Suicide resilience, identity crisis and quality of life in burned adolescents.

This was a cross-sectional self-report survey, so it cannot show that identity crisis causes changes in resilience or quality of life, or that any nursing action changes them. The authors invited 355 adolescents and 304 completed questionnaires, and they suggest non-return may have been due to weakness, fatigue and lethargy, so the sample may not represent all burned adolescents. Participants were Iranian adolescents aged 12 to 18 years who were at least 12 months after burn and had no other physical or mental disorders, so findings may not apply to younger children, other countries, or acute burn care. The text and Table 3 report different correlation values for some relationships, so the strength and direction of those associations are not fully clear. In the regression model, quality of life was removed because it was collinear with suicide resilience, so the model does not show separate effects of those two variables. The study did not test an intervention, so it cannot support a treatment effect.

The authors declared no competing interests. No funding source is stated in the supplied text.

Do not read the strong correlations as proof that improving suicide resilience or quality of life will reduce identity crisis. This was a self-report cross-sectional survey, and the regression model removed quality of life because it was collinear with suicide resilience, so the study cannot separate those contributions.