Analysis of Self-Inflicted Lacerations to the Wrist: A Multi-Disciplinary Approach to Treating

Seong Ho Jeong, Ja Hea Gu, Woo Kyung Kim

Research output: Contribution to journalArticle

Abstract

Background: Self-inflicted wrist lacerations have the potential to lead to crippling sequelae and repeated suicidal attempt. To obtain good results, we have treated self-inflicted wrist lacerations using a multidisciplinary team - emergency, hand surgery, psychiatry, and rehabilitation. This study aims to review features of this type of injuries and suggest multidisciplinary team approach as an optimal treatment. Methods: Our multidisciplinary approach can be summarized as follows: initial evaluation, psychological interview, surgery, and rehabilitation. The medical records including wound features, injured structures and psychological data were reviewed retrospectively. Assessment of functional outcomes, and comparative analysis of various psychological parameters were conducted. Results: Most patients resulted in excellent or good functional outcomes. Five patients reattempted wrist cutting with suicidal intent during follow-up. Only 21.3% patients had a suicidal intent and it was not associated with injury severity and functional recovery. Alcohol ingestion and presence of associated injuries was significant different between severity groups. Presence of suicidal intent was irrelevant to injury severity and functional recovery, but relevant to alcohol ingestion, presence of associated injuries and presence of psychiatric diagnosis. Conclusions: In order to minimize catastrophic disability and repeated suicide attempts, a balanced multidisciplinary approach is one of the best methods to obtain excellent functional outcomes and prevent repeated injuries in patients with self-inflicted wrist lacerations.

Original languageEnglish
Pages (from-to)47-53
Number of pages7
JournalThe journal of hand surgery Asian-Pacific volume
Volume25
Issue number1
DOIs
Publication statusPublished - 2020 Mar 1

Keywords

  • Attempted
  • Lacerations
  • Suicidal ideation
  • Suicide
  • Wrist

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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