International Journal of Otorhinolaryngology

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Management of Atypical Suicidal Cut Throat Injury in a Private Tertiary Hospital

Received: 31 December 2018    Accepted: 22 January 2019    Published: 19 February 2019
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Abstract

Cut throat injuries are potentially life threatening due to the peculiarity of the structures traversing this region of the body. These injuries could be accidental, homicidal or suicidal and the use of a sharp weapon is the least frequent suicidal method in most cases reported. In cases of attempted suicide, hesitant marks are a common finding. Attempting suicide by cutting the throat without hesitant marks is a very rare occurrence. Generally, cases of cut throat injuries are largely under reported as many are fatal before presenting to the hospital therefore a definite incidence is not available. These patients need emergency multidisciplinary care to prevent rapid deterioration, avoidable morbidity and mortality. Adequate airway management skill in intubating and securing the airway to allow for wound exploration and surgical repair is essential for a good outcome. We present to you a rare case of suicidal cut throat injury in a 38 year old male with depressive type of schizoaffective disorder not associated with hesitant marks at Babcock University Teaching Hospital, a private tertiary hospital in south west Nigeria. The rarity of the case is the reason for presenting this case report.

DOI 10.11648/j.ijo.20190501.12
Published in International Journal of Otorhinolaryngology (Volume 5, Issue 1, June 2019)
Page(s) 5-8
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Suicidal Cut Throat Injuries, Incidence, Morbidity, Mortality, Hesitant Marks

References
[1] Rajiv Radhakrishnan. Chittaranjan Andrade, Suicide: an Indian perspective, indian journal of psychiatry.2012Oct- Dec; 54 (4): 304-319 doi: 0.4103/0019-5545.104793M.
[2] Suicide Prevention (SUPRE) [http:/www.who.int/mental_health/prevention/suicide/suicideprevent/en/] [Ref list].
[3] SAU Offiah, CC Obiorah, Pattern of suicide in Nigeria: the Niger Delta experience, jourmal of medical investigations and practice 2014, volume 9 issue 1 page8-11 doi: 10.4103/9783\1230.13255.
[4] S. Fukube, T. Hayashi, Y. Ishida, H. Kamon, M. Kawaguchi, A. Kimura et al. Retrospective study on suicidal cases by sharp force injuries. J Forensic Leg Med 15 (2008), pp 163-167.
[5] B Ozdemir, O Celbis, A Kaya Cut throat injuries and honor killings: review of cases in eastern Turkey. J Forensic Leg Med, 20 (4) (2013), pp. 1198-203.
[6] Becky Mars, Stephanie Burrows, Heidi Hjelmeland, David Gunnell. Suicidal behaviour across the African continent: a review of the literature. BMC Public Health.2014; 14: 606 doi:10.1186/1471-2458-14-606.
[7] Krug EG, Dahlberg TT, Mercy JA, Zwi AB, Lozano R. World report on violence and health. 2002. World Health Organization, Geneva.
[8] Gureje O, Kola L, Ukakwe R, Udofia O, Wakil A, Afolabi E. The profile and risks of suicidal behaviours in the Nigerian Survey of Mental Health and Well-Being. Psychol Med. 2007; 37 (6): 821-830. doi: 0.1017/S0033291707000311.[PubMed][Ref list].
[9] Terra JL. Suicide risk and depression. Rev Prat 2008, 58 (4): 385-8.
[10] Platt S: Unemployment and suicidal behavior: a review of the literature. Soc Sci Med 1984 19 (2): 93-115.
[11] Adoga et al: Management of suicidal cut throat injuries in a developing nation: three case reports. Cases journal 2010 3:65.
Author Information
  • Otorhinolaryngology Unit, Department of Surgery, Babcock University Teaching Hospital, Ilishan Remo, Nigeria

  • Otorhinolaryngology Unit, Department of Surgery, Babcock University Teaching Hospital, Ilishan Remo, Nigeria

  • Psychiatry Unit, Department of Medicine, Babcock University Teaching Hospital, Ilishan Remo, Nigeria

  • Anesthesiology Unit, Department of Surgery, Babcock University Teaching Hospital, Ilishan Remo, Nigeria

  • Otorhinolaryngology Unit, Department of Surgery, Babcock University Teaching Hospital, Ilishan Remo, Nigeria

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  • APA Style

    Adeyeye Rachael Adetola, Akinola Moses Ayodele, Fasesan Oluwatoyin, Ogundare Emmanuel, Agbaakin Adewale Daniel. (2019). Management of Atypical Suicidal Cut Throat Injury in a Private Tertiary Hospital. International Journal of Otorhinolaryngology, 5(1), 5-8. https://doi.org/10.11648/j.ijo.20190501.12

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    ACS Style

    Adeyeye Rachael Adetola; Akinola Moses Ayodele; Fasesan Oluwatoyin; Ogundare Emmanuel; Agbaakin Adewale Daniel. Management of Atypical Suicidal Cut Throat Injury in a Private Tertiary Hospital. Int. J. Otorhinolaryngol. 2019, 5(1), 5-8. doi: 10.11648/j.ijo.20190501.12

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    AMA Style

    Adeyeye Rachael Adetola, Akinola Moses Ayodele, Fasesan Oluwatoyin, Ogundare Emmanuel, Agbaakin Adewale Daniel. Management of Atypical Suicidal Cut Throat Injury in a Private Tertiary Hospital. Int J Otorhinolaryngol. 2019;5(1):5-8. doi: 10.11648/j.ijo.20190501.12

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  • @article{10.11648/j.ijo.20190501.12,
      author = {Adeyeye Rachael Adetola and Akinola Moses Ayodele and Fasesan Oluwatoyin and Ogundare Emmanuel and Agbaakin Adewale Daniel},
      title = {Management of Atypical Suicidal Cut Throat Injury in a Private Tertiary Hospital},
      journal = {International Journal of Otorhinolaryngology},
      volume = {5},
      number = {1},
      pages = {5-8},
      doi = {10.11648/j.ijo.20190501.12},
      url = {https://doi.org/10.11648/j.ijo.20190501.12},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijo.20190501.12},
      abstract = {Cut throat injuries are potentially life threatening due to the peculiarity of the structures traversing this region of the body. These injuries could be accidental, homicidal or suicidal and the use of a sharp weapon is the least frequent suicidal method in most cases reported. In cases of attempted suicide, hesitant marks are a common finding. Attempting suicide by cutting the throat without hesitant marks is a very rare occurrence. Generally, cases of cut throat injuries are largely under reported as many are fatal before presenting to the hospital therefore a definite incidence is not available. These patients need emergency multidisciplinary care to prevent rapid deterioration, avoidable morbidity and mortality. Adequate airway management skill in intubating and securing the airway to allow for wound exploration and surgical repair is essential for a good outcome. We present to you a rare case of suicidal cut throat injury in a 38 year old male with depressive type of schizoaffective disorder not associated with hesitant marks at Babcock University Teaching Hospital, a private tertiary hospital in south west Nigeria. The rarity of the case is the reason for presenting this case report.},
     year = {2019}
    }
    

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    AB  - Cut throat injuries are potentially life threatening due to the peculiarity of the structures traversing this region of the body. These injuries could be accidental, homicidal or suicidal and the use of a sharp weapon is the least frequent suicidal method in most cases reported. In cases of attempted suicide, hesitant marks are a common finding. Attempting suicide by cutting the throat without hesitant marks is a very rare occurrence. Generally, cases of cut throat injuries are largely under reported as many are fatal before presenting to the hospital therefore a definite incidence is not available. These patients need emergency multidisciplinary care to prevent rapid deterioration, avoidable morbidity and mortality. Adequate airway management skill in intubating and securing the airway to allow for wound exploration and surgical repair is essential for a good outcome. We present to you a rare case of suicidal cut throat injury in a 38 year old male with depressive type of schizoaffective disorder not associated with hesitant marks at Babcock University Teaching Hospital, a private tertiary hospital in south west Nigeria. The rarity of the case is the reason for presenting this case report.
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