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The relationship between climate change and violent behavior has been well documented in previous studies. Violence has two dimensions: outward violence (i.e., crime) and inward violence (i.e., suicide). To our knowledge, rigorous empirical studies have not been performed to investigate how climate change affects both criminal and suicidal behavior. This study aims to estimate the effects of climate change on crime and suicide in Japan by using prefecture-level monthly panel data on climate, crime, and suicide between 2009 and 2015. Even after controlling for prefecture, yearly, and monthly effects, we found that many climate factors affected both crime and suicide in Japan. In particular, more aggressive behavior and an increased number of suicides were observed when the average temperature increased. Furthermore, we predicted how changes in the climate of Japan will affect future patterns of criminal and suicidal behavior based on two climate change scenarios.
Background: Self-inflicted wrist lacerations have the potential to lead to crippling sequelae and repeated suicidal attempt. To obtain good results, we have treated self-inflicted wrist lacerations using a multidisciplinary team - emergency, hand surgery, psychiatry, and rehabilitation. This study aims to review features of this type of injuries and suggest multidisciplinary team approach as an optimal treatment.
Methods: Our multidisciplinary approach can be summarized as follows: initial evaluation, psychological interview, surgery, and rehabilitation. The medical records including wound features, injured structures and psychological data were reviewed retrospectively. Assessment of functional outcomes, and comparative analysis of various psychological parameters were conducted.
Results: Most patients resulted in excellent or good functional outcomes. Five patients reattempted wrist cutting with suicidal intent during follow-up. Only 21.3% patients had a suicidal intent and it was not associated with injury severity and functional recovery. Alcohol ingestion and presence of associated injuries was significant different between severity groups. Presence of suicidal intent was irrelevant to injury severity and functional recovery, but relevant to alcohol ingestion, presence of associated injuries and presence of psychiatric diagnosis.
Conclusions: In order to minimize catastrophic disability and repeated suicide attempts, a balanced multidisciplinary approach is one of the best methods to obtain excellent functional outcomes and prevent repeated injuries in patients with self-inflicted wrist lacerations.