Characteristics of trauma in patients with general accidents and patients who attempted suicide - trauma mechanism, injury site, and severity: A single-center study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article Characteristics of trauma in patients with general accidents and patients who attempted suicide - trauma mechanism, injury site, and severity: A single-center study Jiyoung Hyun, Yae Jun Son, SuHyun Kim, Keum Seok Bae, Jae Sik Chung, and 2 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-4143668/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Background : Among patients with trauma, those with self-harm show different characteristics, such as frequency, damage area, and degree of trauma, from those who experienced general accidents. In cases of severe injuries, it is difficult to conduct accurate imaging tests during initial treatment, making it difficult to predict the exact area of damage and make decisions for definitive care. Identifying correlations betweendamage area and degree can help predict the damage area to aid in treatment. We aimed to identify the differences in characteristics between patients who experienced general accidents and those who attempted suicide. We retrospectively reviewed the data of patients with trauma transferred to the emergency department of our hospital from January 1, 2015, to December 31, 2023. Age, sex, trauma mechanism, intention of suicide, Abbreviated Injury Scale (AIS) score, injury severityscore (ISS),and height for fall were analyzed in 10,180 patients. Intentionality was divided into accidentandself-harm, and the characteristics of the two groups were analyzed and compared. Results : The accident group follows the characteristics of the entire group, but in the self-harm group, falls (41.0%) and stab or cut wounds(48.9%) are overwhelmingly high, and the average age of the self-harm group was younger than that in the accident group by 10 years.In the accident fall group, the average fall height was 4.14 m, and the ISS was 15.5 points, while the average height of the self-harmgroup was 10.8 m, and ISS was 18.6 points. In the self-harm group, people in their teens and 20s mainly attempted to fall, and people in their 40s and 50s mainly attempted self-harm with knives. Conclusion : In this study, we confirmed the relationship between the injury mechanism and AIS in patients with trauma, and compared the self-harm group and the accident group, confirming that the damaged area and degree of damage were different even if the mechanism was the same. In the self-harm group, falls and stab or cut wounds are common, and in the case of falls, there is a characteristic difference from the general accident group in terms of height, severity, and damaged area. It is expected that understanding the characteristics of patients who self-harmed can help initial treatment in the emergency room, reduce missed injuries, and establish an appropriate diagnosis and treatment plan. Self-harm trauma mechanism Abbreviated Injury Scale injury severity score Figures Figure 1 Figure 2 Figure 3 Background According to the Korea National Statistical Office's “2022 Cause of Death Statistics Results,” suicide was found to be the sixth highest cause of death overall, ranking first among those in their 10s, 20s, and 30s, second among those in their 50s, and fifth among those in their 60s. Many more patients attempt suicide than die from suicide. Determining whether suicide has been attempted should be considered during the initial treatment of patients with trauma. When treating patients with trauma, accurate identification of the damaged area is important for appropriate initial treatment. To more accurately identify the damaged area, imaging tests, including computed tomography (CT) as an adjunctive secondary survey, are performed in addition to physical examinations [ 1 ]. However, in severely injured patients with unstable vital signs or unclear consciousness, it is difficult to perform an imaging test, which makes it difficult to identify the damaged area and may result in missed injuries [ 1 , 2 ]. Such missed injuries occur in approximately 38% of secondary surveys [ 3 ] and can be avoided by repeatedly evaluating the suspected damaged areas [ 1 , 4 ]. A previous study confirmed the correlation between injury mechanism and damaged area in patients with trauma [ 5 ]; in our hospital, we considered using this correlation for initial treatment in cases when an adjunctive secondary survey was not possible. However, because people who attempt suicide do not intentionally wear safety equipment or make gestures to protect themselves, it is presumed that the pattern of damaged areas, according to the mechanism of injury, will differ from that of patients with general injuries. In addition, it is expected that there will be differences in the trauma mechanism, frequency, and damaged area compared with those in patients with general accidents. According to the 2022 injury type and cause statistics, unlike patients who attempted suicide, 73% of patients injured in general transportation accidents wore seatbelts, and the number of motorcycle and bicycle riders wearing helmets is increasing annually [ 6 ]. Considering that people who attempt suicide in road accidents have a lower frequency but a higher mortality rate than general unintentional injuries [ 6 ], it is expected that even if the same injury mechanism occurs, the damaged area may appear differently based on patient characteristics. This study aimed to analyze the trauma characteristics of patients who attempted suicide, identify differences from patients with general accidents, and use these characteristics for initial treatment. Methods Study details We retrospectively reviewed the data of patients with trauma transferred to the emergency room of our hospital from January 1, 2015, to December 31, 2023, excluding patients who died upon arrival, pregnant women, patients with no medical records, and patients who objected to treatment. Age, sex, trauma mechanism, suicide attempt, AIS score, ISS, and fall height were analyzed in 10,180 patients. Trauma mechanisms were divided into traffic accident, fall, crush, slipping, stab or cut wound, machine, others (sexual assault, chemical burn, electric shock), choking, nonchemical burn, drowning, and unknown. Intentionality was divided into accidents (9,715), self-harm (307), and assault by others (158). Using these data, the accident and self-harm groups were separated and the characteristics of the two groups were analyzed and compared. This study was approved by the institutional review board (IRB No. CR 323174). Statistical analysis Categorical variables are expressed as frequencies and percentages. Normality and homogeneity of variance tests (Levene’s test) were conducted for group comparisons. The Kruskal-Wallis test was used to analyze the differences in Abbreviated Injury Scale (AIS) scores among injury sites within the same injury mechanism. Post-hoc tests between the AIS scores of the two injury sites were performed using the Dunn procedure, with p-values adjusted using the Bonferroni correction. T-test was used to compare AIS scores for different injury sites between the general accidental and self-harm groups in fall injury mechanism. Tests for normality and homogeneity of variances and t-tests were performed using SAS software (version 9.4; SAS Institute Inc., Cary, NC, USA). Dunn procedure was performed using R software version 4.3.1. The Kruskal-Wallis test was cross-validated using both SAS 9.4 and R 4.3.1, and statistical significance was set at P < 0.05. Results Of the 10,180 patients, 7,452(73.2%) were men and the most common trauma mechanisms were traffic accidents (58.9%), falls (20.6%), crushes (6.2%), slipping (4.6%), and stab or cut wounds (3.8%) (Table 1 , Figs. 1 and 2 ). Table 1 All patients’ clinical characteristics analyzed by mechanisms. Overall 1 (N = 10180) A 1 (N = 5992) B 1 (N = 2098) C 1 (N = 634) D 1 (N = 473) E 1 (N = 385) F 1 (N = 177) G 1 (N = 84) H 1 (N = 9) I 1 (N = 7) J 1 (N = 5) K 1 (N = 316) Age (years) 53.4 ± 19.5 52.0 ± 20.4 54.6 ± 17.8 54.5 ± 17.4 64.5 ± 18.4 48.0 ± 16.9 55.8 ± 14.0 50.0 ± 16.4 57.0 ± 12.1 47.6 ± 18.8 33.4 ± 12.0 61.8 ± 16.8 Sex Female 2728 (26.8) 1804 (30.1) 440 (21.0) 106 (16.7) 167 (35.3) 103 (26.8) 14 (7.9) 15 (17.9) 2 (22.2) 2 (28.6) 2 (40.0) 73 (23.1) Male 7452 (73.2) 4188 (69.9) 1658 (79.0) 528 (83.3) 306 (64.7) 282 (73.2) 163 (92.1) 69 (82.1) 7 (77.8) 5 (71.4) 3 (60.0) 243 (76.9) ISS 13.5 ± 10.2 12.9 ± 10.2 15.7 ± 10.3 14.1 ± 8.7 14.2 ± 9.3 6.7 ± 7.5 10.9 ± 9.4 16.0 ± 15.9 14.1 ± 10.5 17.9 ± 19.5 11.4 ± 9.0 18.6 ± 9.8 ISS ≥ 16 3895 (38.3) 2060 (34.4) 706 (33.7) 270 (42.6) 219 (46.3) 43 (11.2) 42 (23.7) 40 (47.6) 5 (55.6) 3 (42.9) 2 (40.0) 210 (66.5) AIS1 2.8 ± 1.4 2.5 ± 1.3 3.0 ± 1.4 3.2 ± 1.4 3.6 ± 1.2 2.0 ± 1.4 2.9 ± 1.8 2.5 ± 1.1 4.0 ± 1.1 2.0 ± 0.0 3.3 ± 1.5 3.8 ± 1.3 AIS1 ≥ 3 2721 (26.7) 1284 (21.4) 706 (33.7) 202 (31.9) 259 (54.8)) 26 (6.8) 17 (9.6) 4 (4.8) 8 (88.9) 0 (0.0) 2 (40.0) 213 (67.4) AIS2 1.4 ± 0.6 1.4 ± 0.6 1.5 ± 0.6 1.4 ± 0.6 1.4 ± 0.5 1.3 ± 0.5 1.6 ± 0.6 1.3 ± 0.5 0.0 ± 0.0 1.0 ± 0.0 0.0 ± 0.0 1.5 ± 0.6 AIS2 ≥ 3 104 (1.0) 72 (1.2) 20 (1.0) 7 (1.1) 0 (0.0) 1 (0.3) 1 (0.6) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 3 (0.9) AIS3 2.7 ± 1.2 2.6 ± 1.2 2.9 ± 1.2 2.7 ± 0.9 2.9 ± 1.1 2.4 ± 1.2 2.6 ± 0.7 2.6 ± 1.0 2.5 ± 0.7 3.0 ± 1.4 2.0 ± 0.0 2.8 ± 1.4 AIS3 ≥ 3 2687 (26.4) 1635 (27.3) 677 (32.3) 164 (25.9) 57 (12.1) 51 (13.2) 32 (18.1) 5 (6.0) 1 (11.1) 1 (14.3) 0 (0.0) 64 (20.3) AIS4 2.3 ± 1.0 2.3 ± 1.1 2.4 ± 0.8 2.5 ± 0.7 2.5 ± 0.7 1.9 ± 1.1 2.5 ± 1.1 2.2 ± 0.4 2.0 ± 0.0 4.0 ± 0.0 0.0 ± 0.0 2.3 ± 0.8 AIS4 ≥ 3 1059 (10.4) 625 (10.4) 240 (11.4) 83 (13.1) 31 (6.6) 52 (13.5) 12 (6.8) 1 (1.2) 0 (0.0) 1 (14.3) 0 (0.0) 14 (4.4) AIS5 2.1 ± 0.9 2.0 ± 0.9 2.2 ± 0.9 2.3 ± 1.0 2.1 ± 0.8 1.7 ± 0.8 2.4 ± 0.9 2.1 ± 0.9 1.5 ± 0.7 2.0 ± 0.0 0.0 ± 0.0 2.0 ± 1.1 AIS5 ≥ 3 1390 (13.7) 852 (14.2) 308 (14.7) 91 (14.4) 28 (5.9) 25 (6.5) 56 (31.6) 4 (4.8) 0 (0.0) 0 (0.0) 0 (0.0) 26 (8.2) AIS6 2.2 ± 1.6 1.1 ± 0.4 1.2 ± 0.4 1.3 ± 0.6 0.0 ± 0.0 0.0 ± 0.0 1.0 ± 0.0 3.3 ± 1.5 0.0 ± 0.0 3.1 ± 1.6 0.0 ± 0.0 2.2 ± 1.6 AIS6 ≥ 3 53 (0.5) 1 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 47 (56.0) 0 (0.0) 4 (57.1) 0 (0.0) 1 (0.3) A, traffic accident; B, fall; C, crush; D, slipping; E, stab or cutting; F, machine; G, others(sexual assault, chemical burn, electric shock); H, choking; I, non-chemical burn; J, drowning; K, unknown; AIS, abbreviated injury scale; AIS1, head and neck AIS; AIS2, facial AIS; AIS3, chest AIS; AIS4, intra-abdominopelvic organ AIS; AIS5, extremity and pelvic bone AIS; AIS6, external AIS. 1 Data are expressed as n (%) unless otherwise noted. Age and trauma mechanisms differed between the accident and self-harm groups. The accident group followed the characteristics of the entire group; however, in the self-harm group, falls (41.0%) and stab or cut wounds (48.9%) were overwhelmingly high, and the average age of the self-harm group was 10 years younger than that of the accident group. Among the 1,967 patients in the accidental fall group, the fall height of 777 people was confirmed; the average was 4.14 m, and the ISS was 15.5 points. The fall height of 57 out of the 126 patients in the self-harm group was confirmed; the average was 10.8 m, and ISS was 18.6 points (Table 2 , Fig. 3 ). Table 2 Accidental patients and self-harm patients’ clinical characteristics analyzed by mechanisms. Accidental patients Overall 1 (N = 9715) A 1 (N = 5977) B 1 (N = 1967) C 1 (N = 585) D 1 (N = 466) E 1 (N = 141) F 1 (N = 177) G 1 (N = 76) H 1 (N = 1) I 1 (N = 7) J 1 (N = 3) K 1 (N = 315) Age (years) 53.8 ± 19.5 52.0 ± 20.4 55.8 ± 17.1 54.9 ± 17.5 64.6 ± 18.4 48.5 ± 17.9 55.8 ± 14.0 49.4 ± 17.0 74.0 ± 0.0 47.6 ± 18.8 34.0 ± 3.6 61.9 ± 16.8 Sex Female 2561 (26.3) 1800 (30.1) 374 (19.0) 93 (15.9) 166 (35.6) 27 (19.1) 14 (7.9) 12 (15.8) 0 (0.0) 2 (28.6) 0 (0.0) 73 (23.2) Male 7154 (73.6) 4177 (69.9) 1593 (81.0) 492 (84.1) 300 (64.4) 114 (80.9) 163 (92.1) 64 (84.2) 1 (100.0) 5 (71.4) 3 (100.0) 242 (76.8) ISS 13.6 ± 10.1 12.9 ± 10.2 15.5 ± 10.1 14.3 ± 8.6 14.2 ± 9.3 6.5 ± 7.3 10.9 ± 9.4 15.5 ± 15.0 9.0 ± 0.0 17.9 ± 19.5 16.3 ± 8.5 18.7 ± 9.7 Self-harm patients Overall 1 (N = 307) A 1 (N = 14) B 1 (N = 126) C 1 (N = 2) D 1 (N = 1) E 1 (N = 150) F 1 (N = 0) G 1 (N = 0) H 1 (N = 8) I 1 (N = 4) J 1 (N = 2) K 1 (N = 0) Age (years) 43.6 ± 18.2 49.9 ± 11.7 36.5 ± 18.3 54.5 ± 2.1 85.0 ± 0.0 47.8 ± 17.0 0.0 ± 0.0 0.0 ± 0.0 54.9 ± 11.0 54.5 ± 8.0 32.5 ± 23.3 0.0 ± 0.0 Sex Female 122 (39.7) 3 (21.4) 63 (50.0) 1 (50.0) 0 (0.0) 50 (33.3) 0 (0.0) 0 (0.0) 2 (25.0) 1 (25.0) 2 (100.0) 0 (0.0) Male 185 (60.3) 11 (78.6) 63 (50.0) 1 (50.0) 1 (100.0) 100 (66.7) 0 (0.0) 0 (0.0) 6 (75.0) 3 (75.0) 0 (0.0) 0 (0.0) ISS 11.7 ± 11.6 10.7 ± 11.0 18.6 ± 13.2 11.5 ± 7.8 16.0 ± 0.0 5.7 ± 5.6 0.0 ± 0.0 0.0 ± 0.0 14.8 ± 11.0 19.8 ± 6.2 4.0 ± 0.0 0.0 ± 0.0 A, traffic accident; B, fall; C, crush; D, slipping; E, stab or cutting; F, machine; G, others(sexual assault, chemical burn, electric shock); H, choking; I, non-chemical burn; J, drowning; K, unknown; AIS, abbreviated injury scale; AIS1, head and neck AIS; AIS2, facial AIS; AIS3, chest AIS; AIS4, intra-abdominopelvic organ AIS; AIS5, extremity and pelvic bone AIS; AIS6, external AIS. 1 Data are expressed as n (%) unless otherwise note. Confirming the trauma mechanism and ISS of all patients, each ISS for the trauma mechanism showed significant independent differences in scores, indicating that there was a difference in the damaged area for each mechanism (Table 3 ). This indicates that injury site and severity are determined by each mechanism. Table 3 The correlation between injury mechanisms and injury sites of all patients group. AIS1 AIS2 AIS3 AIS4 AIS5 AIS6 p-value A 2.5 ± 1.3 2,3,4,5,6 1.4 ± 0.6 1,3,4,5 2.6 ± 1.2 1,2,4,5,6 2.3 ± 1.1 1,2,3,5,6 2.0 ± 0.9 1,2,3,4,6 1.1 ± 0.4 1,3,4,5 < 0.0001 B 3.0 ± 1.4 2,4,5,6 1.5 ± 0.6 1,3,4,5 2.9 ± 1.2 2,4,5,6 2.4 ± 0.8 1,2,3,5,6 2.2 ± 0.9 1,2,3,4,6 1.2 ± 0.4 1,3,4,5 < 0.0001 C 3.2 ± 1.4 2,4,5 1.4 ± 0.6 1,3,4,5 2.7 ± 0.9 2,5 2.5 ± 0.7 1,2 2.3 ± 1.0 1,2,3 1.3 ± 0.6 < 0.0001 D 3.6 ± 1.2 2,3,4,5 1.4 ± 0.5 1,3,4,5 2.9 ± 1.1 1,2,5 2.5 ± 0.7 1,2 2.1 ± 0.8 1,2,3 0.0 ± 0.0 < 0.0001 E 2.0 ± 1.4 2,3 1.3 ± 0.5 1,3,4 2.4 ± 1.2 1,2,4,5 1.9 ± 1.1 2,3 1.7 ± 0.8 3 0.0 ± 0.0 < 0.0001 F 2.9 ± 1.8 2 1.6 ± 0.6 1,3,4,5 2.6 ± 0.7 2 2.5 ± 1.1 2 2.4 ± 0.9 2 1.0 ± 0.0 < 0.0001 G 2.5 ± 1.1 1.3 ± 0.5 6 2.6 ± 1.0 2.2 ± 0.4 2.1 ± 0.9 6 3.3 ± 1.5 2,5 0.0001 H 4.0 ± 1.1 0.0 ± 0.0 2.5 ± 0.7 2.0 ± 0.0 1.5 ± 0.7 0.0 ± 0.0 0.0397 I 2.0 ± 0.0 1.0 ± 0.0 3.0 ± 1.4 4.0 ± 0.0 2.0 ± 0.0 3.1 ± 1.6 0.5079 J 3.3 ± 1.5 0.0 ± 0.0 2.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 0.2733 K 3.8 ± 1.3 2,3,4,5 1.5 ± 0.6 1,3,4,5 2.8 ± 1.4 1,2,5 2.3 ± 0.8 1,2 2.0 ± 1.1 1,2,3 2.2 ± 1.6 < 0.0001 A, traffic accident; B, fall; C, crush; D, slipping; E, stab or cutting; F, machine; G, others(sexual assault, chemical burn, electric shock); H, choking; I, non-chemical burn; J, drowning; K, unknown; AIS, abbreviated injury scale; AIS1, head and neck AIS; AIS2, facial AIS; AIS3, chest AIS; AIS4, intra-abdominopelvic organ AIS; AIS5, extremity and pelvic bone AIS; AIS6, external AIS. 1 Signifcant difference was observed between AIS1 and AIS2 or AIS3 or AIS4 or AIS5 or AIS6 as a result of post hoc analysis. 2 Signifcant difference was observed between AIS2 and AIS1 or AIS3 or AIS4 or AIS5 or AIS6 as a result of post hoc analysis. 3 Signifcant difference was observed between AIS3 and AIS1 or AIS2 or AIS4 or AIS5 or AIS6 as a result of post hoc analysis. 4 Signifcant difference was observed between AIS4 and AIS1 or AIS2 or AIS3 or AIS5 or AIS6 as a result of post hoc analysis. 5 Signifcant difference was observed between AIS5 and AIS1 or AIS2 or AIS3 or AIS4 or AIS6 as a result of post hoc analysis. 6 Signifcant difference was observed between AIS6 and AIS1 or AIS2 or AIS3 or AIS4 or AIS5 as a result of post hoc analysis. When comparing the trauma mechanism and ISS of only severely injured patients (ISS of 16 or higher) in the accident and self-harm groups, in the accident group, all damaged areas for each accident mechanism showed independently significant differences in scores (Table 4 ). In the self-harm group, the mechanisms showing normality and statistical significance decreased. Table 4 The correlation between injury mechanisms and injury sites of accidental patients group and self-harm patients group. (ISS ≥ 16) Accidental patients AIS1 AIS2 AIS3 AIS4 AIS5 AIS6 p-value A 3.2 ± 1.3 2,4,5,6 1.6 ± 0.7 1,3,4,5 3.0 ± 0.8 2,4,5,6 2.7 ± 1.0 1,2,3,5 2.4 ± 1.0 1,2,3,4 1.5 ± 1.1 1,3 < 0.0001 B 3.6 ± 1.2 2,3,4,5,6 1.6 ± 0.7 1,3,4,5 3.0 ± 1.0 1,2,4,5,6 2.4 ± 0.7 1,2,3 2.4 ± 0.9 1,2,3 1.0 ± 0.0 1,3 < 0.0001 C 4.0 ± 1.3 2,3,4,5 1.6 ± 0.7 1,3,4,5 3.0 ± 0.9 1,2 2.7 ± 0.8 1,2 2.8 ± 1.1 1,2 1.5 ± 0.7 < 0.0001 D 4.4 ± 0.7 2,3,4,5 1.4 ± 0.5 1,3,4 3.4 ± 1.3 1,2,4 2.9 ± 0.8 1,2 2.1 ± 1.1 1,3 0.0 ± 0.0 < 0.0001 E 3.9 ± 1.0 2.0 ± 0.8 3.6 ± 1.1 3.0 ± 0.8 2.6 ± 1.5 0.0 ± 0.0 0.0598 F 3.6 ± 1.8 2 1.6 ± 0.7 1,3,5 2.9 ± 0.4 2 2.9 ± 1.1 3.0 ± 1.1 2 0.0 ± 0.0 0.0065 G 3.0 ± 1.3 1.3 ± 0.5 6 3.0 ± 1.0 2.3 ± 0.6 2.2 ± 1.1 6 4.6 ± 0.8 2,5 < 0.0001 H . . . . . . . I 2.0 ± 0.0 0.0 ± 0.0 4.0 ± 0.0 4.0 ± 0.0 2.0 ± 0.0 4.7 ± 0.6 0.1832 J 4.5 ± 0.7 0.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 . K 4.2 ± 1.0 2,3,4,5 1.5 ± 0.6 1,3 2.9 ± 1.0 1,2 2.4 ± 0.8 1 2.2 ± 1.3 1 3.0 ± 2.8 < 0.0001 Self-harm patients AIS1 AIS2 AIS3 AIS4 AIS5 AIS6 p-value A 3.3 ± 1.5 1.5 ± 0.7 3.0 ± 0.0 0.0 ± 0.0 2.3 ± 0.6 0.0 ± 0.0 0.1544 B 3.5 ± 2.3 2 1.8 ± 0.9 1,3,4,5 3.0 ± 1.4 2 2.7 ± 0.8 2 3.0 ± 1.1 2 1.0 ± 0.0 < 0.0001 C 2.0 ± 0.0 0.0 ± 0.0 2.0 ± 0.0 3.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 0.3679 D 4.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 . E 3.2 ± 1.5 0.0 ± 0.0 3.5 ± 1.0 3.4 ± 1.0 2.0 ± 1.4 0.0 ± 0.0 0.5353 F . . . . . . . G . . . . . . . H 4.2 ± 1.1 0.0 ± 0.0 2.5 ± 0.7 2.0 ± 0.0 2.0 ± 0.0 0.0 ± 0.0 0.1253 I 0.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 0.0 ± 0.0 4.7 ± 0.6 . J . . . . . . . K . . . . . . . A, traffic accident; B, fall; C, crush; D, slipping; E, stab or cutting; F, machine; G, others(sexual assault, chemical burn, electric shock); H, choking; I, non-chemical burn; J, drowning; K, unknown; AIS, abbreviated injury scale; AIS1, head and neck AIS; AIS2, facial AIS; AIS3, chest AIS; AIS4, intra-abdominopelvic organ AIS; AIS5, extremity and pelvic bone AIS; AIS6, external AIS. 1 Signifcant difference was observed between AIS1 and AIS2 or AIS3 or AIS4 or AIS5 or AIS6 as a result of post hoc analysis. 2 Signifcant difference was observed between AIS2 and AIS1 or AIS3 or AIS4 or AIS5 or AIS6 as a result of post hoc analysis. 3 Signifcant difference was observed between AIS3 and AIS1 or AIS2 or AIS4 or AIS5 or AIS6 as a result of post hoc analysis. 4 Signifcant difference was observed between AIS4 and AIS1 or AIS2 or AIS3 or AIS5 or AIS6 as a result of post hoc analysis. 5 Signifcant difference was observed between AIS5 and AIS1 or AIS2 or AIS3 or AIS4 or AIS6 as a result of post hoc analysis. 6 Signifcant difference was observed between AIS6 and AIS1 or AIS2 or AIS3 or AIS4 or AIS5 as a result of post hoc analysis. When the self-harm group was divided by age and mechanism, the main injury mechanism (falling) occurred in those aged 10 to 60 years, with a high proportion of patients in their 10s to 20s (43.6%), and stab and cut wounds occurred in those aged 20 and 70 years, with 46% in their 40s and 50s (Table 5 and Fig. 3 ). Table 5 Number of each age groups in self-harm patients group by mechanisms. Age (Years) Overall 1 (N = 307) A 1 (N = 14) B 1 (N = 126) C 1 (N = 2) D 1 (N = 1) E 1 (N = 150) F 1 (N = 0) G 1 (N = 0) H 1 (N = 8) I 1 (N = 4) J 1 (N = 2) K 1 (N = 0) 0 ~ 9 1 (0.3) 0 (0.0) 1 (0.8) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 10 ~ 19 33 (10.8) 0 (0.0) 26 (20.6) 0 (0.0) 0 (0.0) 6 (4.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 1 (50.0) 0 (0.0) 20 ~ 29 48 (15.6) 1 (7.1) 29 (23.0) 0 (0.0) 0 (0.0) 18 (12.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 30 ~ 39 46 (15.0) 1 (7.1) 23 (18.3) 0 (0.0) 0 (0.0) 22 (14.7) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 40 ~ 49 67 (21.8) 6 (42.9) 17 (13.5) 0 (0.0) 0 (0.0) 39 (26.0) 0 (0.0) 0 (0.0) 3 (37.5) 1 (25.0) 1 (50.0) 0 (0.0) 50 ~ 59 54 (17.6) 4 (28.6) 15 (11.9) 2 (100.0) 0 (0.0) 30 (20.0) 0 (0.0) 0 (0.0) 2 (25.0) 1 (25.0) 0 (0.0) 0 (0.0) 60 ~ 69 28 (9.1) 1 (7.1) 8 (6.4) 0 (0.0) 0 (0.0) 15 (10.0) 0 (0.0) 0 (0.0) 2 (25.0) 2 (50.0) 0 (0.0) 0 (0.0) 70 ~ 79 21 (6.8) 1 (7.1) 5 (4.0) 0 (0.0) 0 (0.0) 14 (9.3) 0 (0.0) 0 (0.0) 1 (12.5) 0 (0.0) 0 (0.0) 0 (0.0) 80 ~ 89 7 (2.3) 0 (0.0) 1 (0.8) 0 (0.0) 1 (100.0) 5 (3.3) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 90~ 2 (0.7) 0 (0.0) 1 (0.8) 0 (0.0) 0 (0.0) 1 (0.7) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) 0 (0.0) A, traffic accident; B, fall; C, crush; D, slipping; E, stab or cutting; F, machine; G, others(sexual assault, chemical burn, electric shock); H, choking; I, non-chemical burn; J, drowning; K, unknown; AIS, abbreviated injury scale; AIS1, head and neck AIS; AIS2, facial AIS; AIS3, chest AIS; AIS4, intra-abdominopelvic organ AIS; AIS5, extremity and pelvic bone AIS; AIS6, external AIS. 1 Data are expressed as n (%) unless otherwise noted. When comparing only falls in the accident and self-harm groups, comparing the effect size, the severity of the pelvis and extremities was higher than that in the accident group (Table 6 ). Table 6 The correlation between injury sites and intentionality of fall down injury mechanism. A B p-value Effect size r 1 AIS1 3.0 ± 1.4 (N = 1161) 2.8 ± 2.0 (N = 52) 0.0054 -0.08 AIS2 1.5 ± 0.6 (N = 584) 1.6 ± 0.8 (N = 39) 0.7827 0.01 AIS3 2.8 ± 1.1 (N = 915) 3.1 ± 1.9 (N = 82) 0.7225 -0.01 AIS4 2.3 ± 0.7 (N = 612) 2.7 ± 1.3 (N = 74) 0.0194 0.09 AIS5 2.2 ± 0.8 (N = 1043) 2.7 ± 1.1 (N = 99) < 0.0001 0.14 AIS6 1.2 ± 0.4 (N = 10) 1.0 ± 0.0 (N = 2) 0.6188 -0.14 A, accidental patients with fall injury mechanism; B, self-harm patients with fall injury mechanism; AIS, abbreviated injury scale; AIS1, head and neck AIS; AIS2, facial AIS; AIS3, chest AIS; AIS4, intra-abdominopelvic organ AIS; AIS5, extremity and pelvic bone AIS; AIS6, external AIS. 1 Effect size r was calculated by formula \(r= \frac{Z}{\sqrt{N}}\) . Discussion This study was conducted on injured patients who visited Wonju Severance Christian Hospital from 2015 to 2023 to determine and compare the basic characteristics, frequency of injury mechanisms, and damaged area according to the injury mechanism between the accident and self-harm groups. The frequency of injury mechanisms in the entire trauma group showed a similar pattern to the statistics of patients with general injury in Korea [ 6 ] and were similar to results from previous studies conducted at our hospital [ 5 ]. In the entire trauma group, the AIS according to the injury mechanism was significantly different, which means that when it is difficult to confirm the exact damaged area through imaging examination during the initial treatment, it can be used as a reference to predict the damaged area according to the injury mechanism. Unlike the general accident group, which followed the characteristics of the entire trauma group, the self-harm group had an overwhelming number of cases of falling and self-injury using knives. While the injury severity was high in falls, it was relatively low for stab and cut wounds. In particular, it was confirmed that among falls, the damage to the pelvis and extremities was more severe in the self-harm group than in the accident group. Unlike stabbing or cutting, where the damaged area is relatively clear, it is difficult to determine the damaged area in falls without imaging examination during the initial treatment. Therefore, it may be important to predict the damaged areas in cases where imaging examinations are limited. When a patient will fall injuries suspected of attempting suicide is transported to the emergency room, the fall height can be expected to be higher, the ISS can be expected to be higher, and the damage to the pelvis and extremities can be more serious than in cases of general accidents. Falling is a common method of suicide attempt in many countries, and there are only a few studies on the damage area caused by falls. According to a previous study, people who attempt suicide tend to have “feet-first landings,” resulting in more fractures of the pelvis and lower extremities, and fewer skull fractures because the lower extremities absorb shock [ 7 ]. According to other previous studies, people who attempt suicide tended to be “feet-first landings,” but showed that there were many injuries to the face, abdomen, and extremities [ 8 ]. The above studies have limitations in that the number of suicide attempts was relatively small at 57 and 40, respectively, and the height of the fall was not presented. In this study, it was confirmed that the average fall height of those who attempted suicide was 10.8m, which is more than twice the height of accidental falls, and the damage to the pelvis and limbs was more serious than that in the accident group. Additional research is required to examine the relationship between falls and damaged areas. The average age of the self-harm group was found to be approximately 10 years younger than that of the accident group, showing similar results to Korean statistics, where the age of people attempting suicide is decreasing [ 9 ]. This study found that falls were more common in patients in their teens and 20s, and stabbing or cutting was more common in people in their 40s and 50s. The average age of those who attempted suicide by falling was the same as that reported in a previous study in Korea [ 10 ]. Although there may be influence from various factors, the decreasing age may be due to the influence of the media and the fact that Korean cities have many easily-accessible high-rise buildings [ 11 ]. According to a previous study in the UK, self-harm using knives was most common among people aged 25–54 [ 12 ]. These differences in the frequency of injury mechanisms may have occurred because of differences in psychiatric diagnoses and age characteristics. According to a previous study in Korea, depressive disorder was more common among patients who chose lethal methods of suicide (falling, inhaling pesticides, briquettes, hanging, etc.) than in those who chose less lethal methods (suicide using a knife, drug addiction, etc.). Schizophrenia and adjustment disorders were more prevalent among patients who chose lethal suicide methods [ 13 ]. As this study did not include psychiatric diagnostic data according to age and injury mechanism, future research is needed to determine whether there is an association between specific age groups, psychiatric diagnoses, and suicide mechanisms. Despite the long-standing interest in suicide, Korea's suicide rate remains the highest among OECD countries [ 14 ], and self-harm/suicide was the leading cause of death other than disease in 2022 [15]. According to a survey on the reasons for suicide attempts in 2022, psychiatric problems were the most common at 44% [ 6 ]. This shows that to reduce suicide rates, accurate psychiatric diagnosis and continuous follow-up must be performed. Future research is needed on the rate at which patients admitted to the emergency room due to a suicide attempt receive a psychiatric diagnosis through psychiatric treatment, and the degree of repetition of suicide attempts according to the degree of psychiatric treatment. Limitations General statistical analysis could be used in the general accident group because the number of patients was sufficiently large and followed a normal distribution; however, the self-harm group did not follow a normal distribution because the number of the small number of patients, except for those with falls. Therefore, various statistical methods have been proposed for this purpose. Patients who died after attempting suicide were excluded. Therefore, the representation of the characteristics of all patients who attempt suicide is limited. Suicide attempts other than trauma, such as CO inhalation, pesticide use, and hanging, were excluded from this study; therefore, patients with non-traumatic suicide attempts were not identified. This was a single-center study, and the geographic and age characteristics of the region where the institute was located were different from those of other regions. In particular, it may be difficult to generalize the research results because the average age in the region covered by this organization is higher than that in other regions, and the population density is low. Conclusions In this study, we confirmed the relationship between the injury mechanism and AIS in patients with trauma and compared the self-harm and accident groups, confirming that the damaged area and degree of damage were different, even if the mechanism was the same. In particular, in the self-harm group, falls and self-injury with knives were common, and among them, falls were characteristically different from those in the general accident group in terms of height, severity, and area of damage. During the initial treatment of a patient with trauma in the emergency room, if an accurate imaging test cannot be performed because the patient's condition is unstable, it is important to predict the damaged area and check it repeatedly. Based on the results of this study, it is possible to predict the damaged area based on the mechanism, and it is expected that this study will be helpful for early diagnosis and treatment, especially for treating patients with falls presumed to be a suicide attempt in the emergency room. Abbreviations AIS Abbreviated injury scale CT Computed tomography IRB Institutional review board ISS Injury severity score Declarations Ethics approval and consent to participate I hereby certify that the study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. This study was approved by Wonju Severance Christian Hospital institutional review board (IRB No. CR 323174). Informed consent was waived because of the retrospective nature of the study and the analysis used anonymous clinical data. Consent for publication Not applicable Availability of data and materials The datasets used and/or analyzed in the current study are available from the corresponding author upon reasonable request. Competing interests The authors declare that they have no competing interests. Funding No funding was received for the present study. Authors’ contributions JH wrote the main manuscript as 1st author, and YS preformed statistical analysis and prepared all tables and figures. SK collected and provided research data. KB, JC and IP reviewed the appropriateness of the paper's drafted the work. YC contributions to the conception and substantively revised it. All authors reviewed the manuscript. Acknowledgments We would like to thank Editage (www.editage.co.kr) for English language editing. References The ATLS, Subcommittee. American College of Surgeons’ Committee on Trauma. Advanced trauma life support student course manual. 10th ed. 2018. Giannakopoulos GF, Saltzherr TP, Beenen LFM, Reitsma JB, Bloemers FW, Goslings JC, et al. Missed injuries during the initial assessment in a cohort of 1124 level-1 trauma patients. Injury. 2012;43:1517–21. https://doi.org/10.1016/j.injury.2011.07.012 . Houshian S, Larsen MS, Holm C. Missed injuries in a level I trauma center. J Trauma. 2002;52:715–9. https://doi.org/10.1097/00005373-200204000-00018 . Buduhan GMD, McRitchie DI. Missed injuries in patients with multiple trauma. J Trauma. 2000;49:600–5. https://doi.org/10.1097/00005373-200010000-00005 . Choi YU, Jang SW, Kim SH, Ko JW, Kim MJ, Shim H et al. Correlation between the injury site and trauma mechanism in severely injured patients with blunt trauma. Emerg Med Int. 2022. 2022 Statistics of trauma types and causes. https://www.kdca.go.kr/injury/biz/injury/recsroom/statsSmMain.dop . Teh J, Firth M, Sharma A, Wilson A, Reznek R, Chan O. Jumpers and fallers: a comparison of the distribution of skeletal injury. Clin Radiol. 2003;58(6):482–6. Piazzalunga D, Rubertà F, Fugazzola P, Allievi N, Ceresoli M, Magnone S, et al. Suicidal fall from heights trauma: difficult management and poor results. Eur J Trauma Emerg Surg. 2020;46:383–8. https://doi.org/10.1007/s00068-019-01110-8 . Hayoung K. Characteristics and status of suicide among adolescents. Issue statistics. 2022; Vol 2. National Youth Policy Institute; 2022. Lee MS, Jhone JH, Kim JB, Kweon YS, Hong HJ. Characteristics of Korean children and adolescents who die by suicide based on teachers’ reports. Int J Environ Res Public Health. 2022;19:6812. https://doi.org/10.3390/ijerph19116812 . Park BC, Im JS, Ratcliff KS. Rising youth suicide and the changing cultural context in South Korea. Crisis. 2014;35:102–9. https://doi.org/10.1027/0227-5910/a000237 . Geulayov G, Casey D, Bale E, Brand F, Clements C, Farooq B, et al. Risk of suicide in patients who present to hospital after self-cutting according to site of injury: findings from the Multicentre Study of Self-harm in England. Psychol Med. 2023;53:1400–8. https://doi.org/10.1017/S0033291721002956 . Yeum TS, Kim B, Kim EY, Kim SH, Ha K, Ahn YM. Factors affecting suicide method lethality among suicide attempters in the Korea national suicide survey. J Nerv Ment Dis. 2018;206:202–10. https://doi.org/10.1097/NMD.0000000000000735 . OECD. Suicide rates (indicator). https://doi.org/10.1787/a82f3459-en ; 2024. Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-4143668","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":282501812,"identity":"8f393b45-38c8-451c-a893-121deed3f8b3","order_by":0,"name":"Jiyoung Hyun","email":"","orcid":"","institution":"CHA University School of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Jiyoung","middleName":"","lastName":"Hyun","suffix":""},{"id":282501813,"identity":"fec75076-3a14-4e54-9a9e-07e62a74e93d","order_by":1,"name":"Yae Jun Son","email":"","orcid":"","institution":"Yonsei University Wonju College of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Yae","middleName":"Jun","lastName":"Son","suffix":""},{"id":282501814,"identity":"2a2b1ca2-6b3f-407e-a406-1f5cd1b5da97","order_by":2,"name":"SuHyun Kim","email":"","orcid":"","institution":"Wonju Severance Christian Hospital","correspondingAuthor":false,"prefix":"","firstName":"SuHyun","middleName":"","lastName":"Kim","suffix":""},{"id":282501815,"identity":"59609496-e9d2-4755-8d3e-cd0236479f5f","order_by":3,"name":"Keum Seok Bae","email":"","orcid":"","institution":"Yonsei University Wonju College of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Keum","middleName":"Seok","lastName":"Bae","suffix":""},{"id":282501816,"identity":"cdb09906-27d0-44e7-a03c-39f2e4e000e9","order_by":4,"name":"Jae Sik Chung","email":"","orcid":"","institution":"Yonsei University Wonju College of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Jae","middleName":"Sik","lastName":"Chung","suffix":""},{"id":282501817,"identity":"f9eb2499-8b72-4dc5-aabe-25cbcfd196ef","order_by":5,"name":"Il Hwan Park","email":"","orcid":"","institution":"Yonsei University Wonju College of Medicine","correspondingAuthor":false,"prefix":"","firstName":"Il","middleName":"Hwan","lastName":"Park","suffix":""},{"id":282501818,"identity":"e98b0091-b025-43c1-a02b-caa11139e9c2","order_by":6,"name":"Young Un Choi","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA8UlEQVRIiWNgGAWjYPACCRk+BuZjYCYbO5FaeNgY2NIgWphBZAJhPUAtPGYQJiEt8u1nD7/4uMeCh439zLcHP3dsk+djZmB78PEHbi0GZ/LSLGc8AzqMJ3e7Ye+Z24ZtzAzshjPw2GLAkGNmzHMA5JfcbRK8bbcZgVrYpHnwOaz/DVQL/5tnkn/bbtuDtfzBo4XhRo7xY7AWiRw2aaAtiWAt+LxvcOONGeMMsJZnZtKybbeT25gZ2yR70vA5LMf4w4cDdXL8/MnPJN+23bad3958TOKHDR6HAeNOAk2AsQGveiBg/kBIxSgYBaNgFIxwAAAcsEYbQ/JwjgAAAABJRU5ErkJggg==","orcid":"","institution":"Yonsei University Wonju College of Medicine","correspondingAuthor":true,"prefix":"","firstName":"Young","middleName":"Un","lastName":"Choi","suffix":""}],"badges":[],"createdAt":"2024-03-21 12:57:17","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-4143668/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-4143668/v1","draftVersion":[],"editorialEvents":[],"editorialNote":"","failedWorkflow":false,"files":[{"id":53493996,"identity":"d909b1fd-5279-4006-9b69-c4334ce1afab","added_by":"auto","created_at":"2024-03-26 16:11:53","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":56718,"visible":true,"origin":"","legend":"\u003cp\u003eAll patients' sex distribution.\u003c/p\u003e","description":"","filename":"floatimage1.png","url":"https://assets-eu.researchsquare.com/files/rs-4143668/v1/25d7d5b39c3ff39d4b8eb002.png"},{"id":53493998,"identity":"e75948bc-533f-42be-b4a4-3d188a01514d","added_by":"auto","created_at":"2024-03-26 16:11:53","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":104867,"visible":true,"origin":"","legend":"\u003cp\u003eThe percentage of patients that experienced each type of trauma mechanism (A, traffic accident; B, fall; C, crush; D, slipping; E, stab or cutting; F, unknown; G, machine). Trauma mechanism below 1% has been excluded on figure 2.\u003c/p\u003e","description":"","filename":"floatimage2.png","url":"https://assets-eu.researchsquare.com/files/rs-4143668/v1/e6fceeb0ca1ed6a5342cf3d6.png"},{"id":53493997,"identity":"f1bd9f6f-bcfa-4360-bfbc-9e49cadd71c8","added_by":"auto","created_at":"2024-03-26 16:11:53","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":89493,"visible":true,"origin":"","legend":"\u003cp\u003eThe number of self-harm patients group by age that experienced each type of trauma mechanism (A, traffic accident; B, fall; C, crush; D, slipping; E, stab or cutting; F, machine; G, others(sexual assault, chemical burn, electric shock); H, choking; I, non-chemical burn; J, drowning; K, unknown;).\u003c/p\u003e","description":"","filename":"floatimage3.png","url":"https://assets-eu.researchsquare.com/files/rs-4143668/v1/86c7e8ebd9095117c8c58e72.png"},{"id":62782963,"identity":"80066325-49bb-4a26-b7b0-e7d25f06243f","added_by":"auto","created_at":"2024-08-19 12:25:02","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":1227585,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-4143668/v1/83b903c5-8f66-43ae-a803-b41781a6ea74.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Characteristics of trauma in patients with general accidents and patients who attempted suicide - trauma mechanism, injury site, and severity: A single-center study","fulltext":[{"header":"Background","content":"\u003cp\u003eAccording to the Korea National Statistical Office's \u0026ldquo;2022 Cause of Death Statistics Results,\u0026rdquo; suicide was found to be the sixth highest cause of death overall, ranking first among those in their 10s, 20s, and 30s, second among those in their 50s, and fifth among those in their 60s. Many more patients attempt suicide than die from suicide. Determining whether suicide has been attempted should be considered during the initial treatment of patients with trauma.\u003c/p\u003e \u003cp\u003eWhen treating patients with trauma, accurate identification of the damaged area is important for appropriate initial treatment.\u003c/p\u003e \u003cp\u003eTo more accurately identify the damaged area, imaging tests, including computed tomography (CT) as an adjunctive secondary survey, are performed in addition to physical examinations [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e]. However, in severely injured patients with unstable vital signs or unclear consciousness, it is difficult to perform an imaging test, which makes it difficult to identify the damaged area and may result in missed injuries [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e, \u003cspan citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e]. Such missed injuries occur in approximately 38% of secondary surveys [\u003cspan citationid=\"CR3\" class=\"CitationRef\"\u003e3\u003c/span\u003e] and can be avoided by repeatedly evaluating the suspected damaged areas [\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e, \u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e]. A previous study confirmed the correlation between injury mechanism and damaged area in patients with trauma [\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e]; in our hospital, we considered using this correlation for initial treatment in cases when an adjunctive secondary survey was not possible. However, because people who attempt suicide do not intentionally wear safety equipment or make gestures to protect themselves, it is presumed that the pattern of damaged areas, according to the mechanism of injury, will differ from that of patients with general injuries. In addition, it is expected that there will be differences in the trauma mechanism, frequency, and damaged area compared with those in patients with general accidents. According to the 2022 injury type and cause statistics, unlike patients who attempted suicide, 73% of patients injured in general transportation accidents wore seatbelts, and the number of motorcycle and bicycle riders wearing helmets is increasing annually [\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e]. Considering that people who attempt suicide in road accidents have a lower frequency but a higher mortality rate than general unintentional injuries [\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e], it is expected that even if the same injury mechanism occurs, the damaged area may appear differently based on patient characteristics.\u003c/p\u003e \u003cp\u003eThis study aimed to analyze the trauma characteristics of patients who attempted suicide, identify differences from patients with general accidents, and use these characteristics for initial treatment.\u003c/p\u003e"},{"header":"Methods","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eStudy details\u003c/h2\u003e \u003cp\u003eWe retrospectively reviewed the data of patients with trauma transferred to the emergency room of our hospital from January 1, 2015, to December 31, 2023, excluding patients who died upon arrival, pregnant women, patients with no medical records, and patients who objected to treatment. Age, sex, trauma mechanism, suicide attempt, AIS score, ISS, and fall height were analyzed in 10,180 patients. Trauma mechanisms were divided into traffic accident, fall, crush, slipping, stab or cut wound, machine, others (sexual assault, chemical burn, electric shock), choking, nonchemical burn, drowning, and unknown. Intentionality was divided into accidents (9,715), self-harm (307), and assault by others (158). Using these data, the accident and self-harm groups were separated and the characteristics of the two groups were analyzed and compared. This study was approved by the institutional review board (IRB No. CR 323174).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec4\" class=\"Section2\"\u003e \u003ch2\u003eStatistical analysis\u003c/h2\u003e \u003cp\u003eCategorical variables are expressed as frequencies and percentages. Normality and homogeneity of variance tests (Levene\u0026rsquo;s test) were conducted for group comparisons. The Kruskal-Wallis test was used to analyze the differences in Abbreviated Injury Scale (AIS) scores among injury sites within the same injury mechanism. Post-hoc tests between the AIS scores of the two injury sites were performed using the Dunn procedure, with p-values adjusted using the Bonferroni correction. T-test was used to compare AIS scores for different injury sites between the general accidental and self-harm groups in fall injury mechanism. Tests for normality and homogeneity of variances and t-tests were performed using SAS software (version 9.4; SAS Institute Inc., Cary, NC, USA). Dunn procedure was performed using R software version 4.3.1. The Kruskal-Wallis test was cross-validated using both SAS 9.4 and R 4.3.1, and statistical significance was set at P\u0026thinsp;\u0026lt;\u0026thinsp;0.05.\u003c/p\u003e \u003c/div\u003e"},{"header":"Results","content":"\u003cp\u003eOf the 10,180 patients, 7,452(73.2%) were men and the most common trauma mechanisms were traffic accidents (58.9%), falls (20.6%), crushes (6.2%), slipping (4.6%), and stab or cut wounds (3.8%) (Table\u0026nbsp;\u003cspan refid=\"Tab1\" class=\"InternalRef\"\u003e1\u003c/span\u003e, Figs.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003e and \u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab1\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 1\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eAll patients\u0026rsquo; clinical characteristics analyzed by mechanisms.\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"13\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c9\" colnum=\"9\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c10\" colnum=\"10\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c11\" colnum=\"11\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c12\" colnum=\"12\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c13\" colnum=\"13\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eOverall\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;10180)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eA\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;5992)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eB\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;2098)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eC\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;634)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eD\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;473)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eE\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;385)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003eF\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;177)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c9\"\u003e \u003cp\u003eG\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;84)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c10\"\u003e \u003cp\u003eH\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;9)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c11\"\u003e \u003cp\u003eI\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;7)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c12\"\u003e \u003cp\u003eJ\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;5)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c13\"\u003e \u003cp\u003eK\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;316)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAge (years)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e53.4\u0026thinsp;\u0026plusmn;\u0026thinsp;19.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e52.0\u0026thinsp;\u0026plusmn;\u0026thinsp;20.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e54.6\u0026thinsp;\u0026plusmn;\u0026thinsp;17.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e54.5\u0026thinsp;\u0026plusmn;\u0026thinsp;17.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e64.5\u0026thinsp;\u0026plusmn;\u0026thinsp;18.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e48.0\u0026thinsp;\u0026plusmn;\u0026thinsp;16.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e55.8\u0026thinsp;\u0026plusmn;\u0026thinsp;14.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e50.0\u0026thinsp;\u0026plusmn;\u0026thinsp;16.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e57.0\u0026thinsp;\u0026plusmn;\u0026thinsp;12.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e47.6\u0026thinsp;\u0026plusmn;\u0026thinsp;18.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e33.4\u0026thinsp;\u0026plusmn;\u0026thinsp;12.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e61.8\u0026thinsp;\u0026plusmn;\u0026thinsp;16.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSex\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2728 (26.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1804 (30.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e440 (21.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e106 (16.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e167 (35.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e103 (26.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e14 (7.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e15 (17.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e2 (22.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e2 (28.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e2 (40.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e73 (23.1)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e7452 (73.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4188 (69.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1658 (79.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e528 (83.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e306 (64.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e282 (73.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e163 (92.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e69 (82.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e7 (77.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e5 (71.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e3 (60.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e243 (76.9)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eISS\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e13.5\u0026thinsp;\u0026plusmn;\u0026thinsp;10.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e12.9\u0026thinsp;\u0026plusmn;\u0026thinsp;10.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e15.7\u0026thinsp;\u0026plusmn;\u0026thinsp;10.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e14.1\u0026thinsp;\u0026plusmn;\u0026thinsp;8.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e14.2\u0026thinsp;\u0026plusmn;\u0026thinsp;9.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e6.7\u0026thinsp;\u0026plusmn;\u0026thinsp;7.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e10.9\u0026thinsp;\u0026plusmn;\u0026thinsp;9.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e16.0\u0026thinsp;\u0026plusmn;\u0026thinsp;15.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e14.1\u0026thinsp;\u0026plusmn;\u0026thinsp;10.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e17.9\u0026thinsp;\u0026plusmn;\u0026thinsp;19.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e11.4\u0026thinsp;\u0026plusmn;\u0026thinsp;9.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e18.6\u0026thinsp;\u0026plusmn;\u0026thinsp;9.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eISS\u0026thinsp;\u0026ge;\u0026thinsp;16\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3895 (38.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2060 (34.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e706 (33.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e270 (42.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e219 (46.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e43 (11.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e42 (23.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e40 (47.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e5 (55.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e3 (42.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e2 (40.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e210 (66.5)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAIS1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.8\u0026thinsp;\u0026plusmn;\u0026thinsp;1.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.5\u0026thinsp;\u0026plusmn;\u0026thinsp;1.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.2\u0026thinsp;\u0026plusmn;\u0026thinsp;1.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e3.6\u0026thinsp;\u0026plusmn;\u0026thinsp;1.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e2.9\u0026thinsp;\u0026plusmn;\u0026thinsp;1.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e2.5\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e4.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e 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align=\"left\" colname=\"c8\"\u003e \u003cp\u003e17 (9.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e4 (4.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e8 (88.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e2 (40.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e213 (67.4)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAIS2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1.3\u0026thinsp;\u0026plusmn;\u0026thinsp;0.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e1.6\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e1.3\u0026thinsp;\u0026plusmn;\u0026thinsp;0.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e 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colname=\"c2\"\u003e \u003cp\u003e2.3\u0026thinsp;\u0026plusmn;\u0026thinsp;1.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.3\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e2.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1.9\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e2.5\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e 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align=\"left\" colname=\"c4\"\u003e \u003cp\u003e240 (11.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e83 (13.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e31 (6.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e52 (13.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e12 (6.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e1 (1.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e1 (14.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e14 (4.4)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAIS5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.1\u0026thinsp;\u0026plusmn;\u0026thinsp;0.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2.2\u0026thinsp;\u0026plusmn;\u0026thinsp;0.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.3\u0026thinsp;\u0026plusmn;\u0026thinsp;1.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e2.1\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1.7\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e2.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e2.1\u0026thinsp;\u0026plusmn;\u0026thinsp;0.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e1.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAIS5\u0026thinsp;\u0026ge;\u0026thinsp;3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1390 (13.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e852 (14.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e308 (14.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e91 (14.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e28 (5.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e25 (6.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e56 (31.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e4 (4.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e26 (8.2)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAIS6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.2\u0026thinsp;\u0026plusmn;\u0026thinsp;1.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.1\u0026thinsp;\u0026plusmn;\u0026thinsp;0.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1.2\u0026thinsp;\u0026plusmn;\u0026thinsp;0.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1.3\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e1.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e3.3\u0026thinsp;\u0026plusmn;\u0026thinsp;1.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e3.1\u0026thinsp;\u0026plusmn;\u0026thinsp;1.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e2.2\u0026thinsp;\u0026plusmn;\u0026thinsp;1.6\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAIS6\u0026thinsp;\u0026ge;\u0026thinsp;3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e53 (0.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e47 (56.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e4 (57.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e1 (0.3)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"13\"\u003eA, traffic accident; B, fall; C, crush; D, slipping; E, stab or cutting; F, machine; G, others(sexual assault, chemical burn, electric shock); H, choking; I, non-chemical burn; J, drowning; K, unknown; AIS, abbreviated injury scale; AIS1, head and neck AIS; AIS2, facial AIS; AIS3, chest AIS; AIS4, intra-abdominopelvic organ AIS; AIS5, extremity and pelvic bone AIS; AIS6, external AIS. \u003csup\u003e1\u003c/sup\u003eData are expressed as \u003cem\u003en\u003c/em\u003e (%) unless otherwise noted.\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eAge and trauma mechanisms differed between the accident and self-harm groups. The accident group followed the characteristics of the entire group; however, in the self-harm group, falls (41.0%) and stab or cut wounds (48.9%) were overwhelmingly high, and the average age of the self-harm group was 10 years younger than that of the accident group. Among the 1,967 patients in the accidental fall group, the fall height of 777 people was confirmed; the average was 4.14 m, and the ISS was 15.5 points. The fall height of 57 out of the 126 patients in the self-harm group was confirmed; the average was 10.8 m, and ISS was 18.6 points (Table\u0026nbsp;\u003cspan refid=\"Tab2\" class=\"InternalRef\"\u003e2\u003c/span\u003e, Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab2\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 2\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eAccidental patients and self-harm patients\u0026rsquo; clinical characteristics analyzed by mechanisms.\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"13\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c9\" colnum=\"9\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c10\" colnum=\"10\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c11\" colnum=\"11\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c12\" colnum=\"12\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c13\" colnum=\"13\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAccidental\u003c/p\u003e \u003cp\u003epatients\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eOverall\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;9715)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eA\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;5977)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eB\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;1967)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eC\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;585)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eD\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;466)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eE\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;141)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003eF\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;177)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c9\"\u003e \u003cp\u003eG\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;76)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c10\"\u003e \u003cp\u003eH\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;1)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c11\"\u003e \u003cp\u003eI\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;7)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c12\"\u003e \u003cp\u003eJ\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;3)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c13\"\u003e \u003cp\u003eK\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;315)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAge (years)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e53.8\u0026thinsp;\u0026plusmn;\u0026thinsp;19.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e52.0\u0026thinsp;\u0026plusmn;\u0026thinsp;20.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e55.8\u0026thinsp;\u0026plusmn;\u0026thinsp;17.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e54.9\u0026thinsp;\u0026plusmn;\u0026thinsp;17.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e64.6\u0026thinsp;\u0026plusmn;\u0026thinsp;18.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e48.5\u0026thinsp;\u0026plusmn;\u0026thinsp;17.9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e55.8\u0026thinsp;\u0026plusmn;\u0026thinsp;14.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e49.4\u0026thinsp;\u0026plusmn;\u0026thinsp;17.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e74.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e47.6\u0026thinsp;\u0026plusmn;\u0026thinsp;18.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e34.0\u0026thinsp;\u0026plusmn;\u0026thinsp;3.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e61.9\u0026thinsp;\u0026plusmn;\u0026thinsp;16.8\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSex\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2561 (26.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1800 (30.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e374 (19.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e93 (15.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e166 (35.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e27 (19.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e14 (7.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e12 (15.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e2 (28.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e73 (23.2)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e7154 (73.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e4177 (69.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e1593 (81.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e492 (84.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e300 (64.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e114 (80.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e163 (92.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e64 (84.2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e1 (100.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e5 (71.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e3 (100.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e242 (76.8)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eISS\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e13.6\u0026thinsp;\u0026plusmn;\u0026thinsp;10.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e12.9\u0026thinsp;\u0026plusmn;\u0026thinsp;10.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e15.5\u0026thinsp;\u0026plusmn;\u0026thinsp;10.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e14.3\u0026thinsp;\u0026plusmn;\u0026thinsp;8.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e14.2\u0026thinsp;\u0026plusmn;\u0026thinsp;9.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e6.5\u0026thinsp;\u0026plusmn;\u0026thinsp;7.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e10.9\u0026thinsp;\u0026plusmn;\u0026thinsp;9.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e15.5\u0026thinsp;\u0026plusmn;\u0026thinsp;15.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e9.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e17.9\u0026thinsp;\u0026plusmn;\u0026thinsp;19.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e16.3\u0026thinsp;\u0026plusmn;\u0026thinsp;8.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e18.7\u0026thinsp;\u0026plusmn;\u0026thinsp;9.7\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSelf-harm\u003c/p\u003e \u003cp\u003epatients\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003eOverall\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;307)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003eA\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;14)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003eB\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;126)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003eC\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003eD\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003eE\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;150)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003eF\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003eG\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003eH\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003eI\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003eJ\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003eK\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAge (years)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e43.6\u0026thinsp;\u0026plusmn;\u0026thinsp;18.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e49.9\u0026thinsp;\u0026plusmn;\u0026thinsp;11.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e36.5\u0026thinsp;\u0026plusmn;\u0026thinsp;18.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e54.5\u0026thinsp;\u0026plusmn;\u0026thinsp;2.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e85.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e47.8\u0026thinsp;\u0026plusmn;\u0026thinsp;17.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e54.9\u0026thinsp;\u0026plusmn;\u0026thinsp;11.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e54.5\u0026thinsp;\u0026plusmn;\u0026thinsp;8.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e32.5\u0026thinsp;\u0026plusmn;\u0026thinsp;23.3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eSex\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e\u0026nbsp;\u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e\u0026nbsp;\u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eFemale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e122 (39.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3 (21.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e63 (50.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1 (50.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e50 (33.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e2 (25.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e1 (25.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e2 (100.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eMale\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e185 (60.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e11 (78.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e63 (50.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e1 (50.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e1 (100.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e100 (66.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e6 (75.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e3 (75.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eISS\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e11.7\u0026thinsp;\u0026plusmn;\u0026thinsp;11.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e10.7\u0026thinsp;\u0026plusmn;\u0026thinsp;11.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e18.6\u0026thinsp;\u0026plusmn;\u0026thinsp;13.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e11.5\u0026thinsp;\u0026plusmn;\u0026thinsp;7.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e16.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e5.7\u0026thinsp;\u0026plusmn;\u0026thinsp;5.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c9\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c10\"\u003e \u003cp\u003e14.8\u0026thinsp;\u0026plusmn;\u0026thinsp;11.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c11\"\u003e \u003cp\u003e19.8\u0026thinsp;\u0026plusmn;\u0026thinsp;6.2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c12\"\u003e \u003cp\u003e4.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c13\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"13\"\u003eA, traffic accident; B, fall; C, crush; D, slipping; E, stab or cutting; F, machine; G, others(sexual assault, chemical burn, electric shock); H, choking; I, non-chemical burn; J, drowning; K, unknown; AIS, abbreviated injury scale; AIS1, head and neck AIS; AIS2, facial AIS; AIS3, chest AIS; AIS4, intra-abdominopelvic organ AIS; AIS5, extremity and pelvic bone AIS; AIS6, external AIS. \u003csup\u003e1\u003c/sup\u003eData are expressed as \u003cem\u003en\u003c/em\u003e (%) unless otherwise note.\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eConfirming the trauma mechanism and ISS of all patients, each ISS for the trauma mechanism showed significant independent differences in scores, indicating that there was a difference in the damaged area for each mechanism (Table\u0026nbsp;\u003cspan refid=\"Tab3\" class=\"InternalRef\"\u003e3\u003c/span\u003e). This indicates that injury site and severity are determined by each mechanism.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab3\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 3\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eThe correlation between injury mechanisms and injury sites of all patients group.\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"8\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\"\u0026plusmn;\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\"\u0026plusmn;\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\"\u0026plusmn;\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\"\u0026plusmn;\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\"\u0026plusmn;\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\"\u0026plusmn;\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAIS1\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eAIS2\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eAIS3\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eAIS4\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eAIS5\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eAIS6\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003ep-value\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eA\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e2.5\u0026thinsp;\u0026plusmn;\u0026thinsp;1.3\u003csup\u003e2,3,4,5,6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c3\"\u003e \u003cp\u003e1.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003csup\u003e1,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e \u003cp\u003e2.6\u0026thinsp;\u0026plusmn;\u0026thinsp;1.2\u003csup\u003e1,2,4,5,6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c5\"\u003e \u003cp\u003e2.3\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003csup\u003e1,2,3,5,6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c6\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.9\u003csup\u003e1,2,3,4,6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c7\"\u003e \u003cp\u003e1.1\u0026thinsp;\u0026plusmn;\u0026thinsp;0.4\u003csup\u003e1,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eB\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e3.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.4\u003csup\u003e2,4,5,6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c3\"\u003e \u003cp\u003e1.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003csup\u003e1,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e \u003cp\u003e2.9\u0026thinsp;\u0026plusmn;\u0026thinsp;1.2\u003csup\u003e2,4,5,6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c5\"\u003e \u003cp\u003e2.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003csup\u003e1,2,3,5,6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c6\"\u003e \u003cp\u003e2.2\u0026thinsp;\u0026plusmn;\u0026thinsp;0.9\u003csup\u003e1,2,3,4,6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c7\"\u003e \u003cp\u003e1.2\u0026thinsp;\u0026plusmn;\u0026thinsp;0.4\u003csup\u003e1,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eC\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e3.2\u0026thinsp;\u0026plusmn;\u0026thinsp;1.4\u003csup\u003e2,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c3\"\u003e \u003cp\u003e1.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003csup\u003e1,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e \u003cp\u003e2.7\u0026thinsp;\u0026plusmn;\u0026thinsp;0.9\u003csup\u003e2,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c5\"\u003e \u003cp\u003e2.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003csup\u003e1,2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c6\"\u003e \u003cp\u003e2.3\u0026thinsp;\u0026plusmn;\u0026thinsp;1.0\u003csup\u003e1,2,3\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c7\"\u003e \u003cp\u003e1.3\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eD\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e3.6\u0026thinsp;\u0026plusmn;\u0026thinsp;1.2\u003csup\u003e2,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c3\"\u003e \u003cp\u003e1.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.5\u003csup\u003e1,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e \u003cp\u003e2.9\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003csup\u003e1,2,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c5\"\u003e \u003cp\u003e2.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003csup\u003e1,2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c6\"\u003e \u003cp\u003e2.1\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003csup\u003e1,2,3\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c7\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eE\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.4\u003csup\u003e2,3\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c3\"\u003e \u003cp\u003e1.3\u0026thinsp;\u0026plusmn;\u0026thinsp;0.5\u003csup\u003e1,3,4\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e \u003cp\u003e2.4\u0026thinsp;\u0026plusmn;\u0026thinsp;1.2\u003csup\u003e1,2,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c5\"\u003e \u003cp\u003e1.9\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003csup\u003e2,3\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c6\"\u003e \u003cp\u003e1.7\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003csup\u003e3\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c7\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eF\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e2.9\u0026thinsp;\u0026plusmn;\u0026thinsp;1.8\u003csup\u003e2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c3\"\u003e \u003cp\u003e1.6\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003csup\u003e1,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e \u003cp\u003e2.6\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003csup\u003e2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c5\"\u003e \u003cp\u003e2.5\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003csup\u003e2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c6\"\u003e \u003cp\u003e2.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.9\u003csup\u003e2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c7\"\u003e \u003cp\u003e1.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eG\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e2.5\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c3\"\u003e \u003cp\u003e1.3\u0026thinsp;\u0026plusmn;\u0026thinsp;0.5\u003csup\u003e6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e \u003cp\u003e2.6\u0026thinsp;\u0026plusmn;\u0026thinsp;1.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c5\"\u003e \u003cp\u003e2.2\u0026thinsp;\u0026plusmn;\u0026thinsp;0.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c6\"\u003e \u003cp\u003e2.1\u0026thinsp;\u0026plusmn;\u0026thinsp;0.9\u003csup\u003e6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c7\"\u003e \u003cp\u003e3.3\u0026thinsp;\u0026plusmn;\u0026thinsp;1.5\u003csup\u003e2,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eH\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e4.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c3\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e \u003cp\u003e2.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c5\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c6\"\u003e \u003cp\u003e1.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c7\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0.0397\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eI\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c3\"\u003e \u003cp\u003e1.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e \u003cp\u003e3.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c5\"\u003e \u003cp\u003e4.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c6\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c7\"\u003e \u003cp\u003e3.1\u0026thinsp;\u0026plusmn;\u0026thinsp;1.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0.5079\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eJ\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e3.3\u0026thinsp;\u0026plusmn;\u0026thinsp;1.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c3\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c5\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c6\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c7\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0.2733\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eK\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c2\"\u003e \u003cp\u003e3.8\u0026thinsp;\u0026plusmn;\u0026thinsp;1.3\u003csup\u003e2,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c3\"\u003e \u003cp\u003e1.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003csup\u003e1,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c4\"\u003e \u003cp\u003e2.8\u0026thinsp;\u0026plusmn;\u0026thinsp;1.4\u003csup\u003e1,2,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c5\"\u003e \u003cp\u003e2.3\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003csup\u003e1,2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c6\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003csup\u003e1,2,3\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\"\u0026plusmn;\" colname=\"c7\"\u003e \u003cp\u003e2.2\u0026thinsp;\u0026plusmn;\u0026thinsp;1.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"8\"\u003eA, traffic accident; B, fall; C, crush; D, slipping; E, stab or cutting; F, machine; G, others(sexual assault, chemical burn, electric shock); H, choking; I, non-chemical burn; J, drowning; K, unknown; AIS, abbreviated injury scale; AIS1, head and neck AIS; AIS2, facial AIS; AIS3, chest AIS; AIS4, intra-abdominopelvic organ AIS; AIS5, extremity and pelvic bone AIS; AIS6, external AIS. \u003csup\u003e1\u003c/sup\u003eSignifcant difference was observed between AIS1 and AIS2 or AIS3 or AIS4 or AIS5 or AIS6 as a result of post hoc analysis. \u003csup\u003e2\u003c/sup\u003eSignifcant difference was observed between AIS2 and AIS1 or AIS3 or AIS4 or AIS5 or AIS6 as a result of post hoc analysis. \u003csup\u003e3\u003c/sup\u003eSignifcant difference was observed between AIS3 and AIS1 or AIS2 or AIS4 or AIS5 or AIS6 as a result of post hoc analysis. \u003csup\u003e4\u003c/sup\u003eSignifcant difference was observed between AIS4 and AIS1 or AIS2 or AIS3 or AIS5 or AIS6 as a result of post hoc analysis. \u003csup\u003e5\u003c/sup\u003eSignifcant difference was observed between AIS5 and AIS1 or AIS2 or AIS3 or AIS4 or AIS6 as a result of post hoc analysis. \u003csup\u003e6\u003c/sup\u003eSignifcant difference was observed between AIS6 and AIS1 or AIS2 or AIS3 or AIS4 or AIS5 as a result of post hoc analysis.\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eWhen comparing the trauma mechanism and ISS of only severely injured patients (ISS of 16 or higher) in the accident and self-harm groups, in the accident group, all damaged areas for each accident mechanism showed independently significant differences in scores (Table\u0026nbsp;\u003cspan refid=\"Tab4\" class=\"InternalRef\"\u003e4\u003c/span\u003e). In the self-harm group, the mechanisms showing normality and statistical significance decreased.\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab4\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 4\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eThe correlation between injury mechanisms and injury sites of accidental patients group and self-harm patients group. (ISS\u0026thinsp;\u0026ge;\u0026thinsp;16)\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"8\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAccidental\u003c/p\u003e \u003cp\u003epatients\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eAIS1\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eAIS2\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eAIS3\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eAIS4\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eAIS5\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eAIS6\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003ep-value\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eA\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3.2\u0026thinsp;\u0026plusmn;\u0026thinsp;1.3\u003csup\u003e2,4,5,6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.6\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003csup\u003e1,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003csup\u003e2,4,5,6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.7\u0026thinsp;\u0026plusmn;\u0026thinsp;1.0\u003csup\u003e1,2,3,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e2.4\u0026thinsp;\u0026plusmn;\u0026thinsp;1.0\u003csup\u003e1,2,3,4\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1.5\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003csup\u003e1,3\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eB\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3.6\u0026thinsp;\u0026plusmn;\u0026thinsp;1.2\u003csup\u003e2,3,4,5,6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.6\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003csup\u003e1,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.0\u003csup\u003e1,2,4,5,6\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003csup\u003e1,2,3\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e2.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.9\u003csup\u003e1,2,3\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003csup\u003e1,3\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eC\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e4.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.3\u003csup\u003e2,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.6\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003csup\u003e1,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.9\u003csup\u003e1,2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.7\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003csup\u003e1,2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e2.8\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003csup\u003e1,2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e1.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eD\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e4.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003csup\u003e2,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.5\u003csup\u003e1,3,4\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3.4\u0026thinsp;\u0026plusmn;\u0026thinsp;1.3\u003csup\u003e1,2,4\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.9\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003csup\u003e1,2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e2.1\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003csup\u003e1,3\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.0001\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eE\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3.9\u0026thinsp;\u0026plusmn;\u0026thinsp;1.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3.6\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e2.6\u0026thinsp;\u0026plusmn;\u0026thinsp;1.5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.0598\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eF\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3.6\u0026thinsp;\u0026plusmn;\u0026thinsp;1.8\u003csup\u003e2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.6\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003csup\u003e1,3,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2.9\u0026thinsp;\u0026plusmn;\u0026thinsp;0.4\u003csup\u003e2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.9\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e3.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003csup\u003e2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e 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colname=\"c7\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eI\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e4.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e4.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e 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colname=\"c7\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eK\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e4.2\u0026thinsp;\u0026plusmn;\u0026thinsp;1.0\u003csup\u003e2,3,4,5\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003csup\u003e1,3\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2.9\u0026thinsp;\u0026plusmn;\u0026thinsp;1.0\u003csup\u003e1,2\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.4\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003c/td\u003e 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align=\"left\" colname=\"c4\"\u003e \u003cp\u003e3.5\u0026thinsp;\u0026plusmn;\u0026thinsp;1.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e3.4\u0026thinsp;\u0026plusmn;\u0026thinsp;1.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.5353\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eF\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eG\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eH\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e4.2\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e2.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e2.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e0.1253\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eI\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e0.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e4.7\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eJ\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eK\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c4\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c5\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c6\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c7\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c8\"\u003e \u003cp\u003e.\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"8\"\u003eA, traffic accident; B, fall; C, crush; D, slipping; E, stab or cutting; F, machine; G, others(sexual assault, chemical burn, electric shock); H, choking; I, non-chemical burn; J, drowning; K, unknown; AIS, abbreviated injury scale; AIS1, head and neck AIS; AIS2, facial AIS; AIS3, chest AIS; AIS4, intra-abdominopelvic organ AIS; AIS5, extremity and pelvic bone AIS; AIS6, external AIS. \u003csup\u003e1\u003c/sup\u003eSignifcant difference was observed between AIS1 and AIS2 or AIS3 or AIS4 or AIS5 or AIS6 as a result of post hoc analysis. \u003csup\u003e2\u003c/sup\u003eSignifcant difference was observed between AIS2 and AIS1 or AIS3 or AIS4 or AIS5 or AIS6 as a result of post hoc analysis. \u003csup\u003e3\u003c/sup\u003eSignifcant difference was observed between AIS3 and AIS1 or AIS2 or AIS4 or AIS5 or AIS6 as a result of post hoc analysis. \u003csup\u003e4\u003c/sup\u003eSignifcant difference was observed between AIS4 and AIS1 or AIS2 or AIS3 or AIS5 or AIS6 as a result of post hoc analysis. \u003csup\u003e5\u003c/sup\u003eSignifcant difference was observed between AIS5 and AIS1 or AIS2 or AIS3 or AIS4 or AIS6 as a result of post hoc analysis. \u003csup\u003e6\u003c/sup\u003eSignifcant difference was observed between AIS6 and AIS1 or AIS2 or AIS3 or AIS4 or AIS5 as a result of post hoc analysis.\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eWhen the self-harm group was divided by age and mechanism, the main injury mechanism (falling) occurred in those aged 10 to 60 years, with a high proportion of patients in their 10s to 20s (43.6%), and stab and cut wounds occurred in those aged 20 and 70 years, with 46% in their 40s and 50s (Table\u0026nbsp;\u003cspan refid=\"Tab5\" class=\"InternalRef\"\u003e5\u003c/span\u003e and Fig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab5\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 5\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eNumber of each age groups in self-harm patients group by mechanisms.\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"13\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c6\" colnum=\"6\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c7\" colnum=\"7\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c8\" colnum=\"8\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c9\" colnum=\"9\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c10\" colnum=\"10\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c11\" colnum=\"11\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c12\" colnum=\"12\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c13\" colnum=\"13\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAge (Years)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eOverall\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;307)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eA\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;14)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003eB\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;126)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eC\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;2)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c6\"\u003e \u003cp\u003eD\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;1)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c7\"\u003e \u003cp\u003eE\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;150)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c8\"\u003e \u003cp\u003eF\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;0)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c9\"\u003e \u003cp\u003eG\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;0)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c10\"\u003e \u003cp\u003eH\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;8)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c11\"\u003e \u003cp\u003eI\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;4)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c12\"\u003e \u003cp\u003eJ\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;2)\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c13\"\u003e \u003cp\u003eK\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;0)\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e0\u0026thinsp;~\u0026thinsp;9\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e1 (0.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1 (0.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c9\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c10\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c11\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c13\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e10\u0026thinsp;~\u0026thinsp;19\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e33 (10.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e26 (20.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e6 (4.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c9\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c10\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c11\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c12\"\u003e \u003cp\u003e1 (50.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c13\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e20\u0026thinsp;~\u0026thinsp;29\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e48 (15.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1 (7.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e29 (23.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e18 (12.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c9\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c10\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c11\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c13\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e30\u0026thinsp;~\u0026thinsp;39\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e46 (15.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1 (7.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e23 (18.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e22 (14.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c9\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c10\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c11\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c13\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e40\u0026thinsp;~\u0026thinsp;49\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e67 (21.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e6 (42.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e17 (13.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e39 (26.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c9\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c10\"\u003e \u003cp\u003e3 (37.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c11\"\u003e \u003cp\u003e1 (25.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c12\"\u003e \u003cp\u003e1 (50.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c13\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e50\u0026thinsp;~\u0026thinsp;59\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e54 (17.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e4 (28.6)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e15 (11.9)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e2 (100.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e30 (20.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c9\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c10\"\u003e \u003cp\u003e2 (25.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c11\"\u003e \u003cp\u003e1 (25.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c13\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e60\u0026thinsp;~\u0026thinsp;69\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e28 (9.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1 (7.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e8 (6.4)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e15 (10.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c9\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c10\"\u003e \u003cp\u003e2 (25.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c11\"\u003e \u003cp\u003e2 (50.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c13\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e70\u0026thinsp;~\u0026thinsp;79\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e21 (6.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e1 (7.1)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e5 (4.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e14 (9.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c9\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c10\"\u003e \u003cp\u003e1 (12.5)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c11\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c13\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e80\u0026thinsp;~\u0026thinsp;89\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e7 (2.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1 (0.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e1 (100.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e5 (3.3)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c9\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c10\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c11\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c13\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003e90~\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c2\"\u003e \u003cp\u003e2 (0.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c3\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e1 (0.8)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c6\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c7\"\u003e \u003cp\u003e1 (0.7)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c8\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c9\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c10\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c11\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c12\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c13\"\u003e \u003cp\u003e0 (0.0)\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"13\"\u003eA, traffic accident; B, fall; C, crush; D, slipping; E, stab or cutting; F, machine; G, others(sexual assault, chemical burn, electric shock); H, choking; I, non-chemical burn; J, drowning; K, unknown; AIS, abbreviated injury scale; AIS1, head and neck AIS; AIS2, facial AIS; AIS3, chest AIS; AIS4, intra-abdominopelvic organ AIS; AIS5, extremity and pelvic bone AIS; AIS6, external AIS. \u003csup\u003e1\u003c/sup\u003eData are expressed as \u003cem\u003en\u003c/em\u003e (%) unless otherwise noted.\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e \u003cp\u003eWhen comparing only falls in the accident and self-harm groups, comparing the effect size, the severity of the pelvis and extremities was higher than that in the accident group (Table\u0026nbsp;\u003cspan refid=\"Tab6\" class=\"InternalRef\"\u003e6\u003c/span\u003e).\u003c/p\u003e \u003cp\u003e \u003cdiv class=\"gridtable\"\u003e\u003ctable float=\"Yes\" id=\"Tab6\" border=\"1\"\u003e \u003ccaption language=\"En\"\u003e \u003cdiv class=\"CaptionNumber\"\u003eTable 6\u003c/div\u003e \u003cdiv class=\"CaptionContent\"\u003e \u003cp\u003eThe correlation between injury sites and intentionality of fall down injury mechanism.\u003c/p\u003e \u003c/div\u003e \u003c/caption\u003e \u003ccolgroup cols=\"5\"\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c1\" colnum=\"1\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c2\" colnum=\"2\"\u003e\u003c/div\u003e \u003cdiv align=\"left\" class=\"colspec\" colname=\"c3\" colnum=\"3\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c4\" colnum=\"4\"\u003e\u003c/div\u003e \u003cdiv align=\"char\" char=\".\" class=\"colspec\" colname=\"c5\" colnum=\"5\"\u003e\u003c/div\u003e \u003cthead\u003e \u003ctr\u003e \u003cth align=\"left\" colname=\"c1\"\u003e\u0026nbsp;\u003c/th\u003e \u003cth align=\"left\" colname=\"c2\"\u003e \u003cp\u003eA\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c3\"\u003e \u003cp\u003eB\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c4\"\u003e \u003cp\u003ep-value\u003c/p\u003e \u003c/th\u003e \u003cth align=\"left\" colname=\"c5\"\u003e \u003cp\u003eEffect size r\u003csup\u003e1\u003c/sup\u003e\u003c/p\u003e \u003c/th\u003e \u003c/tr\u003e \u003c/thead\u003e \u003ctbody\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAIS1\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e3.0\u0026thinsp;\u0026plusmn;\u0026thinsp;1.4\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;1161)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.8\u0026thinsp;\u0026plusmn;\u0026thinsp;2.0\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;52)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e0.0054\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e-0.08\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAIS2\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1.5\u0026thinsp;\u0026plusmn;\u0026thinsp;0.6\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;584)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.6\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;39)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e0.7827\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.01\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAIS3\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.8\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;915)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e3.1\u0026thinsp;\u0026plusmn;\u0026thinsp;1.9\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;82)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e0.7225\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e-0.01\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAIS4\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.3\u0026thinsp;\u0026plusmn;\u0026thinsp;0.7\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;612)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.7\u0026thinsp;\u0026plusmn;\u0026thinsp;1.3\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;74)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e0.0194\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.09\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAIS5\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e2.2\u0026thinsp;\u0026plusmn;\u0026thinsp;0.8\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;1043)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e2.7\u0026thinsp;\u0026plusmn;\u0026thinsp;1.1\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;99)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e\u0026lt;\u0026thinsp;0.0001\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e0.14\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003ctr\u003e \u003ctd align=\"left\" colname=\"c1\"\u003e \u003cp\u003eAIS6\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c2\"\u003e \u003cp\u003e1.2\u0026thinsp;\u0026plusmn;\u0026thinsp;0.4\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;10)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"left\" colname=\"c3\"\u003e \u003cp\u003e1.0\u0026thinsp;\u0026plusmn;\u0026thinsp;0.0\u003c/p\u003e \u003cp\u003e(N\u0026thinsp;=\u0026thinsp;2)\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c4\"\u003e \u003cp\u003e0.6188\u003c/p\u003e \u003c/td\u003e \u003ctd align=\"char\" char=\".\" colname=\"c5\"\u003e \u003cp\u003e-0.14\u003c/p\u003e \u003c/td\u003e \u003c/tr\u003e \u003c/tbody\u003e \u003c/colgroup\u003e \u003ctfoot\u003e \u003ctr\u003e\u003ctd colspan=\"5\"\u003eA, accidental patients with fall injury mechanism; B, self-harm patients with fall injury mechanism; AIS, abbreviated injury scale; AIS1, head and neck AIS; AIS2, facial AIS; AIS3, chest AIS; AIS4, intra-abdominopelvic organ AIS; AIS5, extremity and pelvic bone AIS; AIS6, external AIS. \u003csup\u003e1\u003c/sup\u003eEffect size r was calculated by formula \u003cspan class=\"InlineEquation\"\u003e\u003cspan class=\"mathinline\"\u003e\\(r= \\frac{Z}{\\sqrt{N}}\\)\u003c/span\u003e\u003c/span\u003e.\u003c/td\u003e\u003c/tr\u003e \u003c/tfoot\u003e \u003c/table\u003e\u003c/div\u003e \u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eThis study was conducted on injured patients who visited Wonju Severance Christian Hospital from 2015 to 2023 to determine and compare the basic characteristics, frequency of injury mechanisms, and damaged area according to the injury mechanism between the accident and self-harm groups.\u003c/p\u003e \u003cp\u003eThe frequency of injury mechanisms in the entire trauma group showed a similar pattern to the statistics of patients with general injury in Korea [\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e] and were similar to results from previous studies conducted at our hospital [\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eIn the entire trauma group, the AIS according to the injury mechanism was significantly different, which means that when it is difficult to confirm the exact damaged area through imaging examination during the initial treatment, it can be used as a reference to predict the damaged area according to the injury mechanism. Unlike the general accident group, which followed the characteristics of the entire trauma group, the self-harm group had an overwhelming number of cases of falling and self-injury using knives. While the injury severity was high in falls, it was relatively low for stab and cut wounds. In particular, it was confirmed that among falls, the damage to the pelvis and extremities was more severe in the self-harm group than in the accident group. Unlike stabbing or cutting, where the damaged area is relatively clear, it is difficult to determine the damaged area in falls without imaging examination during the initial treatment. Therefore, it may be important to predict the damaged areas in cases where imaging examinations are limited. When a patient will fall injuries suspected of attempting suicide is transported to the emergency room, the fall height can be expected to be higher, the ISS can be expected to be higher, and the damage to the pelvis and extremities can be more serious than in cases of general accidents.\u003c/p\u003e \u003cp\u003eFalling is a common method of suicide attempt in many countries, and there are only a few studies on the damage area caused by falls. According to a previous study, people who attempt suicide tend to have \u0026ldquo;feet-first landings,\u0026rdquo; resulting in more fractures of the pelvis and lower extremities, and fewer skull fractures because the lower extremities absorb shock [\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e]. According to other previous studies, people who attempt suicide tended to be \u0026ldquo;feet-first landings,\u0026rdquo; but showed that there were many injuries to the face, abdomen, and extremities [\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e]. The above studies have limitations in that the number of suicide attempts was relatively small at 57 and 40, respectively, and the height of the fall was not presented. In this study, it was confirmed that the average fall height of those who attempted suicide was 10.8m, which is more than twice the height of accidental falls, and the damage to the pelvis and limbs was more serious than that in the accident group. Additional research is required to examine the relationship between falls and damaged areas.\u003c/p\u003e \u003cp\u003eThe average age of the self-harm group was found to be approximately 10 years younger than that of the accident group, showing similar results to Korean statistics, where the age of people attempting suicide is decreasing [\u003cspan citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e]. This study found that falls were more common in patients in their teens and 20s, and stabbing or cutting was more common in people in their 40s and 50s. The average age of those who attempted suicide by falling was the same as that reported in a previous study in Korea [\u003cspan citationid=\"CR10\" class=\"CitationRef\"\u003e10\u003c/span\u003e]. Although there may be influence from various factors, the decreasing age may be due to the influence of the media and the fact that Korean cities have many easily-accessible high-rise buildings [\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e]. According to a previous study in the UK, self-harm using knives was most common among people aged 25\u0026ndash;54 [\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e].\u003c/p\u003e \u003cp\u003eThese differences in the frequency of injury mechanisms may have occurred because of differences in psychiatric diagnoses and age characteristics. According to a previous study in Korea, depressive disorder was more common among patients who chose lethal methods of suicide (falling, inhaling pesticides, briquettes, hanging, etc.) than in those who chose less lethal methods (suicide using a knife, drug addiction, etc.). Schizophrenia and adjustment disorders were more prevalent among patients who chose lethal suicide methods [\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e]. As this study did not include psychiatric diagnostic data according to age and injury mechanism, future research is needed to determine whether there is an association between specific age groups, psychiatric diagnoses, and suicide mechanisms.\u003c/p\u003e \u003cp\u003eDespite the long-standing interest in suicide, Korea's suicide rate remains the highest among OECD countries [\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e], and self-harm/suicide was the leading cause of death other than disease in 2022 [15]. According to a survey on the reasons for suicide attempts in 2022, psychiatric problems were the most common at 44% [\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e]. This shows that to reduce suicide rates, accurate psychiatric diagnosis and continuous follow-up must be performed. Future research is needed on the rate at which patients admitted to the emergency room due to a suicide attempt receive a psychiatric diagnosis through psychiatric treatment, and the degree of repetition of suicide attempts according to the degree of psychiatric treatment.\u003c/p\u003e \u003cdiv id=\"Sec7\" class=\"Section2\"\u003e \u003ch2\u003eLimitations\u003c/h2\u003e \u003cp\u003eGeneral statistical analysis could be used in the general accident group because the number of patients was sufficiently large and followed a normal distribution; however, the self-harm group did not follow a normal distribution because the number of the small number of patients, except for those with falls. Therefore, various statistical methods have been proposed for this purpose.\u003c/p\u003e \u003cp\u003ePatients who died after attempting suicide were excluded. Therefore, the representation of the characteristics of all patients who attempt suicide is limited.\u003c/p\u003e \u003cp\u003eSuicide attempts other than trauma, such as CO inhalation, pesticide use, and hanging, were excluded from this study; therefore, patients with non-traumatic suicide attempts were not identified.\u003c/p\u003e \u003cp\u003eThis was a single-center study, and the geographic and age characteristics of the region where the institute was located were different from those of other regions. In particular, it may be difficult to generalize the research results because the average age in the region covered by this organization is higher than that in other regions, and the population density is low.\u003c/p\u003e \u003c/div\u003e"},{"header":"Conclusions","content":"\u003cp\u003eIn this study, we confirmed the relationship between the injury mechanism and AIS in patients with trauma and compared the self-harm and accident groups, confirming that the damaged area and degree of damage were different, even if the mechanism was the same. In particular, in the self-harm group, falls and self-injury with knives were common, and among them, falls were characteristically different from those in the general accident group in terms of height, severity, and area of damage. During the initial treatment of a patient with trauma in the emergency room, if an accurate imaging test cannot be performed because the patient's condition is unstable, it is important to predict the damaged area and check it repeatedly. Based on the results of this study, it is possible to predict the damaged area based on the mechanism, and it is expected that this study will be helpful for early diagnosis and treatment, especially for treating patients with falls presumed to be a suicide attempt in the emergency room.\u003c/p\u003e"},{"header":"Abbreviations","content":"\u003cp\u003eAIS Abbreviated injury scale\u003c/p\u003e\n\u003cp\u003eCT Computed tomography\u003c/p\u003e\n\u003cp\u003eIRB Institutional review board\u003c/p\u003e\n\u003cp\u003eISS Injury severity score\u003c/p\u003e"},{"header":"Declarations","content":"\u003cp\u003e\u003cstrong\u003eEthics approval and consent to participate\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eI hereby certify that the study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.\u003c/p\u003e\n\u003cp\u003eThis study was approved by\u0026nbsp;Wonju Severance Christian Hospital\u0026nbsp;institutional review board (IRB No. CR 323174).\u003c/p\u003e\n\u003cp\u003eInformed consent was waived because of the retrospective nature of the study and the analysis used anonymous clinical data.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConsent for publication\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eNot applicable\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eAvailability of data and materials\u003c/p\u003e\n\u003cp\u003eThe datasets used and/or analyzed\u0026nbsp;in\u0026nbsp;the current study are available from the corresponding author\u0026nbsp;upon\u0026nbsp;reasonable request.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eCompeting interests\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe authors declare that they have no competing interests.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eFunding\u0026nbsp;\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNo funding was received for the present study.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAuthors\u0026rsquo; contributions\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eJH wrote the main manuscript as 1st author, and YS preformed statistical analysis and prepared all tables and figures. SK collected and provided research data. KB, JC and IP reviewed the appropriateness of the paper\u0026apos;s drafted the work. YC contributions to the conception and substantively revised it. All authors reviewed the manuscript.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eAcknowledgments\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe would like to thank Editage (www.editage.co.kr) for English language editing.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eThe ATLS, Subcommittee. American College of Surgeons\u0026rsquo; Committee on Trauma. Advanced trauma life support student course manual. 10th ed. 2018.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eGiannakopoulos GF, Saltzherr TP, Beenen LFM, Reitsma JB, Bloemers FW, Goslings JC, et al. Missed injuries during the initial assessment in a cohort of 1124 level-1 trauma patients. 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Int J Environ Res Public Health. 2022;19:6812. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://doi.org/10.3390/ijerph19116812\u003c/span\u003e\u003cspan address=\"10.3390/ijerph19116812\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003ePark BC, Im JS, Ratcliff KS. Rising youth suicide and the changing cultural context in South Korea. Crisis. 2014;35:102\u0026ndash;9. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://doi.org/10.1027/0227-5910/a000237\u003c/span\u003e\u003cspan address=\"10.1027/0227-5910/a000237\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eGeulayov G, Casey D, Bale E, Brand F, Clements C, Farooq B, et al. Risk of suicide in patients who present to hospital after self-cutting according to site of injury: findings from the Multicentre Study of Self-harm in England. Psychol Med. 2023;53:1400\u0026ndash;8. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://doi.org/10.1017/S0033291721002956\u003c/span\u003e\u003cspan address=\"10.1017/S0033291721002956\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eYeum TS, Kim B, Kim EY, Kim SH, Ha K, Ahn YM. Factors affecting suicide method lethality among suicide attempters in the Korea national suicide survey. J Nerv Ment Dis. 2018;206:202\u0026ndash;10. \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://doi.org/10.1097/NMD.0000000000000735\u003c/span\u003e\u003cspan address=\"10.1097/NMD.0000000000000735\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e.\u003c/span\u003e\u003c/li\u003e \u003cli\u003e\u003cspan\u003eOECD. Suicide rates (indicator). \u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://doi.org/10.1787/a82f3459-en\u003c/span\u003e\u003cspan address=\"10.1787/a82f3459-en\" targettype=\"DOI\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e; 2024.\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"
[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Self-harm, trauma mechanism, Abbreviated Injury Scale, injury severity score","lastPublishedDoi":"10.21203/rs.3.rs-4143668/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-4143668/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground\u003c/strong\u003e: Among patients with trauma, those with self-harm show different characteristics, such as frequency, damage area, and degree of trauma, from those who experienced general accidents. In cases of severe injuries, it is difficult to conduct accurate imaging tests during initial treatment, making it difficult to predict the exact area of damage and make decisions for definitive care. Identifying correlations betweendamage area and degree can help predict the damage area to aid in treatment. We aimed to identify the differences in characteristics between patients who experienced general accidents and those who attempted suicide.\u003c/p\u003e\n\u003cp\u003eWe retrospectively reviewed the data of patients with trauma transferred to the emergency department of our hospital from January 1, 2015, to December 31, 2023. Age, sex, trauma mechanism, intention of suicide, Abbreviated Injury Scale (AIS) score, injury severityscore (ISS),and height for fall were analyzed in 10,180 patients. Intentionality was divided into accidentandself-harm, and the characteristics of the two groups were analyzed and compared.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults\u003c/strong\u003e: The accident group follows the characteristics of the entire group, but in the self-harm group, falls (41.0%) and stab or cut wounds(48.9%) are overwhelmingly high, and the average age of the self-harm group was younger than that in the accident group by 10 years.In the accident fall group, the average fall height was 4.14 m, and the ISS was 15.5 points, while the average height of the self-harmgroup was 10.8 m, and ISS was 18.6 points. In the self-harm group, people in their teens and 20s mainly attempted to fall, and people in their 40s and 50s mainly attempted self-harm with knives.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion\u003c/strong\u003e: In this study, we confirmed the relationship between the injury mechanism and AIS in patients with trauma, and compared the self-harm group and the accident group, confirming that the damaged area and degree of damage were different even if the mechanism was the same. In the self-harm group, falls and stab or cut wounds are common, and in the case of falls, there is a characteristic difference from the general accident group in terms of height, severity, and damaged area. It is expected that understanding the characteristics of patients who self-harmed can help initial treatment in the emergency room, reduce missed injuries, and establish an appropriate diagnosis and treatment plan.\u003c/p\u003e","manuscriptTitle":"Characteristics of trauma in patients with general accidents and patients who attempted suicide - trauma mechanism, injury site, and severity: A single-center study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2024-03-26 16:11:48","doi":"10.21203/rs.3.rs-4143668/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"
[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"a7ac586e-e19f-4605-a2ea-52b2fbba8248","owner":[],"postedDate":"March 26th, 2024","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2024-08-21T06:44:12+00:00","versionOfRecord":[],"versionCreatedAt":"2024-03-26 16:11:48","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-4143668","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-4143668","identity":"rs-4143668","version":["v1"]},"buildId":"qtupq5eGEP_6zYnWcrvyt","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}
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