{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:30:38Z","timestamp":1777447838172,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2021,2,25]],"date-time":"2021-02-25T00:00:00Z","timestamp":1614211200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Suicide is a major public health issue with root causes including psychological, economical, and societal factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective review identified self-inflicted traumatic injuries (SITIs) at Grady Health System between 2009 and 2017. Patients were categorized by penetrating or blunt mechanism of injury (MOI). Outcomes included hospital length of stay (HLOS) and ventilator duration, mortality, and location of death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>678 patients in total were identified. Penetrating MOI was most prevalent (n = 474). Patients with a blunt MOI were significantly younger (32\u00a0Y vs. 37\u00a0Y; P &lt; .0001). Psychiatric illness was equally common between MOI at more than 50%. Penetrating traumas required longer ventilator times (1\u00a0D vs. 0\u00a0D; P &lt; .0001) but shorter overall HLOS (4\u00a0D vs. 6\u00a0D; P = .0013). Mortality was twice as high in the penetrating group (29.8% vs. 11.8%; P &lt; .0001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Self-inflicted traumatic injuries occurred most often among younger adults and those with history of psychiatric illness. Penetrating traumas result in worse outcomes. Self-inflicted traumatic injuries carry high morbidity and mortality. Improved prevention strategies targeting high-risk groups are needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003134821998681","type":"journal-article","created":{"date-parts":[[2021,2,25]],"date-time":"2021-02-25T09:38:08Z","timestamp":1614245888000},"page":"1669-1674","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mechanisms of Self-Inflicted Injuries at an Urban City Hospital"],"prefix":"10.1177","volume":"88","author":[{"given":"Steven L.","family":"Veselsky","sequence":"first","affiliation":[{"name":"Emory University School of Medicine, Atlanta, GA, USA"},{"name":"Division of Surgery, Emory University, Grady Health System, Atlanta, GA, USA"},{"name":"West Virginia School of Osteopathic Medicine, Lewisburg, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie-Veronique","family":"Poirier","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, GA, USA"},{"name":"Rollins School of Public Health, Emory University, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brett M.","family":"Tracy","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, GA, USA"},{"name":"Division of Surgery, Emory University, Grady Health System, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine A.","family":"Castater","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, GA, USA"},{"name":"Division of Surgery, Emory University, Grady Health System, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Mehta","sequence":"additional","affiliation":[{"name":"Rollins School of Public Health, Emory University, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adair K.","family":"Minihan","sequence":"additional","affiliation":[{"name":"Rollins School of Public Health, Emory University, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keneeshia N.","family":"Williams","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, GA, USA"},{"name":"Division of Surgery, Emory University, Grady Health System, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rondi B.","family":"Gelbard","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, GA, USA"},{"name":"Division of Surgery, Emory University, Grady Health System, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abimbola O.","family":"Faloye","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, GA, USA"},{"name":"Division of Anesthesiology, Emory University, Grady Health System, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randi N.","family":"Smith","sequence":"additional","affiliation":[{"name":"Emory University School of Medicine, Atlanta, GA, USA"},{"name":"Division of Surgery, Emory University, Grady Health System, Atlanta, GA, USA"},{"name":"Rollins School of Public Health, Emory University, Atlanta, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,2,25]]},"reference":[{"key":"bibr1-0003134821998681","unstructured":"Rui P, Kang K. 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Accessed May 4, 2020."},{"key":"bibr3-0003134821998681","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxn002"},{"key":"bibr4-0003134821998681","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6722a1"},{"key":"bibr5-0003134821998681","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2008.04.031"},{"key":"bibr6-0003134821998681","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(01)00598-0"},{"key":"bibr7-0003134821998681","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2012.07.058"},{"key":"bibr8-0003134821998681","doi-asserted-by":"publisher","DOI":"10.1056\/nejm199208133270705"},{"key":"bibr9-0003134821998681","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.6.707"},{"key":"bibr10-0003134821998681","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0069874"},{"key":"bibr11-0003134821998681","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.10.115"},{"key":"bibr12-0003134821998681","doi-asserted-by":"publisher","DOI":"10.1111\/acps.12679"},{"key":"bibr13-0003134821998681","unstructured":"National Institute of Mental Health. Factsheet: Depression: What you need to know. www.nmha.org\/infoctr\/factsheet\/81.cfm. 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