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Penetrating trauma during a global pandemic: Changing patterns in interpersonal violence, self-harm and domestic violence in the Covid-19 outbreak.
Olding, James; Zisman, Sophia; Olding, Carole; Fan, Kathleen.
  • Olding J; Department of Oral & Maxillofacial Surgery, King's College Hospital, London, SE5 9RS, United Kingdom.
  • Zisman S; South London and Maudsley NHS Foundation Trust (SLaM), London, SE5, United Kingdom.
  • Olding C; Emergency Department, King's College Hospital, London, SE5 9RS, United Kingdom.
  • Fan K; Department of Oral & Maxillofacial Surgery, King's College Hospital, London, SE5 9RS, United Kingdom; Faculty of Dentistry, Oral Craniofacial Sciences, King's College London, United Kingdom. Electronic address: kfan@nhs.net.
Surgeon ; 19(1): e9-e13, 2021 Feb.
Article in English | MEDLINE | ID: covidwho-1065610
ABSTRACT

INTRODUCTION:

The restrictions imposed on social activity in response to the Covid-19 pandemic have had a profound impact globally. In the UK, the NHS was placed on a war-footing, with elective surgery, face-to-face outpatient clinics, and community care facilities all scaled back as a temporary measure to redistribute scarce resources. There has been concern during this period over increasing levels of violence in the domestic setting, as well as self-harm.

METHODS:

Data was collected on all patients presenting with traumatic penetrating injuries during the 'lockdown' period of 23rd March to 29th April 2020. Demographics and injury details were compared with the same period in the two preceding years.

RESULTS:

Overall trauma fell by 35% compared with the previous year. Over one in four penetrating injuries seen were a result of self-harm, which was significantly higher than in previous years (11% in 2019, 2% in 2018). There were two cases of injuries due to domestic violence, while a total of 4 cases of injury arose in separate violent domestic incidents. Self-harm commonly involved penetrating injury to the neck.

DISCUSSION:

Our centre has seen an increase in the proportion of penetrating injuries as a result of both self-harm and violence in the domestic setting. The number of penetrating neck injury cases, which can represent suicidal intent or a major presentation of psychiatric illness, is of particular concern. We must further investigate the effect of social restrictions on violent injury, and how home confinement may influence a changing demographic picture of victims.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Wounds, Penetrating / Self-Injurious Behavior / Domestic Violence / COVID-19 Type of study: Observational study / Qualitative research Limits: Adult / Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Surgeon Year: 2021 Document Type: Article Affiliation country: J.surge.2020.07.004

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Wounds, Penetrating / Self-Injurious Behavior / Domestic Violence / COVID-19 Type of study: Observational study / Qualitative research Limits: Adult / Female / Humans / Male Country/Region as subject: Europa Language: English Journal: Surgeon Year: 2021 Document Type: Article Affiliation country: J.surge.2020.07.004