The next scene shows her parents finding her, devastated, as Hannah had passed away. The suicide scene was quick and clean. They made it seem like it was simple — as though it might be an appealing way to die. And in nearly all cases, it goes wrong and can open you up to severe infections and even disability. It terrifies me that had I not sought help from professionals and learned this, I may have seriously damaged my body for the rest of my life.
When I tried to track down the scene online, I found it without context — just music behind it — and it almost looked like a how-to-guide for ending your life. It was horrifying. I understand Netflix wanted the shock factor, as many television programs do.
And I can appreciate the ambition to open up a conversation about suicide in a modern day series. However, the way they did so was dangerous and unrealistic. The scene never should have been released. When Shruti Haasan openly admitted to undergoing plastic surgery. How to care for your baby's skin the right way. See all results matching 'mub'. Health News Fitness Weight loss: Things to do differently if your workout isn't giving you the expected results.
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Thus, the stem cutting only needs to form new roots to be a complete, independent plant. A leaf cutting uses just the leaf, so both new roots and new stems must be formed to create a new plant. Stem cuttings can be taken from both herbaceous plants e. Because the new growth of trees and shrubs hardens as the summer progresses, cuttings taken at different times of the year vary in their ability to form roots.
Softwood and herbaceous cuttings are the most likely to develop roots and become independent plants, hardwood cuttings the least likely. Softwood cuttings are prepared from soft, succulent new growth of woody plants just as it begins to harden typically May through July. Shoots at the softwood stage will snap easily when bent. The youngest leaves have not yet reached their mature size. The wood is firm and all leaves are full size.
This occurs in mid-July to early fall for most plants. Many broadleaf evergreens e. Hardwood cuttings are prepared from shoots that grew the previous summer. They are cut in winter or early spring while the plant is still dormant. The wood is firm and does not bend easily. Some deciduous shrubs and needled evergreens will root from hardwood cuttings.
Leaf cuttings are prepared by taking a single leaf from the plant. This leaf must generate not only new roots, but new shoots as well. The leaf used for propagation usually does not become part of the new plant, but disintegrates after the new plant is formed. Only a limited number of plants have the ability to produce new roots and shoots from just a leaf. Cuttings taken from roots may also be used but only a few species can be propagated this way.
Cuttings are taken when the plant is dormant and the roots contain the most stored energy. Each root produces two to three new stems and each stem then produces its own roots. The original root cutting disintegrates.
To successfully propagate plants from cuttings, a number of challenges must be overcome. Once a cutting is severed from the parent plant, it can no longer take up water, and excessive water loss will result in death.
The wound from the cut makes it susceptible to diseases. New roots must be formed as rapidly as possible if the new plant is to survive. Start with cuttings that contain as much water as possible.
Water the plant well the day before and take the cutting before the heat of the day reduces water content. Process the cutting immediately. If this is not possible, stand the cut end in water or place the cutting in a plastic bag with a damp paper towel and store out of direct sun. If the plant is frost-tolerant, store the bagged cutting in the refrigerator. For a stem cutting, remove some of the leaves. Most of the water will be lost through the leaves, so by decreasing the leaf surface you also decrease the amount of water loss.
Cut remaining leaves in half if they are large. Once the cutting has been prepared and placed in the rooting mix, enclose the pot in a plastic bag. Insert straws or wooden sticks around the edge of the pot to hold the bag away from the cutting.
Place the pot in a bright area, but out of direct sunlight, so the leaves will receive the light they need but the plant will not get overly hot.
The plastic bag insures that humidity around the leaves remains high, which slows the rate of water loss. Take cuttings only from healthy plants. Use fresh soilless potting mix since garden soil can harbor plant diseases.
Just like leaves, the roots of plants need air to live. For psychiatric diagnosis and treatment, all patients who are admitted to the emergency department for attempted suicide should be assessed by a psychiatrist [ 9 ]. In addition, in order to prevent any functional impairment, an initial appropriate evaluation and proper referral are of pivotal importance. Thus, the objective of this study was to investigate the characteristics of self-inflicted wrist injuries in a single institution and share the perspectives from a hand surgeon so that those who deal with these patients primarily in the emergency room can manage these injuries more appropriately.
We investigated all self-inflicted wrist injury patients who were referred to the Department of Hand Surgery from the Emergency Medicine Department in Seoul National University Bundang Hospital from to This study was conducted as a pilot study before a prospective study in the same institution had been initiated from The patients who had skin only injuries were excluded because primary closure was performed at the Emergency Medicine Department.
Demographic data age, gender, alcohol intake, psychological state and clinical features injury side, injury pattern, anatomical structures involved, distance from wrist crease were analyzed.
A psychological evaluation of all the patients was performed following attempted suicide by a psychiatrist from the Department of Psychiatry within the same institution. Patients were initially assessed in the Emergency Medicine Department and surgical treatment and postoperative wound care were performed by the Hand Surgery Department of Plastic and Reconstructive Surgery Department in the same institution.
The outpatient follow-up period was at least three months and postoperative long-term disability was evaluated. The long-term motor function was assessed by range of motion, opposition of the thumb, intrinsic function tests. Two-point discrimination test was performed in order to evaluate sensory function. A total of 17 patients who attempted suicide by cutting their wrists were included in our study.
Among the patients, four were females and 13 were males. The left wrist was involved in In Only in one case the injury occurred on the radial side of the forearm with involvement of the abductor pollicis longus and the extensor pollicis longus tendons.
The most frequently injured structures was the palmaris longus tendon The most frequently injured nerve was the median nerve The ulnar neuro-vascular bundle and the radial artery were involved only once each. Injuries of important anatomical structures are summarized in Table 1. Knife was the most common tool for suicide attempts, followed by glass Table 2. Alcohol intake prior to suicide attempts was higher in male patients. All 4 patients with mood disorder had major depression and 2 patients with personality disorder had borderline personality disorder.
Among the 8 patients with deep injuries, 6 had a history of psychiatric disorders, whereas among the 9 superficially injured patients, only 3 had a previous psychiatric diagnosis. When it comes to the long-term outcomes, 4 patients showed functional deficit in long-term follow-up period and all of these patients had nerve injuries including injuries of the median and the ulnar nerve. Patient no. Suicide is a global public health problem that impacts individuals and society. Suicide rates have increased substantially over the past two decades.
Suicide in Korea is the tenth highest in the world according to the World Health Organization, making it the fourth leading cause of death [ 3 ]. Due to increasing cases of self-inflicted wrist cutting and its low mortality rate, initial evaluation when facing this injury is the most important aspect to prevent long-term functional impairment.
Thus, we suggest appropriate evaluation and aim to share the perspectives of a hand surgeon. In this study, there were gender differences in self-inflicted wrist cutting 4 female and 13 male patients , as opposed to other studies which showed a higher proportion of women with self-cutting injuries [ 7 , 10 ].
This suggests that deep injuries involving deep flexor tendons, artery and nerve are more likely to occur in male patients. Male wrist-cutting patients showed more extensive injuries and all patients who had deep structural injuries were also male.
Furthermore, as patients with psychiatric disorder have a higher rate of recurrent suicide attempts [ 11 ], multidisciplinary approach together with the Psychiatric Department is essential in order to effectively treat these patients.
Schizophrenic patients are more likely to get devastating injuries and other psychiatric disorders including depression and borderline personality disorder have a higher risk of attempted suicide [ 12 ].
Even though some patients have not been previously diagnosed with psychiatric disorders, it is likely that they have an underlying mental problem [ 13 ]. In this study, two patients with the deepest injuries Patient no.
Therefore, in case of male patient who have attempted suicide by wrist cutting and who have been diagnosed with a psychiatric disorder such as schizophrenia, the high possibility of deeper injury should be considered.
Ironically, this unpredictable trauma can be one of the most predictable injuries to a hand surgeon in three ways. First of all, as there are more right-handed people who hold implements with their right hands, there is higher probability of injury to the left wrist [ 7 ], as confirmed in our study, which showed injuries to the left wrist in Secondly, almost all patients have flexor side injuries 16 patients with injuries of the flexor side and one with injury of the radial side.
Wrist flexor tendons were the most frequently injured anatomical structures because they are located close to the skin surface and therefore more likely injured. As can be seen through the results of this study, The author drew an axial anatomy of the left wrist focusing on the most common injury site Fig.
Arterial bleeding from both the radial and the ulnar side on the wrist indicates the high probability of structural injuries in intentional self-cutting [ 15 ]. Similarly, injury of the radial artery is often accompanied by an associated injury of the flexor carpi radialis tendon Patient no.
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