The Role of Mental Health Professionals in Burn Centers and Units

  • Chapter
  • First Online:
Suicide by Self-Immolation

Abstract

Serious burn injuries are devastating and traumatic, with marked physical consequences and disfigurement that predispose individuals to long-term mental disorders. Burns result in significant distress and psychiatric symptoms. They cause impairment in physical, psychological and social functional domains. A multidimensional approach to the care of the burn patient is essential to properly address disability and multibordities. This chapter reviews the scientific literature looking at the close relationship between psychiatric disorders and burns. Psychiatric disorders could contribute to burn injuries. Pre-existing psychiatric disorders are common in burn patients and often contribute as etiologic factors, as in the case of depression, anxiety, and posttraumatic and stressor related disorders associated with self-immolation. Conversely, burns are a risk factor for the development of certain mental disorders. Pre-existing psychiatric disorders correlate with delayed wound healing, an increase of surgical operations, prolonged hospitalizations, and slower rehabilitation. A multidisciplinary approach to burn care, incorporating psychiatric services and mental health professionals, might be beneficial and could potentially improve patient outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
EUR 32.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or Ebook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (Brazil)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (Brazil)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (Brazil)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info
Hardcover Book
USD 159.99
Price excludes VAT (Brazil)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free ship** worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Moore M, Fagan S, Nejad S, Bilodeau M, Goverman L, Ibrahim AE, Beresneva O, Sarhane KA, Goverman J. The role of a dedicated staff psychiatrist in modern burn centers. Ann Burns Fire Disasters. 2013;26(4):213.

    CAS  PubMed  PubMed Central  Google Scholar 

  2. Low JA, Meyer IIIWJ, Willebrand M, Thomas CR. Psychiatric disorders associated with burn injury. Total Burn Care. 2018;1:700–8.

    Article  Google Scholar 

  3. Van Loey NE, Van Son MJ. Psychopathology and psychological problems in patients with burn scars. Am J Clin Dermatol. 2003;4(4):245–72.

    Article  PubMed  Google Scholar 

  4. Mahendraraj K, Durgan DM, Chamberlain RS. Acute mental disorders and short and long term morbidity in patients with third degree flame burn: a population-based outcome study of 96,451 patients from the Nationwide Inpatient Sample (NIS) database (2001–2011). Burns. 2016;42(8):1766–73.

    Article  PubMed  Google Scholar 

  5. Palmu R, Suominen K, Vuola J, Isometsä E. Mental disorders after burn injury: a prospective study. Burns. 2011;37(4):601–9.

    Article  PubMed  Google Scholar 

  6. Falder S, Browne A, Edgar D, Staples E, Fong J, Rea S, Wood F. Core outcomes for adult burn survivors: a clinical overview. Burns. 2009;35(5):618–41.

    Article  PubMed  Google Scholar 

  7. Dyster-Aas J, Willebrand M, Wikehult B, Gerdin B, Ekselius L. Major depression and posttraumatic stress disorder symptoms following severe burn injury in relation to lifetime psychiatric morbidity. J Trauma Acute Care Surg. 2008;64(5):1349–56.

    Article  Google Scholar 

  8. Menzies V. Depression and burn wounds. Arch Psychiatr Nurs. 2000;14(4):199–206.

    Article  CAS  PubMed  Google Scholar 

  9. Byers JF, Bridges S, Kijek J, LaBorde P. Burn patients' pain and anxiety experiences. J Burn Care Rehabil. 2001;22(2):144–9.

    Article  CAS  PubMed  Google Scholar 

  10. Palmu R. Mental disorders among burn patients. Raimo Palmu and National Institute for Health and Welfare: Helsinki; 2010.

    Book  Google Scholar 

  11. Capuron L, Raison CL, Musselman DL, Lawson DH, Nemeroff CB, Miller AH. Association of exaggerated HPA axis response to the initial injection of interferon-alpha with development of depression during interferon-alpha therapy. Am J Psychiatr. 2003;160(7):1342–5.

    Article  PubMed  Google Scholar 

  12. Kildal M, Willebrand M, Andersson G, Gerdin B, Ekselius L. Personality characteristics and perceived health problems after burn injury. J Burn Care Rehabil. 2004;25(3):228–35.

    Article  PubMed  Google Scholar 

  13. Willebrand M, Andersson G, Kildal M, Ekselius L. Exploration of co** patterns in burned adults: cluster analysis of the co** with burns questionnaire (CBQ). Burns. 2002;28(6):549–54.

    Article  CAS  PubMed  Google Scholar 

  14. Lončar Z, Braš M, Mičković V. The relationships between burn pain, anxiety and depression. Collegium Antropologicum. 2006;30(2):319–25.

    PubMed  Google Scholar 

  15. Wang CH, Tsay SL, Elaine Bond A. Post-traumatic stress disorder, depression, anxiety and quality of life in patients with traffic-related injuries. J Adv Nurs. 2005;52(1):22–30.

    Article  PubMed  Google Scholar 

  16. Wiechman S, Kalpakjian CZ, Johnson KL. Measuring depression in adults with burn injury: a systematic review. J Burn Care Res. 2016;37(5):e415–26.

    Article  PubMed  Google Scholar 

  17. American Psychiatric Association. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders. Arlington: American Psychiatric Association; 2013.

    Book  Google Scholar 

  18. O'Donnell ML, Bryant RA, Creamer M, Carty J. Mental health following traumatic injury: toward a health system model of early psychological intervention. Clin Psychol Rev. 2008;28(3):387–406.

    Article  PubMed  Google Scholar 

  19. Wiechman SA, Ptacek JT, Patterson DR, Gibran NS, Engrav LE, Heimbach DM. Rates, trends, and severity of depression after burn injuries. J Burn Care Rehabil. 2001;22(6):417–24.

    Article  CAS  PubMed  Google Scholar 

  20. McKibben JB, Bresnick MG, Wiechman Askay SA, Fauerbach JA. Acute stress disorder and posttraumatic stress disorder: a prospective study of prevalence, course, and predictors in a sample with major burn injuries. J Burn Care Res. 2008;29(1):22–35.

    Article  PubMed  Google Scholar 

  21. Giannoni-Pastor A, Eiroa-Orosa FJ, Fidel Kinori SG, Arguello JM, Casas M. Prevalence and predictors of posttraumatic stress symptomatology among burn survivors: a systematic review and meta-analysis. J Burn Care Res. 2016;37(1):e79–89.

    Article  PubMed  Google Scholar 

  22. Sareen J. Posttraumatic stress disorder in adults: impact, comorbidity, risk factors, and treatment. Can J Psychiatry. 2014;59(9):460–7.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Van Loey NE, Maas CJ, Faber AW, Taal LA. Predictors of chronic posttraumatic stress symptoms following burn injury: results of a longitudinal study. J Traumatic Stress. 2003;16(4):361–9.

    Article  Google Scholar 

  24. Shalev AY. Acute stress reactions in adults. Biol Psychiatry. 2002;51(7):532–43.

    Article  PubMed  Google Scholar 

  25. Schell TL, Marshall GN, Jaycox LH. All symptoms are not created equal: the prominent role of hyperarousal in the natural course of posttraumatic psychological distress. J Abnorm Psychol. 2004;113(2):189.

    Article  PubMed  Google Scholar 

  26. Deniz S, Arslan S. Pain and anxiety in burn patients. Int J Caring Sci. 2017;10(3):1723.

    Google Scholar 

  27. Salehi SH, As’adi K, Musavi J, Ahrari F, Nemazi P, Kamranfar B, Gaseminegad K, Faramarzi S, Shoar S. Assessment of substances abuse in burn patients by using drug abuse screening test. Acta Med Iran. 2012;50:257–64.

    PubMed  Google Scholar 

  28. Blank K, Perry S. Relationship of psychological processes during delirium to outcome. Am J Psychiatry. 1984;141(7):843–7.

    Article  CAS  PubMed  Google Scholar 

  29. Sveen J, Öster C. Alcohol consumption after severe burn: a prospective study. Psychosomatics. 2015;56(4):390–6.

    Article  PubMed  Google Scholar 

  30. Duff K, McCaffrey RJ. Electrical injury and lightning injury: a review of their mechanisms and neuropsychological, psychiatric, and neurological sequelae. Neuropsychol Rev. 2001;11(2):101–16.

    Article  CAS  PubMed  Google Scholar 

  31. Patterson DR, Everett JJ, Bombardier CH, Questad KA, Lee VK, Marvin JA. Psychological effects of severe burn injuries. Psychol Bull. 1993;113(2):362.

    Article  CAS  PubMed  Google Scholar 

  32. Agarwal V, O'Neill PJ, Cotton BA, Pun BT, Haney S, Thompson J, Kassebaum N, Shintani A, Guy J, Ely EW, Pandharipande P. Prevalence and risk factors for development of delirium in burn intensive care unit patients. J Burn Care Res. 2010;31(5):706–15.

    Article  PubMed  Google Scholar 

  33. Ren Z, Zhang P, Wang H, Wang H. Qualitative research investigating the mental health care service gap in Chinese burn injury patients. BMC Health Serv Res. 2018;18(1):902.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Blakeney P, Rosenberg L, Rosenberg M, Faber A. Psychosocial care of persons with severe burns. Burns. 2008;34(4):433–40.

    Article  PubMed  Google Scholar 

  35. Bryant R, Touyz S. The role of the clinical psychologist on a burn unit in a general teaching hospital. J Clin Psychol Med Settings. 1996;3(1):41–55.

    Article  CAS  PubMed  Google Scholar 

  36. Johnson R, Taggart S, Gullick J. Emerging from the trauma bubble: redefining ‘normal’ after burn injury. Burns. 2016;42:1223–32.

    Article  PubMed  Google Scholar 

  37. McLean L, Chen R, Kwiet J, Vandervord J, Kornhaber R. A clinical update on posttraumatic stress disorder in burn injury survivors. Australas Psychiatry. 2017;25(4):348–50.

    Article  PubMed  Google Scholar 

  38. De Sousa A. Psychiatric issues in renal failure and dialysis. Indian J Nephrol. 2008;18(2):47–50.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Clark A, Neyra J, Madni T, Imran J, Phelan H, Arnoldo B, Wolf S. Acute kidney injury after burn. Burns. 2017;43:898–908.

    Article  PubMed  Google Scholar 

  40. Nielson C, Duethman N, Howard J, Moncure M, Wood J. Burns. J Burn Care Res. 2017;38(1):e469–81.

    Article  PubMed  Google Scholar 

  41. Pham T, Cancio L, Gibran N. American Burn Association Practice Guidelines Burn Shock Resuscitation. J Burn Care Res. 2008;29(1):257–66.

    Article  PubMed  Google Scholar 

  42. Jeschke MG, Herndon D. The hepatic response to severe injury. In: Vincent JL, editor. Intensive care medicine, vol. 2007. New York: Springer; 2007. p. 651–65.

    Chapter  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Feranindhya Agiananda .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Agiananda, F., Kusumadewi, I. (2021). The Role of Mental Health Professionals in Burn Centers and Units. In: Alfonso, C.A., Chandra, P.S., Schulze, T.G. (eds) Suicide by Self-Immolation. Springer, Cham. https://doi.org/10.1007/978-3-030-62613-6_16

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-62613-6_16

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-62612-9

  • Online ISBN: 978-3-030-62613-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Navigation