uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Quality of life in patients operated for pelvic fractures caused by suicide attempt by jumping
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Orthopaedics.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Psychiatry, University Hospital.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Orthopaedics.
2010 (English)In: Scandinavian Journal of Surgery, ISSN 1457-4969, E-ISSN 1799-7267, Vol. 99, no 3, p. 180-186Article in journal (Refereed) Published
Abstract [en]

Background and Aims: Jumping from great height is an aggressive method of suicide attempt where the frequent combination of psychiatric disorder and somatic injuries makes treatment difficult. Our aim was to evaluate survival rate and get patient-reported outcome in patients operated for a pelvic or acetabular fracture sustained when jumping from a height as a suicide attempt. Patients and Methods: During the period 2003-2004, 12 patients (11 women) of whom eight were below 30 years of age, were prospectively included. At two years HRQoL (Health-Related Quality of Life) questionnaires (SF-36 and LiSat-11) were used to describe outcome, and at four years a structured psychiatric interview SCID-I (Structured Clinical Interview for DSM-IV Axis I Disorders) was done. Results: At four years all patients were alive. 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. Younger patients assessed life as better when compared with middle aged patients. Conclusions: This study showed a very low recurrence rate into suicidal behaviour in a group of jumpers and all patients were alive at four years after a suicidal attempt by jumping. The high proportion of psychiatric disorder in these patients highlights the need for a combined treatment effort between orthopaedic and psychiatric expertise.

Place, publisher, year, edition, pages
2010. Vol. 99, no 3, p. 180-186
Keywords [en]
Jumpers, suicidal attempt, pelvic fractures, SF-36, LiSat-11, SCID
National Category
Medical and Health Sciences
Research subject
Orthopaedics
Identifiers
URN: urn:nbn:se:uu:diva-134817ISI: 000282111700014PubMedID: 21044937OAI: oai:DiVA.org:uu-134817DiVA, id: diva2:373911
Available from: 2010-12-02 Created: 2010-12-01 Last updated: 2017-12-12Bibliographically approved
In thesis
1. Pelvic Ring Injuries and Acetabular Fractures: Quality of Life Following Surgical Treatment
Open this publication in new window or tab >>Pelvic Ring Injuries and Acetabular Fractures: Quality of Life Following Surgical Treatment
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim was to study outcome following surgery of the injured pelvis with focus on assessment from the patient’s perspective. All adult patients operatively treated for pelvic ring injuries or acetabular fractures at the Department of Orthopaedics, Uppsala University, starting 2003 were prospectively included and followed with quality of life (QoL) instruments for 2 years. The most common trauma mechanism was motor vehicle accident (MVA). Study I included 54 patients with pelvic ring injuries during the three-year period 2003-2005. The two instruments, SF-36 and LiSat-11, were used. In 45 responders lower than normative QoL and life satisfaction prevailed at two years after the injury. Study II included 12 patients with pelvic ring injuries or acetabular fractures sustained following a jump from height in an attempt to commit suicide. At four years all patients were still alive and SCID-interviews performed by a psychiatrist revealed low recurrence of self-destructive behaviour and high QoL in the younger patients. Study III included 136 patients with acetabular fractures where 52 had elementary and 84 associated fracture patterns. Fracture reduction was 0-1 mm in 106 patients and 2 mm or more in 30. QoL was significantly higher in patients with anatomically reduced fractures. Physical SF-36 domains improved with time, albeit QoL was lower than norm. Study IV had the aim to construct a condition-specific outcome instrument for patients with acetabular fractures. Closed and open questions were sent to 127 consecutive acetabular fracture patients at 6, 12 and 24 months following surgery. Responses were validated through factor analysis, scree tests, item reduction and principal component analysis which resulted in a multi-item verbal descriptive scale (VDS) with six condition-specific questions related to “Pain”, “Walking”, “Hip motion”, “Leg numbness”, “Sexual life”, “Operation scar” and a global question concerning impact on daily life activities for acetabular fracture assessment.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2011. p. 63
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 659
National Category
Surgery
Research subject
Orthopaedics
Identifiers
urn:nbn:se:uu:diva-149168 (URN)978-91-554-8041-7 (ISBN)
Public defence
2011-05-13, Skoogsalen, ing 78-79, Uppsala University Hospital, Uppsala, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2011-04-20 Created: 2011-03-15 Last updated: 2011-09-15Bibliographically approved

Open Access in DiVA

fulltext(143 kB)305 downloads
File information
File name FULLTEXT01.pdfFile size 143 kBChecksum SHA-512
708059d7bbc49056a3996f7b3e2b61ee5557cf833a53bd924f46dfe9959909930ab52dcac40d9dc968c8b9b5ec1cae9d866b7704a5f8782bb0e66eff5764dfa7
Type fulltextMimetype application/pdf

PubMed

Authority records BETA

Borg, TomasLarsson, Sune

Search in DiVA

By author/editor
Borg, TomasLarsson, Sune
By organisation
OrthopaedicsPsychiatry, University Hospital
In the same journal
Scandinavian Journal of Surgery
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 305 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

pubmed
urn-nbn

Altmetric score

pubmed
urn-nbn
Total: 652 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf