1312 Characteristics of Those Who Present with Self-Inflicted Burns: A Burns Unit Service Evaluation Which Challenges Stereotypes

Abstract Introduction Self-harm rates in the UK are increasing. Healthcare professionals’ beliefs regarding repeat attendance; attention-seeking; and poor treatment compliance may contribute to patients’ stigma. Self-inflicted burns (SIB) constitute a minority of cases, but require disproportionate healthcare input, yet little is known about these patients. Our aim was evaluate presentations, outcomes this patient group. Method A retrospective audit outpatients with SIBs attending Burns Unit over four years (Jan 2016-Dec 2019). Results Over study period, 58 patients presented 94 burn wounds. Incidence doubled one year (2018-2019). Most were female (85%) median age 29 (range 19-62). The most commonly associated psychiatric diagnosis personality disorder. On presentation 22% (n = 21) admitted under Mental Health Act. For 83% 48) it their first SIB, although 74% had previously non-burn self-harm. Median size 0.5% TBSA, common mechanism contact (48%) 77% deep 77). 92% compliant did not tamper wounds or dressings. Conclusions majority, 70% 41), only once Department during period. This challenges held stereotype that those who self-harm will also seek attention through presentation. Ongoing education among health professionals dispel some myths individuals. Further, larger investigations, permit rigorous comparison non-SIB