a retrospective comparison of jumpers and fallers using a multi-institutional registry.Clinical and experimental emergency medicine · 2024Article
- Factors associated with the injury severity of falls from a similar height and features of the injury site in Korea: a retrospective study.Journal of trauma and injury · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveSuicide is a major issue in South Korea, and falling is a common method of suicide. Further, accidental falls are a common cause of death. However, whether suicidal falls differ from accidental falls is inconclusive. This study aimed to compare suicidal and accidental falls to identify risk factors for mortality.
methodsFrom March 2010 to December 2016, patients admitted to our hospital because of falls were reviewed retrospectively. Characteristics and outcomes were compared between suicide and accident groups. Injury distribution was compared using the Injury Severity Score and Abbreviated Injury Scales. Multivariate analysis was performed to identify risk factors, including suicide intent, for mortality.
resultsOf 242 patients, 42 were included in the suicide group and 200 were included in the accident group. The suicide group showed higher fall heights and injuries of greater severity. The accident group was younger and included a higher number of men. The suicide group showed a higher mortality (23.8% vs. 6.5%, P=0.001) and a higher proportion of injuries in the lower extremities or abdomen. In the multivariate analysis, Glasgow Coma Scale score (0.575 [0.433-0.764], P<0.001), body mass index (1.638 [1.194-2.247], P=0.002), suicide intent (9.789 [1.026-93.404], P=0.047) and Injury Severity Score (1.091 [1.000-1.190], P=0.049) were identified as risk factors for mortality.
conclusionSuicidal falls were associated with poorer outcomes and a greater tendency to land feet first relative to accidental falls. Suicide intent was a risk factor for mortality.
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