{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T06:32:32Z","timestamp":1774679552294,"version":"3.50.1"},"reference-count":53,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T00:00:00Z","timestamp":1724976000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100009157","name":"National Institute on Disability, Independent Living, and Rehabilitation Research","doi-asserted-by":"publisher","award":["90DPBU0007"],"award-info":[{"award-number":["90DPBU0007"]}],"id":[{"id":"10.13039\/100009157","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Despite the growing recognition of self-harm as a pressing public health issue, demographic risk factors of self-inflicted burn (SIB) injuries in the United States have not been extensively described. In this retrospective study, we seek to identify demographic risk factors and patterns associated with SIB injuries at an urban burn center. Charts were reviewed of patients admitted to a single American Burn Association-verified burn unit between 2015 and 2023 with a history of SIB injury, identified with ICD10 code X76.XXXA. Descriptive statistics, Welch\u2019s t-test of unequal variances, and chi-squared analysis were performed. A total of 3212 patients were admitted to our institution for the management of acute burn injury, with 94 (2.9%) patients presenting with SIB injury. SIB patients were more likely than the control cohort to be male (P = .035), single (P = .008), unhoused (P &amp;lt; .001), live alone (P &amp;lt; 0.001), and have documented psychiatric diagnoses (72.3% vs 2.1%, P &amp;lt; .001). They had larger %TBSA affected (P &amp;lt; .001) and higher rates of inhalation injury (P &amp;lt; .001). The SIB cohort also showed significantly higher rates of positive urine toxicology results, primarily for stimulants and opiates (P &amp;lt; .001). Patients with SIBs had longer hospital stays (21.7 \u00b1 2.6 days vs 12.0 \u00b1 22.1 days, P = .006), higher rates of ICU admission (P &amp;lt; .001), and mechanical ventilation requirement (P &amp;lt; .001). Mental health support services, substance abuse rehabilitation programs, and community outreach need to be prioritized, especially targeting vulnerable populations such as the unhoused.<\/jats:p>","DOI":"10.1093\/jbcr\/irae168","type":"journal-article","created":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T03:45:17Z","timestamp":1724903117000},"page":"386-392","source":"Crossref","is-referenced-by-count":1,"title":["Single and Unhoused Population at Risk for Self-Inflicted Burn Injury: A Retrospective Analysis of an Urban American Burn Center\u2019s Experience"],"prefix":"10.1093","volume":"46","author":[{"given":"Artur","family":"Manasyan","sequence":"first","affiliation":[{"name":"Keck School of Medicine, University of Southern California , Los Angeles, CA 90033 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3519-6790","authenticated-orcid":false,"given":"Nicolas","family":"Malkoff","sequence":"additional","affiliation":[{"name":"Keck School of Medicine, University of Southern California , Los Angeles, CA 90033 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1350-4275","authenticated-orcid":false,"given":"Brigette","family":"Cannata","sequence":"additional","affiliation":[{"name":"Keck School of Medicine, University of Southern California , Los Angeles, CA 90033 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0063-8584","authenticated-orcid":false,"given":"Eloise W","family":"Stanton","sequence":"additional","affiliation":[{"name":"Keck School of Medicine, University of Southern California , Los Angeles, CA 90033 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8230-1565","authenticated-orcid":false,"given":"Haig A","family":"Yenikomshian","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Keck School of Medicine , Los Angeles, CA 90033 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9410-6030","authenticated-orcid":false,"given":"T Justin","family":"Gillenwater","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Keck School of Medicine , Los Angeles, CA 90033 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8868-6021","authenticated-orcid":false,"given":"Sarah A","family":"Stoycos","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Keck School of Medicine , Los Angeles, CA 90033 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,8,30]]},"reference":[{"issue":"4","key":"2026032800493311100_CIT0001","doi-asserted-by":"publisher","first-page":"770","DOI":"10.1016\/j.burns.2022.06.014","article-title":"Suicide by self-inflicted burns \u2013 a persistent psychiatric problem","volume":"49","author":"Smith","year":"2023","journal-title":"Burns"},{"issue":"6","key":"2026032800493311100_CIT0002","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1016\/j.psym.2017.06.001","article-title":"Intentional self-inflicted burn injuries: review of the literature","volume":"58","author":"Nisavic","year":"2017","journal-title":"Psychosomatics"},{"issue":"1","key":"2026032800493311100_CIT0003","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1097\/BCR.0b013E31802C8878","article-title":"Suicide by self-immolation: comprehensive overview, experiences and suggestions","volume":"28","author":"Ahmadi","year":"2007","journal-title":"J Burn Care Res"},{"issue":"1","key":"2026032800493311100_CIT0004","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1016\/j.burns.2012.05.022","article-title":"Epidemiology of self-immolation","volume":"39","author":"Rezaeian","year":"2013","journal-title":"Burns"},{"issue":"1","key":"2026032800493311100_CIT0005","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1111\/j.1600-0447.1998.tb09966.x","article-title":"A psychosocial study of \u2018self-immolation\u2019 in India","volume":"97","author":"Singh","year":"1998","journal-title":"Acta Psychiatr Scand"},{"issue":"2","key":"2026032800493311100_CIT0006","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1016\/j.burns.2013.06.016","article-title":"Why self-immolation? 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