SuicidalAttemptHanging.pptVIP

Suicidal AttemptHanging By Intensive Care Unit United Christian Hospital Epidemiology of Suicide and Hanging The overall rate of suicide in the United States is 11.2 per 100,000, accounting for over 31,000 deaths each year. Suicide rates are highest among men who are older than 69 years (Figure 1). Among people under 45 years of age, suicide is the fifth most frequent cause of death; it is more frequent than homicide and only slightly less frequent than death from heart disease. Assessment and Treatment of Suicidal Patients. NEJM Vol 337:910-915 (13). Robert M.A. Hirschfeld, M.D., and James M. Russell, M.D. Epidemiology of Suicide and Hanging Hanging is one of the most commonly used methods for suicide worldwide. Its incidence has increased over the last 30 years. Around 10% of hanging suicides occur in the controlled environments of hospitals, prisons, and police custody. Around 90% occur in the community. The most commonly used ligatures (rope, belts) and ligature points (beams, banisters, hooks, door knobs, and trees) Around 50% of hanging suicides are not fully suspended--ligature points below head level are commonly used. The Case fatality following attempted suicide by hanging is varied, but quoted around 70% The epidemiology and prevention of suicide by hanging: a systematic review. Int J Epidemiol. 2005; 34(2):433-42. Gunnell D; Bennewith O, et al. Prognostic factors in hanging injuries Am J Emerg Med. 2004; 22(3):207-10. Matsuyama T et al. Japan A cohort of 47 patients in Japan presented to AED with hanging was analysed 11 patients survived and 36 died A significant difference in mean hanging time was observed between survivor (12 minutes) and nonsurvivor (51 minutes). In survivors, heartbeat was recognized in 90.9% on arrival AED. Conversely, cardiopulmonary arrest (CPA) was recognized in all nonsurvivors and heartbeat was recognized on arrival AED in only 5.6%. 39 (83%) had a Glasgow Coma Score (GCS) of 3 on arrival. 3 (7.7%)