%0 Journal Article %T Suicide Attempts as the Cause of Post Intubation Airway Stenosis (PIAS) %J TANAFFOS (Respiration) %I National Research Institute of Tuberculosis and Lung Disease (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran %Z 1735-0344 %A Abbasi Dezfouli, Azizollah %A Adhami, Shahrokh %A Farzanegan, Roya %A Reza Karimi, Gholam %A Vali Zadeh, Mehrnaz %A Behgam Shadmehr, Mohammad %A Arab, Mehrdad %A Javaherzadeh, Mojtaba %A Pejhan, Saviz %A Daneshvar Kakhki, Abolghasem %D 2005 %\ 10/01/2005 %V 4 %N 3(summer) %P 11-17 %! Suicide Attempts as the Cause of Post Intubation Airway Stenosis (PIAS) %K Suicide %K Post Intubation Airway Stenosis (PIAS) %K suicide attempt %R %X Background: The incidence of suicide attempt has been increasing in recent years. Presenting a group of patients whoattempted suicide, underwent ventilatory support and developed postintubation airway stenosis (PIAS) may help us inprevention and better understanding of this complication.Materials and Methods: Among patients who referred to our center for treatment of PIAS, those who had been intubated forsuicide attempt were investigated in a prospective study. Information was entered in a questionnaire and regular follow upswere done in a 15-month period (April 2003 to July 2004).Results: Among 100 patients with PIAS, 19 enrolled in this study including10 females and 9 males (mean (±SD) age, 25.3(±9.96) yrs; ranging from 17 to 56 yrs). Type of disease and reasons of suicide were categorized by a psychologist asfollows: Eleven patients with psychosocial stress along with an immature personality back-ground, 7cases of psychologicaldisorders and one with an unknown cause.Direct causes of committing suicide included family problems in 10 cases, lovesick in 2, addiction in 3, depression in 6 andsocial problems in 2 cases (some patients mentioned two reasons and one refused to mention the reason).Mean time of intubation was 14.78 days (3-30 days), and the mean length of stenosis was 35.12 mm (20-50 mm), 8 patientsunderwent tracheostomy. Three patients were treated with bronchoscopic dilation and 16 underwent laryngotrachealresection and reconstruction. There were 8 cases of recurrence after resection among which 4 were treated by secondresection, 2 recovered by bronchoscopic dilation and 2 managed by stenting. This group of patients (study group) wascompared with a similar group of patients in whom the causes of intubations were different (control group). Incidence of postsurgical recurrence (p=0.011) and the length of stenosis (p=0.01) were higher in the study group.Conclusion: In our patients, social problems such as unemployment, illiteracy and singleness were the more frequentcauses of suicide compared with psychological disorders. Patients who undergo mechanical ventilation due to suicide anddevelop PIAS could be treated by tracheal resection and reconstruction; although the incidence of post- surgical recurrenceis higher in them compared with the other groups of patients with PIAS. (Tanaffos 2005; 4(15): 11-16) %U https://www.tanaffosjournal.ir/article_241903_c36e9a8f23f897135ed0f61e0b6a48a5.pdf