Near hanging: Profile, emergency management, and outcome
Background: Hanging is a very common mode of deliberate self-harm (DSH) used by patients. The spectrum of the triggers and methods used vary from play to place. Objective: To study the profile and outcome of near hanging. Methods and Materials: A retrospective descriptive study was conducted on pati...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| Subjects: | |
| Online Access: | http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=5;spage=728;epage=732;aulast=Ranjan |
| _version_ | 1811221061843288064 |
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| author | Manogya Ranjan Yashraj Kale Jagadeesha Selvan Appaswamy T Prabhakar Paul Prabhakar Abhilash Kundavaram |
| author_facet | Manogya Ranjan Yashraj Kale Jagadeesha Selvan Appaswamy T Prabhakar Paul Prabhakar Abhilash Kundavaram |
| author_sort | Manogya Ranjan |
| collection | DOAJ |
| description | Background: Hanging is a very common mode of deliberate self-harm (DSH) used by patients. The spectrum of the triggers and methods used vary from play to place. Objective: To study the profile and outcome of near hanging. Methods and Materials: A retrospective descriptive study was conducted on patients presenting with near hanging to the Emergency Department (ED) between January 2017 and December 2018. Data were obtained from the triage registry of the ED. Results: During the study period, 1821 presented with DSH with 144 cases of near hanging. The mean age (SD) was 33 (12.9) years and the sex distribution was equal. One-tenth (9.7%) of them had a known psychiatric illness, whereas a quarter of them (22.9%) were under the influence of alcohol at the time of the incident. The most common material used was saree (52.8%). Eight patients were intubated elsewhere and referred to ED, whereas 79% required emergency intubation in ED, with the majority being hypoxic at arrival (84.7%). Of the 144 patients, 58.4% were admitted to the hospital, whereas 20.8% were discharged stable after 24 hours of observation. Among in-patients, the majority (92.7%) were discharged stable, 4.8% left against medical advice, and 2.3% died in the hospital. Conclusions: Hanging as a method of self-harm is used by a tenth of patients who present to the ED with DSH. Saree and rope are the most common materials used for this act. One-fifth of our patients had a bad outcome that was independent of most underlying baseline factors. |
| first_indexed | 2024-04-12T07:52:14Z |
| format | Article |
| id | doaj.art-4694bcf0e8084dc89798be41f9c41bc8 |
| institution | Directory Open Access Journal |
| issn | 2589-8302 2589-8310 |
| language | English |
| last_indexed | 2024-04-12T07:52:14Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
| spelling | doaj.art-4694bcf0e8084dc89798be41f9c41bc82022-12-22T03:41:34ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil Vidyapeeth2589-83022589-83102022-01-0115572873210.4103/mjdrdypu.mjdrdypu_788_21Near hanging: Profile, emergency management, and outcomeManogya RanjanYashraj KaleJagadeesha SelvanAppaswamy T PrabhakarPaul Prabhakar Abhilash KundavaramBackground: Hanging is a very common mode of deliberate self-harm (DSH) used by patients. The spectrum of the triggers and methods used vary from play to place. Objective: To study the profile and outcome of near hanging. Methods and Materials: A retrospective descriptive study was conducted on patients presenting with near hanging to the Emergency Department (ED) between January 2017 and December 2018. Data were obtained from the triage registry of the ED. Results: During the study period, 1821 presented with DSH with 144 cases of near hanging. The mean age (SD) was 33 (12.9) years and the sex distribution was equal. One-tenth (9.7%) of them had a known psychiatric illness, whereas a quarter of them (22.9%) were under the influence of alcohol at the time of the incident. The most common material used was saree (52.8%). Eight patients were intubated elsewhere and referred to ED, whereas 79% required emergency intubation in ED, with the majority being hypoxic at arrival (84.7%). Of the 144 patients, 58.4% were admitted to the hospital, whereas 20.8% were discharged stable after 24 hours of observation. Among in-patients, the majority (92.7%) were discharged stable, 4.8% left against medical advice, and 2.3% died in the hospital. Conclusions: Hanging as a method of self-harm is used by a tenth of patients who present to the ED with DSH. Saree and rope are the most common materials used for this act. One-fifth of our patients had a bad outcome that was independent of most underlying baseline factors.http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=5;spage=728;epage=732;aulast=Ranjandeliberate self-harmemergency departmenthangingnear hangingsuicide |
| spellingShingle | Manogya Ranjan Yashraj Kale Jagadeesha Selvan Appaswamy T Prabhakar Paul Prabhakar Abhilash Kundavaram Near hanging: Profile, emergency management, and outcome Medical Journal of Dr. D.Y. Patil Vidyapeeth deliberate self-harm emergency department hanging near hanging suicide |
| title | Near hanging: Profile, emergency management, and outcome |
| title_full | Near hanging: Profile, emergency management, and outcome |
| title_fullStr | Near hanging: Profile, emergency management, and outcome |
| title_full_unstemmed | Near hanging: Profile, emergency management, and outcome |
| title_short | Near hanging: Profile, emergency management, and outcome |
| title_sort | near hanging profile emergency management and outcome |
| topic | deliberate self-harm emergency department hanging near hanging suicide |
| url | http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=5;spage=728;epage=732;aulast=Ranjan |
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