{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T17:34:15Z","timestamp":1768930455620,"version":"3.49.0"},"reference-count":71,"publisher":"Springer Science and Business Media LLC","issue":"5","license":[{"start":{"date-parts":[[2024,12,19]],"date-time":"2024-12-19T00:00:00Z","timestamp":1734566400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,12,19]],"date-time":"2024-12-19T00:00:00Z","timestamp":1734566400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Ulm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Purpose<\/jats:title>\n            <jats:p>Suicide attempts may involve various parts of the body with different severity grades and therefore represent a multidisciplinary challenge. The head and neck region is highly vulnerable to severe self-inflicted injuries, yet literature on this topic remains limited.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A retrospective analysis was performed of patients with suicide attempts in an Otorhinolaryngology (ORL) department of a tertiary referral hospital over a 15-year period. The aim of the study was to analyse their clinical course and injury patterns.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>70 patients were included (m: 42\/70; f: 28\/70). The mean age at suicide attempt was 43.7 years. Women were significantly younger than men (p\u2009=\u20090.046). Seven injury types were differentiated: strangulation (44.3%), stabbing (17.1%), jumping from a height and firearm use (10.0% each), jumping in front of a moving vehicle and ingestion of acids\/bases (7.1% each) as well as ingestion of pills (4.3%). Men were dominantly involved in strangulation (14\/42; 33.3%) and stabbing (11\/42; 26.2%), whereas women appeared with strangulation (17\/28; 60.7%) and tablet ingestion (3\/28; 10.7%). Men required ORL-specific surgical care significantly more often than women (43.9% vs. 7.1%; p\u2009&lt;\u20090.001). Men chose \u201cviolent\u201d methods more frequently than women (90.5% vs. 46.4%; p\u2009&lt;\u20090.001). Women were more likely to receive psychiatric treatment (p\u2009=\u20090.0011).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Violent suicide attempts were more common in males and therefore required more often surgical intervention. Soft attempts and psychiatric diagnoses were more often associated with female gender. Routine laryngoscopy is recommended\u00a0within 24h after the initial trauma.\u00a0All individuals were successfully treated in an interdisciplinary setting and survived with moderate morbidity.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00405-024-09138-2","type":"journal-article","created":{"date-parts":[[2024,12,19]],"date-time":"2024-12-19T14:41:53Z","timestamp":1734619313000},"page":"2571-2580","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Injury patterns of suicide attempts in the head and neck area\u2014a retrospective analysis over 15\u00a0years"],"prefix":"10.1007","volume":"282","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3385-7687","authenticated-orcid":false,"given":"R.","family":"Lehner","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Lochbaum","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T. K.","family":"Hoffmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Hahn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,12,19]]},"reference":[{"key":"9138_CR1","unstructured":"(2023) Statistisches Bundesamt. https:\/\/www.destatis.de\/DE\/Themen\/Gesellschaft-Umwelt\/Gesundheit\/Todesursachen\/Tabellen\/suizide.html"},{"key":"9138_CR2","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s00103-021-03470-2","volume":"65","author":"T Schelhase","year":"2022","unstructured":"Schelhase T (2022) Suizide in Deutschland: ergebnisse der amtlichen todesursachenstatistik. Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz 65:3\u201310","journal-title":"Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz"},{"key":"9138_CR3","volume-title":"Public health action for the prevention of suicide: a framework","author":"WHO","year":"2012","unstructured":"WHO (2012) Public health action for the prevention of suicide: a framework. World Health Organization, Geneva"},{"key":"9138_CR4","doi-asserted-by":"publisher","DOI":"10.1177\/1039856214562079","author":"S Pridmore","year":"2015","unstructured":"Pridmore S, Auchincloss S (2015) Book review: preventing suicide: a global imperative. Australas Psychiatry. https:\/\/doi.org\/10.1177\/1039856214562079","journal-title":"Australas Psychiatry"},{"key":"9138_CR5","unstructured":"American Foundation for Suicide Prevention. https:\/\/afsp.org\/suicide-statistics\/"},{"key":"9138_CR6","doi-asserted-by":"publisher","DOI":"10.1027\/0027-5910\/a000052","author":"JM Bertolote","year":"2015","unstructured":"Bertolote JM, Fleischmann A, De Leo D et al (2015) Repetition of suicide attempts. Crisis. https:\/\/doi.org\/10.1027\/0027-5910\/a000052","journal-title":"Crisis"},{"key":"9138_CR7","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780198717393.001.0001","volume-title":"Suicide: an unnecessary death","author":"D Wasserman","year":"2016","unstructured":"Wasserman D (2016) Suicide: an unnecessary death. Oxford University Press, Oxford"},{"key":"9138_CR8","doi-asserted-by":"publisher","first-page":"1457","DOI":"10.1017\/S0033291705005404","volume":"35","author":"JM Bertolote","year":"2005","unstructured":"Bertolote JM, Fleischmann A, De Leo D et al (2005) Suicide attempts, plans, and ideation in culturally diverse sites: the WHO SUPRE-MISS community survey. Psychol Med 35:1457\u20131465","journal-title":"Psychol Med"},{"key":"9138_CR9","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15071425","author":"S Bachmann","year":"2018","unstructured":"Bachmann S (2018) Epidemiology of suicide and the psychiatric perspective. Int J Environ Res Public Health. https:\/\/doi.org\/10.3390\/ijerph15071425","journal-title":"Int J Environ Res Public Health"},{"key":"9138_CR10","volume-title":"Suicide key facts","author":"WHO","year":"2024","unstructured":"WHO (2024) Suicide key facts. WHO, Geneva"},{"key":"9138_CR11","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1080\/13811118.2019.1635931","volume":"24","author":"AB Defayette","year":"2020","unstructured":"Defayette AB, Adams LM, Whitmyre ED et al (2020) Characteristics of a first suicide attempt that distinguish between adolescents who make single versus multiple attempts. Arch Suicide Res 24:327\u2013341. https:\/\/doi.org\/10.1080\/13811118.2019.1635931","journal-title":"Arch Suicide Res"},{"key":"9138_CR12","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003074","volume":"17","author":"NTM Hill","year":"2020","unstructured":"Hill NTM, Robinson J, Pirkis J et al (2020) Association of suicidal behavior with exposure to suicide and suicide attempt: a systematic review and multilevel meta-analysis. PLoS Med 17:e1003074","journal-title":"PLoS Med"},{"key":"9138_CR13","doi-asserted-by":"publisher","first-page":"92","DOI":"10.4103\/IJCIIS.IJCIIS_64_19","volume":"10","author":"H Al-Thani","year":"2020","unstructured":"Al-Thani H, Mekkodathil A, Consunji R et al (2020) Traumatic injuries associated with suicide attempts: a retrospective study from single national level 1 trauma center. Int J Crit Illn Inj Sci 10:92\u201398","journal-title":"Int J Crit Illn Inj Sci"},{"key":"9138_CR14","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1016\/j.jemermed.2008.04.031","volume":"39","author":"P Hadjizacharia","year":"2010","unstructured":"Hadjizacharia P, Brown CVR, Teixeira PGR et al (2010) Traumatic suicide attempts at a level I trauma center. J Emerg Med 39:411\u2013418. https:\/\/doi.org\/10.1016\/j.jemermed.2008.04.031","journal-title":"J Emerg Med"},{"key":"9138_CR15","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1177\/1460408617704864","volume":"20","author":"L Shepherd","year":"2017","unstructured":"Shepherd L (2017) An audit of suicide attempt admissions over a four-year period in a UK Major Trauma Centre. Trauma 20:94\u201399. https:\/\/doi.org\/10.1177\/1460408617704864","journal-title":"Trauma"},{"key":"9138_CR16","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s12070-021-02886-1","volume":"74","author":"GM Puttamadaiah","year":"2022","unstructured":"Puttamadaiah GM, Arabhanvi R, Viswanatha B et al (2022) Penetrating neck injuries: a comprehensive study. Indian J Otolaryngol Head Neck Surg 74:1\u20136","journal-title":"Indian J Otolaryngol Head Neck Surg"},{"key":"9138_CR17","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1186\/s13054-023-04327-7","volume":"27","author":"R Rossaint","year":"2023","unstructured":"Rossaint R, Afshari A, Bouillon B et al (2023) The European guideline on management of major bleeding and coagulopathy following trauma. Crit Care 27:80","journal-title":"Crit Care"},{"key":"9138_CR18","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1002\/wjo2.63","volume":"8","author":"JD Bernstein","year":"2022","unstructured":"Bernstein JD, Bracken DJ, Abeles SR et al (2022) Surgical wound classification in otolaryngology: a state-of-the-art review. World J Otorhinolaryngol Neck Surg 8:139\u2013144","journal-title":"World J Otorhinolaryngol Neck Surg"},{"key":"9138_CR19","doi-asserted-by":"publisher","first-page":"302","DOI":"10.7326\/0003-4819-136-4-200202190-00010","volume":"136","author":"JJ Mann","year":"2002","unstructured":"Mann JJ (2002) A current perspective of suicide and attempted suicide. Ann Intern Med 136:302\u2013311. https:\/\/doi.org\/10.7326\/0003-4819-136-4-200202190-00010","journal-title":"Ann Intern Med"},{"key":"9138_CR20","doi-asserted-by":"publisher","first-page":"3","DOI":"10.3109\/13651509809115108","volume":"2","author":"A Shah","year":"1998","unstructured":"Shah A, De T (1998) Suicide and the elderly. Int J Psychiatry Clin Pract 2:3\u201317. https:\/\/doi.org\/10.3109\/13651509809115108","journal-title":"Int J Psychiatry Clin Pract"},{"key":"9138_CR21","doi-asserted-by":"publisher","DOI":"10.3390\/medicina55070390","author":"G Fico","year":"2019","unstructured":"Fico G, Caivano V, Zinno F et al (2019) affective temperaments and clinical course of bipolar disorder: an exploratory study of differences among patients with and without a history of violent suicide attempts. Medicina (Kaunas). https:\/\/doi.org\/10.3390\/medicina55070390","journal-title":"Medicina (Kaunas)"},{"key":"9138_CR22","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1111\/j.1943-278X.1998.tb00622.x","volume":"28","author":"SS Canetto","year":"1998","unstructured":"Canetto SS, Sakinofsky I (1998) The gender paradox in suicide. Suicide Life-Threat Behav 28:1\u201323","journal-title":"Suicide Life-Threat Behav"},{"key":"9138_CR23","first-page":"22","volume":"17","author":"L Shelef","year":"2021","unstructured":"Shelef L (2021) The gender paradox: do men differ from women in suicidal behavior? J Mens health 17:22\u201329","journal-title":"J Mens health"},{"key":"9138_CR24","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1007\/7854_2020_165","volume":"46","author":"ML Barrigon","year":"2020","unstructured":"Barrigon ML, Cegla-Schvartzman F (2020) Sex, Gender, and Suicidal Behavior. Curr Top Behav Neurosci 46:89\u2013115","journal-title":"Curr Top Behav Neurosci"},{"key":"9138_CR25","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1080\/17542863.2013.765495","volume":"7","author":"K McKay","year":"2014","unstructured":"McKay K, Milner A, Maple M (2014) Women and suicide: beyond the gender paradox. Int J Cult Ment Health 7:168\u2013178","journal-title":"Int J Cult Ment Health"},{"key":"9138_CR26","doi-asserted-by":"publisher","first-page":"155798832211238","DOI":"10.1177\/15579883221123853","volume":"16","author":"L Griffin","year":"2022","unstructured":"Griffin L, Hosking W, Gill PR et al (2022) The gender paradox: understanding the role of masculinity in suicidal ideation. Am J Mens Health 16:15579883221123852","journal-title":"Am J Mens Health"},{"key":"9138_CR27","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1067\/j.cpradiol.2018.10.005","volume":"49","author":"B Bagga","year":"2020","unstructured":"Bagga B, Kumar A, Chahal A et al (2020) Traumatic airway injuries: role of imaging. Curr Probl Diagn Radiol 49:48\u201353","journal-title":"Curr Probl Diagn Radiol"},{"key":"9138_CR28","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1055\/s-2004-825873","volume":"84","author":"M Herzog","year":"2005","unstructured":"Herzog M, Hoppe F, Baier G, Dieler R (2005) Injuries of the head and neck in suicidal intention. Laryngorhinootologie 84:176\u2013181. https:\/\/doi.org\/10.1055\/s-2004-825873","journal-title":"Laryngorhinootologie"},{"key":"9138_CR29","doi-asserted-by":"publisher","first-page":"3825","DOI":"10.1007\/s00405-014-3471-y","volume":"272","author":"D Bi\u00e9try","year":"2015","unstructured":"Bi\u00e9try D, Exadaktylos A, M\u00fcller T et al (2015) Sharp neck injuries in suicidal intention. Eur Arch Oto-Rhino-Laryngol 272:3825\u20133831. https:\/\/doi.org\/10.1007\/s00405-014-3471-y","journal-title":"Eur Arch Oto-Rhino-Laryngol"},{"key":"9138_CR30","volume":"15","author":"L Kuang Joo","year":"2023","unstructured":"Kuang Joo L, Abdullah N, Abd Mutalib NS et al (2023) Cut-throat Injury in attempted suicide amidst coronavirus disease 2019 (COVID-19). Cureus 15:e49949","journal-title":"Cureus"},{"key":"9138_CR31","doi-asserted-by":"publisher","first-page":"E231","DOI":"10.1002\/lary.28755","volume":"131","author":"K Piersiala","year":"2021","unstructured":"Piersiala K, Akst LM, Hillel AT, Best SR (2021) Laryngeal pathologies and their associations with mental health disorders. Laryngoscope 131:E231\u2013E239","journal-title":"Laryngoscope"},{"key":"9138_CR32","doi-asserted-by":"publisher","first-page":"2844","DOI":"10.1002\/hed.26772","volume":"43","author":"C Bergamini","year":"2021","unstructured":"Bergamini C, Ferris RL, Xie J et al (2021) Bleeding complications in patients with squamous cell carcinoma of the head and neck. Head Neck 43:2844\u20132858","journal-title":"Head Neck"},{"key":"9138_CR33","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1111\/anae.15585","volume":"77","author":"HA Iliff","year":"2022","unstructured":"Iliff HA, El-Boghdadly K, Ahmad I et al (2022) Management of haematoma after thyroid surgery: systematic review and multidisciplinary consensus guidelines from the Difficult Airway Society, the British Association of Endocrine and Thyroid Surgeons and the British Association of Otorhinolaryngology, Head and Neck Surgery. Anaesthesia 77:82\u201395","journal-title":"Anaesthesia"},{"key":"9138_CR34","doi-asserted-by":"publisher","DOI":"10.1007\/s12663-024-02296-0","author":"A Jotdar","year":"2024","unstructured":"Jotdar A, Dutta M, Ghosh B et al (2024) Presentation and management of facial fractures: an experience from a Tertiary-Care Teaching Institute in India. J Maxillofac Oral Surg. https:\/\/doi.org\/10.1007\/s12663-024-02296-0","journal-title":"J Maxillofac Oral Surg"},{"key":"9138_CR35","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1007\/s40596-014-0180-1","volume":"38","author":"RA Bernert","year":"2014","unstructured":"Bernert RA, Hom MA, Roberts LW (2014) A review of multidisciplinary clinical practice guidelines in suicide prevention: toward an emerging standard in suicide risk assessment and management, training and practice. Acad Psychiatry 38:585\u2013592","journal-title":"Acad Psychiatry"},{"key":"9138_CR36","unstructured":"AWMF-Leitlinien-Register S3-Leitlinie Umgang mit Suizidalit\u00e4t"},{"key":"9138_CR37","doi-asserted-by":"publisher","first-page":"857","DOI":"10.1007\/s00127-011-0393-5","volume":"47","author":"VJ Callanan","year":"2012","unstructured":"Callanan VJ, Davis MS (2012) Gender differences in suicide methods. Soc Psychiatry Psychiatr Epidemiol 47:857\u2013869","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"9138_CR38","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1016\/j.ijom.2015.10.004","volume":"45","author":"JA Murphy","year":"2016","unstructured":"Murphy JA, Lee MT, Liu X, Warburton G (2016) Factors affecting survival following self-inflicted head and neck gunshot wounds: a single-centre retrospective review. Int J Oral Maxillofac Surg 45:513\u2013516. https:\/\/doi.org\/10.1016\/j.ijom.2015.10.004","journal-title":"Int J Oral Maxillofac Surg"},{"key":"9138_CR39","doi-asserted-by":"publisher","DOI":"10.1111\/appy.12450","volume":"13","author":"D Wasserman","year":"2021","unstructured":"Wasserman D, Carli V, Iosue M et al (2021) Suicide prevention in psychiatric patients. Asia Pac Psychiatry 13:e12450","journal-title":"Asia Pac Psychiatry"},{"key":"9138_CR40","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.553071","volume-title":"Similarities and differences of mental health in women and men: a systematic review of findings in three large German cohorts","author":"D Otten","year":"2021","unstructured":"Otten D, Tibubos AN, Schomerus G et al (2021) Similarities and differences of mental health in women and men: a systematic review of findings in three large German cohorts. Public Health, Front. https:\/\/doi.org\/10.3389\/fpubh.2021.553071"},{"key":"9138_CR41","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.589687","volume":"12","author":"P Shi","year":"2021","unstructured":"Shi P, Yang A, Zhao Q et al (2021) A hypothesis of gender differences in self-reporting symptom of depression: implications to solve under-diagnosis and under-treatment of depression in males. Front psychiatry 12:589687. https:\/\/doi.org\/10.3389\/fpsyt.2021.589687","journal-title":"Front psychiatry"},{"key":"9138_CR42","first-page":"105","volume-title":"Risk factors and rates of depression in men: do males have greater resilience, or is male depression underrecognized and underdiagnosed?","author":"R Whitley","year":"2021","unstructured":"Whitley R (2021) Risk factors and rates of depression in men: do males have greater resilience, or is male depression underrecognized and underdiagnosed? Springer, Cham, pp 105\u2013125"},{"key":"9138_CR43","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s00406-003-0397-6","volume":"253","author":"AM M\u00f6ller-Leimk\u00fchler","year":"2003","unstructured":"M\u00f6ller-Leimk\u00fchler AM (2003) The gender gap in suicide and premature death or: why are men so vulnerable? Eur Arch Psychiatry Clin Neurosci 253:1\u20138","journal-title":"Eur Arch Psychiatry Clin Neurosci"},{"key":"9138_CR44","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192013309","author":"I Berardelli","year":"2022","unstructured":"Berardelli I, Rogante E, Sarubbi S et al (2022) Is lethality different between males and females? Clinical and gender differences in inpatient suicide attempters. Int J Environ Res Public Health. https:\/\/doi.org\/10.3390\/ijerph192013309","journal-title":"Int J Environ Res Public Health"},{"key":"9138_CR45","doi-asserted-by":"publisher","first-page":"65","DOI":"10.12659\/msm.881887","volume":"17","author":"K Tsirigotis","year":"2011","unstructured":"Tsirigotis K, Gruszczynski W, Tsirigotis M (2011) Gender differentiation in methods of suicide attempts. Med Sci Monit Int Med J Exp Clin Res 17:65\u201370. https:\/\/doi.org\/10.12659\/msm.881887","journal-title":"Med Sci Monit Int Med J Exp Clin Res"},{"key":"9138_CR46","doi-asserted-by":"publisher","first-page":"152136","DOI":"10.1016\/j.comppsych.2019.152136","volume":"96","author":"G Rosso","year":"2020","unstructured":"Rosso G, Albert U, Bramante S et al (2020) Correlates of violent suicide attempts in patients with bipolar disorder. Compr Psychiatry 96:152136. https:\/\/doi.org\/10.1016\/j.comppsych.2019.152136","journal-title":"Compr Psychiatry"},{"key":"9138_CR47","doi-asserted-by":"publisher","first-page":"22230","DOI":"10.4088\/JCP.13m08524","volume":"75","author":"L Giner","year":"2014","unstructured":"Giner L, Jaussent I, Olie E et al (2014) Violent and serious suicide attempters: one step closer to suicide? J Clin Psychiatry 75:22230","journal-title":"J Clin Psychiatry"},{"key":"9138_CR48","doi-asserted-by":"publisher","first-page":"e547","DOI":"10.1097\/SCS.0000000000002040","volume":"26","author":"D Bakhos","year":"2015","unstructured":"Bakhos D, Villeneuve A, Kim S et al (2015) Head spear gun injury: an atypical suicide attempt. J Craniofac Surg 26:e547\u2013e548. https:\/\/doi.org\/10.1097\/SCS.0000000000002040","journal-title":"J Craniofac Surg"},{"key":"9138_CR49","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1016\/j.anorl.2020.01.005","volume":"137","author":"X Dubernard","year":"2020","unstructured":"Dubernard X, Dutheil C, Legros V (2020) Attempted suicide with a crossbow. Eur Ann Otorhinolaryngol Head Neck Dis 137:493\u2013495. https:\/\/doi.org\/10.1016\/j.anorl.2020.01.005","journal-title":"Eur Ann Otorhinolaryngol Head Neck Dis"},{"key":"9138_CR50","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1136\/jech.2007.065391","volume":"62","author":"A V\u00e4rnik","year":"2008","unstructured":"V\u00e4rnik A, K\u00f5lves K, van der Feltz-Cornelis CM et al (2008) Suicide methods in Europe: a gender-specific analysis of countries participating in the \u201cEuropean Alliance Against Depression.\u201d J Epidemiol Community Health 62:545\u2013551. https:\/\/doi.org\/10.1136\/jech.2007.065391","journal-title":"J Epidemiol Community Health"},{"key":"9138_CR51","doi-asserted-by":"publisher","first-page":"259","DOI":"10.3389\/fpsyt.2020.00259","volume":"11","author":"M Eskin","year":"2020","unstructured":"Eskin M, Tran US, Carta MG et al (2020) Is individualism suicidogenic? Findings from a multinational study of young adults from 12 countries. Front psychiatry 11:259","journal-title":"Front psychiatry"},{"key":"9138_CR52","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1111\/sltb.12597","volume":"50","author":"S Kim","year":"2020","unstructured":"Kim S, Choi KH, Lee K et al (2020) Risk factors for serious suicide attempts with high medical severity. Suicide Life-Threat Behav 50:408\u2013421","journal-title":"Suicide Life-Threat Behav"},{"key":"9138_CR53","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1001\/jamapsychiatry.2020.4165","volume":"78","author":"\u00c1G De La Garza","year":"2021","unstructured":"De La Garza \u00c1G, Blanco C, Olfson M, Wall MM (2021) Identification of suicide attempt risk factors in a national US survey using machine learning. JAMA Psychiat 78:398\u2013406","journal-title":"JAMA Psychiat"},{"key":"9138_CR54","doi-asserted-by":"publisher","first-page":"e1","DOI":"10.1016\/j.emc.2022.10.001","volume":"41","author":"LV Duggan","year":"2023","unstructured":"Duggan LV, Doyle LN, Zunder JS, Hanna M (2023) Blunt and penetrating airway trauma. Emerg Med Clin 41:e1\u2013e15","journal-title":"Emerg Med Clin"},{"key":"9138_CR55","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.29877","author":"A Malvi","year":"2022","unstructured":"Malvi A, Jain S (2022) Laryngeal trauma, its types, and management. Cureus. https:\/\/doi.org\/10.7759\/cureus.29877","journal-title":"Cureus"},{"key":"9138_CR56","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1097\/TA.0000000000002134","volume":"86","author":"M Schellenberg","year":"2019","unstructured":"Schellenberg M, Inaba K, Warriner Z et al (2019) Near hangings: Epidemiology, injuries, and investigations. J Trauma Acute Care Surg 86:454\u2013457. https:\/\/doi.org\/10.1097\/TA.0000000000002134","journal-title":"J Trauma Acute Care Surg"},{"key":"9138_CR57","doi-asserted-by":"publisher","DOI":"10.4088\/PCC.21m03159","author":"R Vadukapuram","year":"2022","unstructured":"Vadukapuram R, Trivedi C, Mansuri Z, Jain S (2022) Common methods of suicide and self-inflicted poisoning\/injury by individuals with major depressive disorder and bipolar disorder: a nationwide inpatient sample analysis. Prim care companion CNS Disord. https:\/\/doi.org\/10.4088\/PCC.21m03159","journal-title":"Prim care companion CNS Disord"},{"key":"9138_CR58","doi-asserted-by":"publisher","first-page":"387","DOI":"10.1111\/eip.12084","volume":"8","author":"IE Fedyszyn","year":"2014","unstructured":"Fedyszyn IE, Robinson J, Harris MG et al (2014) Suicidal behaviours during treatment for first-episode psychosis: towards a comprehensive approach to service-based prevention. Early Interv Psychiatry 8:387\u2013395. https:\/\/doi.org\/10.1111\/eip.12084","journal-title":"Early Interv Psychiatry"},{"key":"9138_CR59","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0268649","volume":"17","author":"M Menear","year":"2022","unstructured":"Menear M, Girard A, Dugas M et al (2022) Personalized care planning and shared decision making in collaborative care programs for depression and anxiety disorders: a systematic review. PLoS ONE 17:e0268649","journal-title":"PLoS ONE"},{"key":"9138_CR60","doi-asserted-by":"publisher","first-page":"e163","DOI":"10.1017\/S2045796020000748","volume":"29","author":"J Yu","year":"2020","unstructured":"Yu J, Yang D, Kim Y et al (2020) Seasonality of suicide: a multi-country multi-community observational study. Epidemiol Psychiatr Sci 29:e163. https:\/\/doi.org\/10.1017\/S2045796020000748","journal-title":"Epidemiol Psychiatr Sci"},{"key":"9138_CR61","doi-asserted-by":"publisher","first-page":"e2019686","DOI":"10.1001\/jamanetworkopen.2020.19686","volume":"3","author":"CK Ettman","year":"2020","unstructured":"Ettman CK, Abdalla SM, Cohen GH et al (2020) Prevalence of depression symptoms in US adults before and during the COVID-19 pandemic. JAMA Netw Open 3:e2019686. https:\/\/doi.org\/10.1001\/jamanetworkopen.2020.19686","journal-title":"JAMA Netw Open"},{"key":"9138_CR62","doi-asserted-by":"publisher","first-page":"506","DOI":"10.1186\/s12888-022-04158-w","volume":"22","author":"ML Pathirathna","year":"2022","unstructured":"Pathirathna ML, Nandasena HMRKG, Atapattu AMMP, Weerasekara I (2022) Impact of the COVID-19 pandemic on suicidal attempts and death rates: a systematic review. BMC Psychiatry 22:506. https:\/\/doi.org\/10.1186\/s12888-022-04158-w","journal-title":"BMC Psychiatry"},{"key":"9138_CR63","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00127-023-02504-1","volume":"59","author":"AP da Cunha Varella","year":"2024","unstructured":"da Cunha Varella AP, Griffin E, Khashan A, Kabir Z (2024) Suicide rates before and during the COVID-19 pandemic: a systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol 59:1\u20139","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"9138_CR64","first-page":"502","volume":"119","author":"D Radeloff","year":"2022","unstructured":"Radeloff D, Genuneit J, Bachmann CJ (2022) Suicides in Germany during the COVID-19 pandemic: an analysis based on data from 11 million inhabitants, 2017\u20132021. Dtsch Arztebl Int 119:502","journal-title":"Dtsch Arztebl Int"},{"key":"9138_CR65","doi-asserted-by":"publisher","first-page":"357","DOI":"10.1007\/s00406-022-01448-y","volume":"273","author":"C Reif-Leonhard","year":"2023","unstructured":"Reif-Leonhard C, Lemke D, Holz F et al (2023) Changes in the pattern of suicides and suicide attempt admissions in relation to the COVID-19 pandemic. Eur Arch Psychiatry Clin Neurosci 273:357\u2013365","journal-title":"Eur Arch Psychiatry Clin Neurosci"},{"key":"9138_CR66","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-055973","volume":"150","author":"N Bruns","year":"2022","unstructured":"Bruns N, Willemsen L, Stang A et al (2022) Pediatric ICU admissions after adolescent suicide attempts during the pandemic. Pediatrics 150:e2021055973","journal-title":"Pediatrics"},{"key":"9138_CR67","doi-asserted-by":"publisher","first-page":"115346","DOI":"10.1016\/j.psychres.2023.115346","volume":"327","author":"R Rodriguez-Jimenez","year":"2023","unstructured":"Rodriguez-Jimenez R, Garc\u00eda-Fern\u00e1ndez L, Ba\u00f3n-P\u00e9rez B et al (2023) Hospital admissions due to suicide attempts during the COVID-19 pandemic, a 3-year longitudinal study. Psychiatry Res 327:115346. https:\/\/doi.org\/10.1016\/j.psychres.2023.115346","journal-title":"Psychiatry Res"},{"key":"9138_CR68","first-page":"716","volume":"42","author":"F Hokema","year":"2007","unstructured":"Hokema F, Donaubauer B, Busch T et al (2007) Schockraummanagement nach dem ATLS\u00ae-algorithmus. AINS-An\u00e4sthesiologie\u00b7Intensivmed Notfallmedizin\u00b7Schmerztherapie 42:716\u2013723","journal-title":"AINS-An\u00e4sthesiologie\u00b7Intensivmed Notfallmedizin\u00b7Schmerztherapie"},{"key":"9138_CR69","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1016\/j.coms.2021.04.007","volume":"33","author":"N Elias","year":"2021","unstructured":"Elias N, Thomas J, Cheng A (2021) Management of laryngeal trauma. Oral Maxillofac Surg Clin North Am 33:417\u2013427","journal-title":"Oral Maxillofac Surg Clin North Am"},{"key":"9138_CR70","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1177\/0025802418825390","volume":"59","author":"K Kibayashi","year":"2019","unstructured":"Kibayashi K, Shimada R, Nakao K-I (2019) Delayed death due to traumatic dissection of the common carotid artery after attempted suicide by hanging. Med Sci Law 59:17\u201319. https:\/\/doi.org\/10.1177\/0025802418825390","journal-title":"Med Sci Law"},{"key":"9138_CR71","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.1572","volume":"6","author":"T Etgen","year":"2023","unstructured":"Etgen T, Stigloher M, F\u00f6rstl H et al (2023) Systematic analysis of nonfatal suicide attempts and further diagnostic of secondary injury in strangulation survivors: a retrospective cross-sectional study. Heal Sci Rep 6:e1572. https:\/\/doi.org\/10.1002\/hsr2.1572","journal-title":"Heal Sci Rep"}],"container-title":["European Archives of Oto-Rhino-Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-024-09138-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00405-024-09138-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00405-024-09138-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T05:24:54Z","timestamp":1746509094000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00405-024-09138-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,19]]},"references-count":71,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["9138"],"URL":"https:\/\/doi.org\/10.1007\/s00405-024-09138-2","relation":{},"ISSN":["0937-4477","1434-4726"],"issn-type":[{"value":"0937-4477","type":"print"},{"value":"1434-4726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,19]]},"assertion":[{"value":"30 July 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 December 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. The authors state that there is no conflict of interest to declare regarding this publication.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}