Dergiler / Journal of Experimental and Clinical Medicine / 2026 / Volume: 38 Issue: 3

Evaluation of the association between bilateral calcaneal fractures and suicide attempts: Findings from 4 different trauma centers in Turkey

Emre Gültaç(MUGLA SITKI KOCMAN UNIVERSITY, FACULTY OF MEDICINE)0000-0003-1943-2199
Ahmet Acan(BALIKESIR UNIVERSITY, FACULTY OF MEDICINE)0000-0001-7116-8773
Cem Yalın Kılınç(MUGLA SITKI KOCMAN UNIVERSITY, FACULTY OF MEDICINE)0000-0003-2568-0500
Nermin Gündüz(KÜTAHYA DUMLUPINAR ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-0188-6232
Nihat Demirhan Demirkıran(KÜTAHYA DUMLUPINAR ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-0724-9672
Nevres Aydoğan(MUGLA SITKI KOCMAN UNIVERSITY, FACULTY OF MEDICINE)0000-0002-1837-2676
Sayfa
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Yayın Tarihi
2021-05-01
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Therefore, the psychiatric dimension should be taken into consideration in the treatment plan for patients with bilateral calcaneal fractures and the multidisciplinary approach should be taken.

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Amaç & Hipotez:Background: We aimed to to determine the association between bilateral calcaneal fractures and suicide attempt and some socio-demographic characteristics.
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Temel Bulgular & Veri:Methods: This study was conducted among patients admitted to the emergency departments of four trauma centers with bilateral calcaneal fractures between January 2014 and March 2017.
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Sonuç & Katkı:Therefore, the psychiatric dimension should be taken into consideration in the treatment plan for patients with bilateral calcaneal fractures and the multidisciplinary approach should be taken.
🔬Tür:Research Article
📍Kapsam:2014 Verileri
⚙️Değişkenler:bilateral calcaneus fractures · suicidal high falls · suicide attempts

Abstract

Background: We aimed to to determine the association between bilateral calcaneal fractures and suicide attempt and some socio-demographic characteristics. Methods: This study was conducted among patients admitted to the emergency departments of four trauma centers with bilateral calcaneal fractures between January 2014 and March 2017. The Sociodemographic Data Form, Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-IV) and Axis I Disorders (SCID-I) were applied to participants. Comparisons about age and gender was made between suicidal and non-suicidal patiens with bilateral calcaneal fractures. Results: Twenty-three patients with bilateral calcaneus fractures were included in the study. Of the 23 patients with bilateral calcaneal fractures, 14 (61%) were evaluated as suicidal and 9 (39%) were evaluated as not suicidal. The majority of suicidal jumpers were female (n = 11, 78.6%). Suicidal patients were younger compared with non-suicidal fallers. As a result of SCID I interview, 9 (64.3%) of 14 suicidal jumpers were diagnosed with serious psychiatric diagnoses: One patient was diagnosed with first episode psychotic disorder, one with schizophrenia, one with Schizoaffective Disorder, one with Bipolar Disorder, two with Major Depressive Disorder and three with Adjustment Disorder. Conclusion: Based on our study results we determined that suicidal jumpers are frequently diagnosed with serious psychiatric disorders. Therefore, the psychiatric dimension should be taken into consideration in the treatment plan for patients with bilateral calcaneal fractures and the multidisciplinary approach should be taken.

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Bu Makaleye Atıf Yap

Gültaç, E., Acan, A., Kılınç, C. Y., Gündüz, N., Demirkıran, N. D., Yücens, M., Aydoğan, N. (2021). Evaluation of the association between bilateral calcaneal fractures and suicide attempts: Findings from 4 different trauma centers in Turkey. Journal of Experimental and Clinical Medicine, Volume: 38 Issue: 3. https://ajindex.com/articles/1423236

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Kaynakça (31)

  1. American Foundation for Suicide Prevention (AFSP). Suicide statistics. [webpage]. 2018. https://afsp.org/about-suicide/suicide-statistics/. Accepted at:07.08.2018
  2. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, fourth ed. Washington, DC: American Psychiatric Association, 1994.
  3. Beale JP, Wyatt JP, Beard D, Busuttil A, Graham CA. A five year study of high falls in Edinburgh. Injury 2000;31(7): 503-8.
  4. Bennewith O, Nowers M, Gunnell D. Effect of barriers on the Clifton suspension bridge, England, on local patterns of suicide: implications for prevention. Br J Psychiatry 2007;190: 266-7.
  5. Çorapçıoğlu A, Aydemir Ö, Yıldız M, Danacı AE, Köroğlu E. DSM-IV Eksen-I Bozuklukları için Yapılandırılmış Klinik Görüşme. Ankara: Hekimler Yayın Birliği, 1999
  6. Daftary A, Haims AH, Baumgaertner MR. Fractures of the calcaneus: a review with emphasis on CT. Radiographics 2005;25(5):1215-26.
  7. de Moore GM, Robertson AR. Suicide attempts by firearms and by leaping from heights: a comparative study of survivors. Am J Psychiatry 1999;156(9): 1425-31.
  8. de Pourtalès MA, Hazen C, Cottencin O, Consoli SM. Adolescence, substance abuse and suicide attempt by jumping from a window. Presse Med 2010;39(2):177-86.
  9. Gore-Jones V, O’Callaghan J. Suicide attempts by jumping from a height: a consultation liaison experience. Australas Psychiatry 2012;20(4):309-12.
  10. Gunnell D, Nowers M. Suicide by jumping. Acta Psychiatr Scand 1997;96(1):1-6.
  11. Hahn MP, Richter D, Ostermann PA, Muhr G. Injury pattern after fall from great height. An analysis of 101 cases. Unfallchirurg 1995;98(12): 609-13.
  12. Hawton K, Fagg J. Suicide and other causes of death, following attempted suicide. The British Journal of Psychiatry1988;152(3):359-66.
  13. Katz K, Gonen N. Goldberg I, Mizrahi J, Radwan M, Yosipovitch Z. Injuries in attempted suicide by jumping from a height. Injury 1988;19(6):371-4.
  14. Kontaxakis V, Markidis M, Vaslamatzis G, Ioannidis H, Stefanis C. Attempted suicide by jumping: clinical and social features. Acta Psychiatr Scand 1988;77(4): 435-7.
  15. Li L, Smialek JE. The investigation of fatal falls and jumps from heights in Maryland (1987-1992). Am J Forensic Med Pathol 1994;15(4): 295-9.
  16. Mcbride DJ RC, Laing P. The hindfoot: calcaneal and talar fractures and dislocations-Part I: Fractures of the calcaneum. Curr Orthop 2005;19:94-100.
  17. Mitchell MJ, McKinley JC, Robinson CM. The epidemiology of calcaneal fractures. Foot (Edinb) 2009;19(4):197-200.
  18. Nielssen O, Glozier N, Babidge N, Reutens S, Andrews D, Gerard A, et al. Suicide attempts by jumping and psychotic illness. Aust N Z J Psychiatry 2010;44(6): 568-73.
  19. Reynolds BM, Balsano NA, Reynolds FX. Falls from heights: a surgical experiences of 200 consecutive cases. Ann Surg 1971;174(2):304-8.
  20. Richter D, Hahn MP, Ostermann PA, Ekkernkamp A, Muhr G. Vertical deceleration injuries: a comparative study of the injury patterns of 101 patients after accidental and intentional high falls. Injury 1996; 27(9): 655-9.
  21. Rocos B, Acharya M, Chesser TJ. The Pattern of Injury and Workload Associated with Managing Patients After Suicide Attempt by Jumping from a Height. Open Orthop J 2015;9: 395-8.
  22. Rocos B, Chesser TJ, Injuries in jumpers - are there any patterns?, World J Orthop 2016;7(3): 182-7.
  23. Small GW, Rosenbaum JF. Nine psychiatric inpatients who leaped from a height. Can J Psychiatry 1984;29(2): 129-31
  24. Spitzer RL, Williams JB, Gibbon M, First MB. The Structured Clinical Interview for DSM-IV Axis I Disorders, Clinician Version (SCID-CV). Washington: American Psychiatric Press Inc.; 1996.
  25. Suokas J, Suominen K, İsometsa E, Ostamo A, Lonnqvist J. Long-term risk factors for suicide mortality after attempted suicide findings of a 14 year follow-up study. Acta Psychiatr Scand 2001;104:117-21.
  26. Teh J, Fırth M, Sharma A, Wılson A, Reznek R, Chan O. Jumpers and fallers: a comparison of the distribution of skeletal injury. Clinical Radiology 2003;58(6):482-6.
  27. Värnik A, Kõlves K, Allik J, Arensman E, Aromaa E, van Audenhove C, et al. Gender issues in suicide rates, trends and methods among youths aged 15-24 in 15 European countries. J Affect Disord 2009;113(3): 216-226.
  28. Värnik A, Kõlves K, van der Feltz-Cornelis CM, Marusic A, Oskarsson H, Palmer A, et al. Suicide methods in Europe: a gender-specific analysis of countries participating in the “European Alliance Against Depression”. J Epidemiol Community Health 2008;62(6): 545-51.
  29. Wasserman D, Rihmer Z, Rujescu D, Sarchiapone M, Sokolowski M, Titelman D, et al. The European Psychiatric Association (EPA) guidance on suicide treatment and prevention. Eur Psychiatry 2012;27(2): 129–41.
  30. Weber AN, Michail M, Thompson A, Fiedorowicz JG. Psychiatric Emergencies: Assessing and Managing Suicidal Ideation. Med Clin North Am 2017;101(3): 553–71.
  31. Wirbel RJ, Olinger A, Karst M, Mutschler WE. Treatment of severe injuries caused by attempted suicide: pattern of injury and influence of the psychiatric disorder on the postoperative course. Eur J Surg 1998;164(2): 109–13.