Suicide versus homicide firearm injury patterns on trauma systems in a study of the National Trauma Data Bank (NTDB).
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
19 09 2022
19 09 2022
Historique:
received:
10
02
2022
accepted:
22
07
2022
entrez:
19
9
2022
pubmed:
20
9
2022
medline:
23
9
2022
Statut:
epublish
Résumé
Firearm related mortality in the USA surpassed all other developed countries. This study hypothesizes that injury patterns, weapon type, and mortality differ between suicide groups as opposed to homicide. The American College of Surgeons National Trauma Database was queried from January 2017 to December 2019. All firearm related injuries were included, and weapon type was abstracted. Differences between homicide and suicide groups by sex, age, race, and injury severity were compared using a Mann-Whitney test for numerical data and Fisher's exact test for categorical data. The association between weapon type and mortality relative to suicide as opposed to homicide was assessed in Fisher's exact tests. Significance was defined as p < 0.05. There were 100,031 homicide and 11,714 suicide subjects that met inclusion criteria. Homicides were mostly assault victims (97.6%), male (88%), African-American (62%), had less severe injury (mean (ISS) 12.07) and a median age of 20 years old (IQR: 14, 30, p < 0.01). Suicides were mostly male (83%), white (79%), had more severe injury (mean ISS 20.73), and a median age of 36 years old (IQR: 19, 54, p < 0.01). Suicide group had higher odds of head/neck (OR = 13.6) or face (OR = 5.7) injuries, with lower odds of injury to chest (OR = 0.55), abdominal or pelvic contents (OR = 0.25), extremities or pelvic girdle (OR = 0.15), or superficial soft tissue (OR = 0.32). Mortality rate was higher for suicide group (44.8%; 95% confidence interval (CI) 43.9%, 45.7%) compared to the homicide group (11.5%; 95% CI 11.3%, 11.7%). Suicide had higher mortality, more severe injuries, and more head/neck/facial injuries than homicide. Majority of suicides were with handguns.
Identifiants
pubmed: 36123380
doi: 10.1038/s41598-022-17280-2
pii: 10.1038/s41598-022-17280-2
pmc: PMC9485125
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
15672Informations de copyright
© 2022. The Author(s).
Références
JAMA. 2018 Aug 28;320(8):792-814
pubmed: 30167700
J Am Coll Surg. 2015 Dec;221(6):1005-14
pubmed: 26422747
JAMA Intern Med. 2017 Jan 1;177(1):106-119
pubmed: 27842178
Am Surg. 2021 Jan;87(1):39-44
pubmed: 32915073
Prev Med Rep. 2021 Nov 14;24:101634
pubmed: 34976686
J Trauma Acute Care Surg. 2019 Sep;87(3):678-689
pubmed: 31033891
J Behav Med. 2021 Dec;44(6):874-882
pubmed: 34241756
Prev Med. 2020 Sep;138:106144
pubmed: 32473264
Prev Med. 2015 Oct;79:5-14
pubmed: 26116133
Ann Intern Med. 2018 May 15;168(10):712-720
pubmed: 29710093
Epidemiol Rev. 2016;38(1):32-45
pubmed: 26811427
Forensic Sci Int. 2013 Dec 10;233(1-3):28-36
pubmed: 24314498
JAMA Intern Med. 2017 Jan 1;177(1):7-8
pubmed: 27842167
Psychiatry Res. 2021 Jan;295:113584
pubmed: 33285344
Suicide Life Threat Behav. 2020 Aug;50(4):823-837
pubmed: 32175630
J Gen Intern Med. 2014 Jul;29(7):1065-9
pubmed: 24452421
J Behav Med. 2019 Aug;42(4):681-690
pubmed: 31367933
Adv Surg. 2019 Sep;53:195-208
pubmed: 31327446
J Am Coll Surg. 2019 Apr;228(4):427-434
pubmed: 30703539
JAMA Psychiatry. 2021 Mar 1;78(3):241-242
pubmed: 32965479
Epidemiology. 2002 Sep;13(5):517-24
pubmed: 12192220
Ann Intern Med. 2019 Dec 17;171(12):885-895
pubmed: 31791066
CMAJ Open. 2020 Jul 14;8(3):E469-E478
pubmed: 32665228
JAMA Pediatr. 2020 Nov 1;174(11):1056-1062
pubmed: 32870238
SSM Popul Health. 2019 Jul 30;8:100463
pubmed: 31414039
J Am Coll Surg. 2021 Sep;233(3):471-478.e1
pubmed: 34339811
Proc Natl Acad Sci U S A. 2020 Jun 30;117(26):14906-14910
pubmed: 32541042
JAMA Surg. 2018 Sep 1;153(9):852-853
pubmed: 29617536
Iowa Orthop J. 2018;38:45-52
pubmed: 30104924
Health Place. 2014 May;27:120-6
pubmed: 24603009
Am J Public Health. 2017 Nov;107(11):1701-1702
pubmed: 29019783
Croat Med J. 2013 Oct 28;54(5):444-52
pubmed: 24170723
Prev Sci. 2021 May;22(4):523-533
pubmed: 33439439
J Trauma Acute Care Surg. 2019 Sep;87(3):531-540
pubmed: 31162332
Am J Public Health. 2015 Oct;105(10):2059-67
pubmed: 25880944
Prev Med. 2019 Jun;123:20-26
pubmed: 30817955
Psychiatry Res. 2016 Mar 30;237:22-6
pubmed: 26921047
Inj Prev. 2006 Jun;12(3):178-82
pubmed: 16751449
Surgery. 2014 May;155(5):894-8
pubmed: 24684950
Arch Suicide Res. 2010;14(4):329-41
pubmed: 21082449
JAMA Pediatr. 2020 May 1;174(5):411-412
pubmed: 32119061
JAMA. 2005 Feb 9;293(6):707-14
pubmed: 15701912
Kans J Med. 2021 Jan 21;14:5-11
pubmed: 33643521
Public Health Rep. 2004 Mar-Apr;119(2):114-24
pubmed: 15192897
Suicide Life Threat Behav. 2019 Aug;49(4):1044-1057
pubmed: 30117194
Front Psychol. 2021 Jul 27;12:590187
pubmed: 34385942
Arch Suicide Res. 2016 Oct-Dec;20(4):539-52
pubmed: 26953789
J Am Coll Surg. 2019 Aug;229(2):150-157
pubmed: 30928667
Int J Environ Res Public Health. 2018 Jul 06;15(7):
pubmed: 29986446
Psychiatry Res. 2009 Sep 30;169(2):154-8
pubmed: 19646765
Ann Intern Med. 2014 Jan 21;160(2):101-10
pubmed: 24592495
Acta Psychiatr Scand. 1993 Dec;88(6):391-4
pubmed: 8310845
Inj Epidemiol. 2021 Jul 5;8(1):43
pubmed: 34225798
J Trauma. 2007 Apr;62(4):1029-34; discussion 1034-5
pubmed: 17426563
JAMA. 1999 Aug 4;282(5):447-54
pubmed: 10442660
Inj Prev. 2005 Apr;11(2):77-83
pubmed: 15805435
SSM Popul Health. 2020 Nov 04;12:100689
pubmed: 33204810
Am J Public Health. 2015 Oct;105(10):2049-58
pubmed: 26270305
J Trauma Acute Care Surg. 2014 Jan;76(1):2-9; discussion 9-11
pubmed: 24368351