Self-immolation represented 3.9% of patients (N = 7) at this burn unit
over the last 18 months. Charts of these patients were retrospectivel
y reviewed for demographics, hospital course, and discharge plan. All
had a major psychiatric diagnosis, although no clear patient profile e
merged. These patients required complex individualized care, but the p
sychosocial treatment challenges had many common elements. Psychiatric
aspects of these patients proved problematic Jar the burn unit staff,
Physical sequelae of the bums raised problems in arranging subsequent
psychiatric treatment. Follow-up information was obtained by brief te
lephone interviews. The survivors appeared to be functioning well give
n their psychopathology and physical sequelae. (C) 1997 Elsevier Scien
ce Inc.