gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Investigating the attitudes toward violence in patients with upper extremity injuries

Meeting Abstract

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  • presenting/speaker Zeynep Tuna - Gazi University, Ankara, Turkey
  • Deran Oskay - Gazi University, Ankara, Turkey
  • Beray Kelesoglu - Hand Microsurgery Orthopaedics Traumatology Hospital, Izmir, Turkey

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1205

doi: 10.3205/19ifssh1446, urn:nbn:de:0183-19ifssh14463

Published: February 6, 2020

© 2020 Tuna et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objective: Upper extremity especially hand injuries may occur due to violent incidents like self-harm. Those intentionally injured patients were shown to have high levels of psychological stress in previous studies. It was also thought to result from the individual's attitude towards violence but the studies investigating this violence tendency are lacking. Therefore, the purpose of this study was to assess the attitudes towards violence among patients with hand and upper extremity injuries.

Materials and Methods: Patients conducted for physiotherapy after hand and upper extremity injuries participated. According to the cause of injury, they were divided into 2 groups: accidental (Group 1) and intentional (Group 2). Age, gender, educational level and type of injury were recorded. Attitudes towards Violence Scale (ATVS) for violence tendency, Beck Anxiety Inventory (BAI) for anxiety and Beck Depression Inventory (BDI) for depression were used.

Results: Thirty-eight of 44 patients (Group 1) were injured accidentally and 6 were injured intentionally (Group 2). Accidental injuries were mostly occured at home and intentional injuries were all punching a glass. Educational level was similar (p>0,05). Patients in Group 2 were younger and all male (p<0,05). ATVS scores were significantly higher in Group 2 (p< 0,05) while the BAI and BDI scores were similar (p >0,05).

Conclusions: Self-harm intentional injuries occur with punching glass and are seen among young males. This study showed that those patients have a high tendency towards violence. Violent behaviour should be taken into account during treatment as it may also affect the clinical outcomes through treatment (in)compliance and re-injury. Further studies that assess the effects of attidude towards violence on those factors are needed.