Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Systemic
Abstract number: 25213
QUALITY OF LIFE IN PATIENTS OPERATED FOR PELVIC OR ACETABULAR
FRACTURES CAUSED BY SUICIDE ATTEMPT BY JUMPING
Tomas BORG 1 , Maria HOLSTAD 2 , Sune LARSSON 1
1 Uppsala University Dept of surgical science Orthopaedics, Uppsala (SWEDEN),
2 Uppsala University Dept of Neuroscience Psychiatry, Uppsala (SWEDEN)
Survivors after jumping from height as a suicide-attempt can sustain serious pelvic or
acetabular fractures requiring surgery. The combination of psychiatric disorder and
somatic injuries makes treatment and follow-up difficult. Our aim was to evaluate
survival and patient-reported outcome in this patient-group.During the period 2003-
2004, 12 patients (11 female, 1 male) operated for a pelvic or acetabular fracture
sustained when jumping from height as a suicide-attempt.were prospectively
included. Eight patients were below 30 years of age. At two years the HRQOL
(Health.Related Quality of Life) questionnaire SF-36 and the Life-Satisfaction
questionnaire LiSat-11 were used to describe patient related outcome. Thereafter a
structured psychiatric interview SCID-I (Structured Clinical Interview for DSM-IV Axis
I Disorders) was done to evaluate recurrence of self-destructive behaviour.At four
years all patients were still alive. Only one patient had made a new suicide-attempt.
Eight patients gave adequate reply on SF-36 and LiSat-11 at two years. In all
domains patients scored lower than a norm group with the relatively lowest values in
physical domains. However, in this traumatized group of patients scores for the
young individuals were higher than expected , who assessed QoL as much better
than the middle aged patients.This study showed a low recurrence rate into suicidal
behaviour in patients sustaining a pelvic or acetabular fracture after surviving a
suicide-attempt by jumping. All patients were alive at four years and HRQOL and lifesatisfaction
was reported higher than expected in the young patients.
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