ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2025
Effect of pre-existing psychiatric treatment in suicidal jumpers on the need for in-hospital treatment following injury.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Anti-NMDA receptor encephalitis with coexisting autoimmune GFAP astrocytopathy presenting with psychiatric symptoms leading to a suicide attempt: a case report.International journal of emergency medicine · 2025Article
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5 authors.
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Abstract
purposeTo study the effect of pre-existing psychiatric disorders on outcome following suicidal jump from a height.
methodsSuicidal jumpers were identified from Helsinki Trauma Registry from 2006 to 2015. Trauma registry data were combined with administrative registry data to obtain long-term mortality and in-hospital treatment. The in-hospital treatment data was from 2 years preceding the index injury and up to 5 years post injury. Reasons for the in-hospital visits were also recorded. We analyzed the patients in two groups, namely patients without a pre-existing psychiatric diagnosis (group 1) and patients with a pre-existing psychiatric diagnosis (group 2).
resultsOne-hundred twenty-seven patients were included in the analysis, with 73 patients having received pre-existing psychiatric treatment. A total of 57% of patients were males and 28% of patients suffered severe traumatic brain injury (head AIS ≥ 3). Group 2 patients had a higher number of in-hospital days pre- and post-injury than group 1 patients. Reason for in-hospital treatment in group 2 was psychiatric in over 80% of days except in the year beginning from the index injury. 30-day mortality was similar between the groups 1 and 2 (11% vs. 16%, p = 0.395). Five-year survival was 72% in group 2 patients to 86% in group 1 patients (p = 0.0001).
conclusionPatients with pre-existing psychiatric disorder reaching hospital alive have higher pre- and post-injury requirements for in-hospital treatment than patients without a pre-existing psychiatric disorder. Although pre-existing psychiatric disorder does not affect early mortality, long-term mortality is increased by 14%.
trial registrationTrial registration number and date of registration: HUS/221/2017, 30.3.2017.
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