{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T22:45:22Z","timestamp":1773787522541,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T00:00:00Z","timestamp":1747958400000},"content-version":"vor","delay-in-days":142,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emergency Medicine International"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Among patients with trauma, those with self\u2010harm exhibit different characteristics than those who experience general accidents. Unstable vital signs following a severe injury often limit accurate imaging and injury assessment during initial treatment, rendering decision\u2010making challenging for definitive care. Identifying correlations between damage area and severity can improve predictions and treatment decisions. We identify differences in characteristics of trauma between patients who experienced general accidents and those who attempted suicide.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    This study investigates differences in trauma characteristics between accidental and self\u2010harm injuries in a single\u2010center cohort of 10,180 patients (2015\u20132023). We analyzed age, sex, trauma mechanism, intention of suicide, Abbreviated Injury Scale (AIS) score, injury severity score (ISS), and height for falls. We divided intentionality into accident and self\u2010harm and analyzed and compared their characteristics.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    The self\u2010harm group was significantly younger (mean: 10\u2009years younger,\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.05) and had a higher proportion of falls (41.0%) and stab injuries (48.9%). Self\u2010harm falls were more severe, with a mean fall height of 10.8m (vs. 4.14m in the accidental group,\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.001), resulting in a higher ISS (18.6 vs. 15.5,\n                    <jats:italic>p<\/jats:italic>\n                    &lt; 0.05). In the self\u2010harm group, fall attempts were common among teenagers and those in their 20s, while knife injuries were common in individuals in their 40s and 50s.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    This study confirmed the relationship between the injury mechanism and AIS in patients with trauma. The damaged area and degree of damage differed between the self\u2010harm and accident groups, even with the same mechanism. Understanding these patterns can enhance initial ER assessments and reduce missed injuries in high\u2010risk patients.\n                  <\/jats:p>","DOI":"10.1155\/emmi\/6058288","type":"journal-article","created":{"date-parts":[[2025,5,23]],"date-time":"2025-05-23T06:22:43Z","timestamp":1747981363000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Differences in Characteristics of Trauma Between General Trauma and Suicidal Trauma\u2013Trauma Mechanism, Injury Site, and Severity: A Single\u2010Center Study"],"prefix":"10.1155","volume":"2025","author":[{"given":"Ji Young","family":"Hyun","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yae Jun","family":"Son","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SuHyun","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keum Seok","family":"Bae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae Sik","family":"Chung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Il Hwan","family":"Park","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2410-7788","authenticated-orcid":false,"given":"Young Un","family":"Choi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,5,23]]},"reference":[{"key":"e_1_2_12_1_2","unstructured":"Seoul Mental Health Welfare Center Cause of Death Statistics 2022 https:\/\/kostat.go.kr\/board.es?mid=a10301060200%26bid=218%26act=view%26list_no=427216."},{"key":"e_1_2_12_2_2","unstructured":"Korea Foundation for Suicide Prevention 2022 Suicide Prevention White Paper 2022 https:\/\/www.kfsp.or.kr\/web\/board\/15\/276\/?page=2."},{"key":"e_1_2_12_3_2","volume-title":"Advanced Trauma Life Support Student Course Manual","author":"The ATLS Subcommittee","year":"2018"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2011.07.012"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200204000-00018"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200010000-00005"},{"key":"e_1_2_12_7_2","doi-asserted-by":"publisher","DOI":"10.1155\/2022\/8372012"},{"key":"e_1_2_12_8_2","unstructured":"Korea Disease Control and Prevention Agency Statistics of Trauma Types and Causes 2022 https:\/\/www.kdca.go.kr\/injury\/biz\/injury\/recsroom\/statsSmMain.dop."},{"key":"e_1_2_12_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0009-9260(03)00064-3"},{"key":"e_1_2_12_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-019-01110-8"},{"key":"e_1_2_12_11_2","article-title":"Characteristics and Status of Suicide Among Adolescents","volume":"2","author":"Hayoung K.","year":"2022","journal-title":"Issue Statistics"},{"key":"e_1_2_12_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19116812"},{"key":"e_1_2_12_13_2","doi-asserted-by":"publisher","DOI":"10.1027\/0227-5910\/a000237"},{"key":"e_1_2_12_14_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291721002956"},{"key":"e_1_2_12_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000735"},{"key":"e_1_2_12_16_2","volume-title":"Suicide Rates (Indicator)","author":"OECD","year":"2024"}],"container-title":["Emergency Medicine International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/emmi\/6058288","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/emmi\/6058288","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/emmi\/6058288","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T19:08:58Z","timestamp":1773774538000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/emmi\/6058288"}},"subtitle":[],"editor":[{"given":"Roberto","family":"Cirocchi","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1155\/emmi\/6058288"],"URL":"https:\/\/doi.org\/10.1155\/emmi\/6058288","archive":["Portico"],"relation":{},"ISSN":["2090-2840","2090-2859"],"issn-type":[{"value":"2090-2840","type":"print"},{"value":"2090-2859","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-11-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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