Intentional Injuries Research Articles

Firearm Injury and Mortality Prevention in Pediatric Health-care Settings.

Firearm Injury and Mortality Prevention in Pediatric Health-care Settings.

Patterns of disease on admission to children’s wards and changes during a COVID-19 outbreak in KwaZulu-Natal Province, South Africa

Background. Major causes of under-5 child deaths in South Africa (SA) are well recognised, and child mortality rates are falling. The focus of child health is therefore shifting from survival to disease prevention and thriving, but local data on the non-fatal disease burden are limited. Furthermore, COVID-19 has affected children’s health and wellbeing, both directly and indirectly. Objectives. To describe the pattern of disease on admission of children at different levels of care, and assess whether this has been affected by COVID-19. Methods. Retrospective reviews of children’s admission and discharge registers were conducted for all general hospitals in iLembe and uMgungundlovu districts in KwaZulu-Natal Province, SA, from January 2018 to September 2020. The Global Burden of Disease framework was adapted to create a data capture sheet with four broad diagnostic categories and 37 specific cause categories. Monthly admission numbers were recorded per cause category, and basic descriptive analysis was completed in Microsoft Excel. Results. Overall, 36 288 admissions were recorded across 18 hospital wards, 32.0% at district, 49.8% at regional and 18.2% at tertiary level. Communicable diseases, perinatal conditions and nutritional deficiencies (CPNs) accounted for 37.4% of admissions, non-communicable diseases (NCDs) for 43.5% and injuries for 17.1%. The distribution of broad diagnostic categories varied across levels of care, with CPNs being more common at district level and NCDs more common at regional and tertiary levels. Unintentional injuries represented the most common cause category (16.6%), ahead of lower respiratory tract infections (16.1%), neurological conditions (13.6%) and diarrhoeal disease (8.4%). The start of the local COVID-19 outbreak coincided with a 43.1% decline in the mean number of monthly admissions. Admissions due to neonatal conditions and intentional injuries remained constant during the COVID-19 outbreak, while those due to other disease groups (particularly respiratory infections) declined. Conclusions. Our study confirms previous concerns around a high burden of childhood injuries in our context. Continued efforts are needed to prevent and treat traditional neonatal and childhood illnesses. Concurrently, the management of NCDs should be prioritised, and evidence-based strategies are sorely needed to address the high injury burden in SA.

Effect of social distancing on injury incidence during the COVID-19 pandemic: an interrupted time-series analysis

ObjectivesTo evaluate the effects of social distancing on the incidence and characteristics of injuries during the COVID-19 pandemic.Design and settingThis cross-sectional study used the National Emergency Department Information System (NEDIS)...

Rural and urban patterns of severe injuries and hospital mortality in Australia: An analysis of the Australia New Zealand Trauma Registry: 2015–2019

IntroductionIn Australia, people living in rural areas, compared to major cities are at greater risk of poor health. There is much evidence of preventable disparities in trauma outcomes, however research quantifying geographic variations in injuries, pathways to specialised care and patient outcomes is scarce. Aims(i) To analyse the Australia New Zealand Trauma Registry (ATR) data and report patterns of serious injuries according to rurality of the injury location ii) to examine the relationship between rurality and hospital mortality and iii) to compare ATR death rates with all deaths from similar causes, Australia-wide. MethodA retrospective cohort study of patients in the ATR from 1st July 2015 to 30th June 2019 was conducted. Descriptive analyses of trauma variables according to rurality was performed. Logistic regression quantified the moderating effect of rurality on trauma variables and hospital mortality. Australian death data on similar injuries were sourced to quantify the additional mortality attributable to severe injury occurring outside Major Trauma Centres (MTCs). ResultsCompared to major cities, rural patients were younger, more likely to have spinal cord injuries, and sustain traffic-related injuries that are ‘off road’. Injuries occurring outside people's homes are more likely. Mortality risk was greater for patients sustaining severe traumatic brain injury (TBI) spinal cord injury (SCI) and head trauma in addition to intentional injuries. Compared to the ATR data, Australian population-wide trauma mortality rates showed diverging trends according to rurality. The ATR only captures 14.1% of all injury deaths occurring in major cities and, respectively, 6.3% and 3.2% of deaths in regional and remote areas. ConclusionCompared to major cities, injuries occurring in rural areas of Australia often involve different mechanisms and result in different types of severe injuries. Patients with neurotrauma and intentional injuries who survived to receive definitive care at a MTC were at higher risk of hospital death. To inform prevention strategies and reduce morbidity and mortality associated with rural trauma, improvements to data systems are required that involve data linkage and include information about patient care from pre-hospital providers, regional hospitals and major trauma centres.

Physical Violence against Older Adults: A 7-Year Retrospective Evaluation from a University Hospital s Department of Forensic Medicine

Aim: The present study aims to examine the physical violence inflicted on older adults by strangers and the physical abuse committed by individuals they know; the characteristics of these victims and aggressors; and the physical consequences of violence on victims. The study also compares physical abuse and physical violence inflicted by strangers. Methodology: A total of 156 reports prepared for adults aged 65 years and over who were victims of intentional injury between 2014 and 2020 were retrospectively analysed. Results: Of the cases, 69.9% were male, 66% were subjected to physical violence by individuals they knew or with whom they had a trusting relationship and 34% were subjected to physical violence by strangers. Only 7.7% of older adults reported the violence to judicial authorities themselves. Victims of physical abuse were found to experience revictimization statistically significantly higher than those exposed to stranger violence. Victims of stranger violence were also exposed to statistically significantly more severe injuries than victims of physical abuse. Conclusion: The majority of elder victims were subjected to physical violence by individuals they know or with whom they have a trusting relationship. However, one-third of cases were subjected to violence by strangers according to this study, representing a rate that cannot be ignored. Abuse and violence against older adults remains largely unreported considering their inability to contact judicial authorities or hospitals, or pursue their rights due to physical, economic or mental dependence. Therefore, legal and social measures should be taken to protect older adults.

Involvement of alcohol in injury cases in rural Sri Lanka: prevalence and associated factors among in-patients in three primary care hospitals

BackgroundInjuries account for a major proportion of global morbidity and mortality related to alcohol use. Information on the prevalence of alcohol-related injury in rural Sri Lanka is limited. The aims of this study were to determine the burden of alcohol-related injury in a hospital-based sample in rural Sri Lanka and explore factors associated with an increased risk of alcohol-related injury.MethodsInvolvement of alcohol in injury amongst in-patients was assessed in three hospitals in the North Central Province of Sri Lanka over 6 months. Adult (≥ 18 years) patients were eligible. Patients were assessed for: injury characteristics, current alcohol use (in the past year) using the Alcohol Use Disorder Identification Test (AUDIT), and acute intoxication. Patients with a blood alcohol concentration (BAC) reading equivalent of 10 mg/dL (2.17 mmol/L) were considered as having an alcohol-related injury. Binary logistic regression was used to explore association between alcohol-related injury and demographic and injury characteristics.ResultsA total of 883 injured patients were eligible and consented to the study. No alcohol use was reported by 487 (55.2%) of patients (35.6% of men, 95.2% of women). Prevalence of alcohol-related injuries was 14.8% overall and 32.8% among current alcohol users. Almost all patients with an alcohol-related injury were male (122/123; 99.2%); 24 (18.8%) of these patients scored positive for possible alcohol dependence. Patients with an alcohol-related injury had significantly higher AUDIT scores (median = 15 vs 6, p < 0.001), were significantly more likely to be aged 26–40 (OR 2.29, 95% CI:1.11, 4.72) or 41–55 years (OR 2.76, 95% CI: 1.29, 5.90) (compared to 18–25 years), to have a transport-related injury (OR 5.14, 95% CI: 2.30, 11.49) (compared to animal/plant sting/bite), and have intentional injuries (OR 3.47, 95% CI: 1.01, 11.87).ConclusionsOne in three injuries among people who drank alcohol in this sample were alcohol-related. In addition, problematic alcohol use was higher among those with alcohol-related injury. Further work is needed to explore whether this prevalence of alcohol-related injury is reflected in other rural settings in Sri Lanka.

Sexual Assault Is the Biggest Risk Factor for Violence against Women in Taiwan-A Nationwide Population Cohort Study from 2000 to 2015.

Objective: To understand the main types of risk of violence against women in Taiwan. Materials and methods: This study used the outpatient, emergency, and hospitalization data of 2 million people in the National Health Insurance sample from 2000 to 2015. The International Classification of Diseases, Ninth Revision diagnostic N-codes 995.5 (child abuse) and 995.8 (adult abuse) or E-codes E960–E969 (homicide and intentional injury by others) were defined as the case study for this study, and the risks of first violent injury for boys and girls (0–17 years old), adults (18–64 years old), and elders (over 65 years old) were analyzed. Logistic regression analysis was used for risk comparison. A p value of <0.05 was considered significant. Results: The proportion of women (12–17.9 years old) who were sexually assaulted was 2.71 times that of women under the age of 12, and the risk of sexual assault for girls and adult women was 100 times that of men. Girls who were insured as labor insurance, farmers, members of water conservancy and fishery associations, low-income households, and community insured population (public insurance as the reference group) were significantly more likely to seek medical treatment from sexual assault than adult women. Among them, the risk was greatest for girls from low-income households (odds ratio = 10.74). Conclusion: Women are at higher risk of sexual assault than men regardless of whether they are children or adults, and the highest risk is for women in senior high schools, especially for girls from low-income households. Therefore, the protection of women’s personal autonomy is the direction that the government and people from all walks of life need to continue to strive for. Especially for high school students from low-income households, protection must be strengthened through education, social work, and police administration.

A STUDY TO FIND THE ASSOCIATION OF POST TEST KNOWLEDGE REGARDING IMPACT OF SUBSTANCE ABUSE AMONG THE PATIENTS WITH SELECTED SOCIODEMOGRAPHIC VARIABLES IN SELECTED CENTRE OF BANGLORE

Consumption of alcohol is associated with acute and chronic adverse health outcomes including cardiovascular diseases, liver damage, cancers, psychiatric conditions, as well as intentional and unintentional injuries. This addiction can lead to liver, circulatory, and neurological problems. People who begin drinking early in life run the risk of developing serious alcohol problems, including alcoholism, later in life. Quantitative research approach is used in this study. The studies layout decided on for this was Exploratory study. Selected setting for the present study was De-addiction centres in Bangalore. In this study goal populace have been the admitted patients in De-addiction centres. In this study Simple random sampling became selected for pattern choice. The sample for the current study is Admitted patients in De- addiction centres in the selected areas. The pattern length for present study will be 300 patients. Results show that the association of socio-demographic with knowledge scores shows that age, marital status, level of education, religion, language preference were found significant at p&lt;0.05.

Characterizing physical trauma in children and youth with special health care needs.

Children and youth with special health care needs (CYSHCN) have or are at an increased risk for a chronic condition necessitating medical and related services beyond what children usually require. While evidence suggests that CYSHCN are at an increased risk of injury, little is known about this population within the trauma system. This study describes CYSHCN within the pediatric trauma system and examines patterns of injury risk (i.e., intent, place of injury, trauma type, and mechanism of injury) based on special health care need (SHCN) status. For this cross-sectional study, we used data from the 2018 National Trauma Data Bank to identify pediatric encounters (1-18 years, N = 115,578) and compare demographics (sex, race/ethnicity, insurance status, and age) by CYSHCN status using χ 2 and t tests. Children and youth with special health care needs encounters were compared with non-SHCN encounters using multinomial logistic regression models, controlling for demographics. Overall, 16.7% pediatric encounters reported an SHCN. Children and youth with special health care needs encounters are older, and a higher proportion is publicly insured than non-SHCN encounters ( p < 0.001). Furthermore, CYSHCN encounters have a higher risk of assault (relative risk, 1.331) and self-inflicted (relative risk, 4.208) injuries relative to unintentional injury ( p < 0.001), as well as a higher relative risk of traumatic injury occurring in a private residence ( p < 0.01) than other locations such as school (relative risk, 0.894). Younger CYSHCN encounters have a higher risk of assault relative to unintentional injury when compared with non-SHCN encounters ( p < 0.01). Pediatric trauma encounters reporting mental health and alcohol/substance use disorder SHCN have a higher probability of self-inflicted and assault injuries than non-SHCN encounters ( p < 0.001). These findings suggest that CYSHCN have different traumatic injury patterns than their non-SHCN peers, particularly in terms of intentional and private residence injury, and deserve a special focus for traumatic injury prevention. Prognostic/epidemiologic, level III.

Factors associated with neuropathic pain in Colombian patients with spinal cord injury of traumatic origin: case-control study.

Case-control study. To identify factors associated with neuropathic pain (NP) in patients with spinal cord injury of traumatic origin (TSCI). University Hospital of Valle, Cali, Colombia. Study participants were individuals with diagnosis of TSCI who visited a trauma referral center from January 1st, 2016, to December 31st, 2016. Information was retrospectively extracted from the Hospital's Spinal Cord Injury registry and patients' medical records. Cases were defined as patients with NP and controls were those without NP. The exposure of interest was intentional injuries. Individuals were matched by age and stratified into 11 groups of ±3 years each. We found 164 participants with an average age of 34 ± 13 years, of whom 95.1% were male, and 53.6% had NP. Neurogenic bladder and bowel occurred in 94.3% of NP patients. Cause of injury was not associated with NP. Older injuries were protective for NP (>10 years since injury OR = 0.10, 95% CI = 0.03-0.37, p < 0.0001) and neurogenic bladder and bowel were found as risk factors (OR = 5.89, 95% CI = 1.84-18.88; p = 0.003). Our study uniquely shows time since injury as a protective factor for NP and neurogenic bladder and bowel as a risk factor, while violence was not found associated. This could help guide the scope of future research about NP secondary to SCI.

Violence in Health Care: Trends and Disparities, Bureau of Labor Statistics Survey Data of Occupational Injuries and Illnesses, 2011-2017.

Background: The health care sector is one of the most rapidly growing industry sectors in the United States. This study examined differences in the rates and trends of violent occupational injuries among health care workers in the United States. Methods: This study used data about violent occupational injuries among health care workers in the United States collected by the Bureau of Labor Statistics (BLS) Survey of Occupational Injuries and Illnesses (SOII). The BLS SOII collects data about injuries that result in at least one lost workday. Violent injuries are defined as intentional injury by another person. Data were obtained for years 2011 to 2017. We examined injury rates and trends according to industry and occupation, as well as age, sex, and race/ethnicity. Results: Intentional injuries increased among health care workers between 2011 and 2017. Rates, expressed as injuries per 10,000 workers, were particularly elevated in residential care facilities (44.07) and among health practitioner support technologists and technicians (22.54); nursing, psychiatric, and home health aides (28.13); and occupational therapy and physical therapist assistants and aides (39.72). Black health care support and practitioners workers had injury rates three times higher than White workers. Conclusions/Application to practice: Efforts should be made to address the increasing rates of intentional occupational injuries among health care workers. These efforts should focus on comprehensive programs enforcing policies for prevention and management (including reporting and training) and employee engagement in such efforts. High-rate industries and occupations should receive particular attention.

Links between alcohol and external causes of deaths in males: an autopsy study

ObjectivesThis study aimed to analyse deaths due to external causes in males in northwest Slovakia. Study designThis was a cross-sectional autopsy study. MethodsThe autopsy registry provided information on fatalities in males in northwest Slovakia due to external causes in 2015. Data were analysed by age, cause of death and blood alcohol concentration (BAC), and the contribution to overall mortality was calculated. ResultsFrom a total of 305 fatalities, the dominant cause of death was unintentional (other than traffic; 56.7%), followed by intentional (26.6%) and traffic (16.7%). A BAC of ≥0.5 g/kg was found in 43.9% of deaths. Lower levels of BACs (0.5–1.9 g/kg) were observed in relatively high proportions among the younger (aged ≤34 years) and older (aged ≥65 years) males (17.9% and 14.0%, respectively), as well as in the traffic and intentional injury cause of death categories (23.5% and 19.8%, respectively). Male deaths due to external causes had a 6.2% contribution to overall mortality in northwest Slovakia. ConclusionsAlcohol intoxication frequently co-occurs with fatalities from external causes, including at lower BACs, indicating the harmful role of alcohol at all concentrations.

Law Enforcement Agencies' Repression of the Unlawful Use of Unmanned Aircrafts

The subject of the study is the peculiarities of legal regulation of piloting (operation) of unmanned aircrafts. As example of such legal regulation author studied the legislation of the Russian Federation as well as the legislation of other countries. The object of the study is the conditions under which the piloting of such aircrafts is permitted from the point of view of flight safety. The authors consider in detail such aspects of the topic as possible undesirable consequences of the use of unmanned aircraft. Particular attention is paid to the consequences that may occur in the case of malicious use of this aircrafts for criminal purposes, namely during the transportation of drugs, interception of valuable cargo, interception of traffic information flows, intentional or accidental injury to people. The study presents the main problematic issues that need to be addressed by legislation. The main contribution of this study is detection of the problematic issues that need to be addressed by Russian legislation as well as by the norms of international law in terms of ensuring flight safety in all its manifestations. A special contribution of the authors of the research is a practical overview of the main safety threats caused by the use of the unmanned aircrafts. The novelty of the research lies in the systematization of these threats (especially personnel training for remotely piloted aircraft flaws). This scientific work can be considered as a set of measures to improve safety during the operation of unmanned aircraft.

Individual and neighborhood level characteristics of pediatric firearm injuries presenting at trauma centers in Colorado.

Firearm injuries are the second leading cause of death among children and adolescents in the United States. In Colorado, firearm injuries have surpassed motor vehicle accidents as the leading cause of death in youth. Local research is necessary to characterize risk factors associated with pediatric firearm injuries. We sought to categorize demographics, neighborhood characteristics, and trends in pediatric firearm injuries in Colorado. A review of pediatric firearm-injured patients (18 years or younger) evaluated at four trauma centers in Colorado from 2008 to 2019 was conducted. Clinical information, injury intent, and demographics were collected. Patient addresses were geocoded to census tracts to obtain neighborhood-level characteristics. Annual trends in firearm injury incidence per trauma evaluation were analyzed using regression modeling. There were 446 firearm injuries during the study period. The median age was 16 years, and 87.0% were male. Assault was the most common injury intent (64.6%), and 92.0% of patients were from metropolitan (rural-urban continuum code 1-3) areas. Neighborhoods associated with firearm injuries were characterized by lower median household income ($47,112 vs. $63,443, p < 0.001) and higher levels of poverty (19.1% vs. 9.4%, p < 0.001) compared with median state levels. There was a 14.0% increase in firearm injuries compared with overall trauma evaluations for each year in the study period (incidence rate ratio, 1.14; 95% confidence interval, 1.08-1.20; p < 0.001). The incidence of pediatric firearm injuries increased significantly from 2008 to 2019 compared with overall trauma evaluations in Colorado. Children and adolescents who live in more socially vulnerable neighborhoods are disproportionately impacted, and injury prevention resources should be focused on these communities. Prognostic and Epidemiolgic; Level III.

Forensic Medical Evaluation of Nasal Trauma Cases

Aim: The purpose of this study was to evaluate the cases for which a final report was made due to nasal trauma and to reveal the errors made in the diagnosis. Materials and Methods: Among the forensic reports prepared in the Forensic Medicine Clinic of Bolu Abant İzzet Baysal University Training and Research Hospital between 2015-2019, cases with "a history of nasal trauma" were included in the study. Result: In this study, 315 cases with a history of nasal trauma were included. Two hundred sixty-four (83.8%) of the cases were male and 51 (16.2%) are female. Two hundred thirty-one of the cases (73.3%) were injured as a result of the intentional blunt injuries. Before applying to the Forensic Medicine Clinic, 28 (8.9%) of the cases were evaluated only by physical examination, 46 (14.6%) by physical examination + direct radiography, 241 (76.5%) by physical examination + direct radiography + CT. It was evaluated that the report prepared by emergency department physicians on 203 cases (64.4%) was correct, whereas the report prepared on 112 (35.6%) cases was erroneous. It was evaluated that the reports prepared by Otorhinolaryngologists on 117 cases (80.1%) were correct, whereas the reports prepared on 29 (19.9%) cases were erroneous. Conclusion: We believe that it is more appropriate to give the final forensic report of cases with nasal trauma by a Forensic Medicine Specialist rather than Emergency Department physicians or an Otorhinolaryngologist.

Profile of unnatural deaths in adult females in Bangalore north

Unnatural death is a death caused by external causes (injury or poisoning) which includes death due to intentional injuries such as homicide or suicide, and death caused by unintentional injury in an accidental manner. The sudden, accidental, unexpected, or traumatic death of a female shatters the lives of the survivors or the family, especially, when their children are young. Such deaths among females remain under-reported globally and studies on this area are scarce. So, this retrospective descriptive study was done to assess the socio-demo graphic profile of deceased adult females, to assess the manner of unnatural deaths, and to suggest measures to prevent unnatural deaths in adult females. Atotal of 51 cases were studied during the study period. The third decade of life was the most common age group. 88% of females were married and housewives and 62% of deaths occurred within 7 years of marriage. In 84.3% of cases manner of death was suicidal and hanging was the most common method. This study indicates that married, mainly housewives are vulnerable to a spectrum of stress problems leading to unnatural deaths. A change in attitude and mind set of society, judiciary, and most importantly of males who are supposed to be guardians of females, should be sensitized to make the home/workplace a safer and happier place for a female, thereby preventing the number of suicides among them.

Investigating the lived experience of adolescents with a history of self-mutilation

Background and Aim: The ups and downs of puberty are the passage from childhood to adulthood and are sometimes associated with contradictions and aggression. Self-harm can be mentioned as one of the abnormal behaviors of this period; And because of its harmful nature, it's important to study in this area. Self-mutilation can be defined as intentional injury to the body without the purpose of suicide. In general, the present study sought to examine the lived experience of adolescents with a history of self-harm, It was done in detail with the aim of examining the emotional, cognitive, psychological experiences, physical injuries and family factors affecting adolescents' self-mutilation.The study population included all adolescents aged 12-18 years in Kerman who had attempted suicide in 2021. Methods: The sampling method was purpose-based. And the criterion for entering the sample was to have at least one history of self-harm. This research has studied the lived experience of adolescents with a history of self-harm with a phenomenological method and a thematic approach, and the research data have been analyzed using a descriptive (Klaizi) phenomenological method. Results: After conducting ten interviews, the research was saturated and 49 primary concept codes were extracted, which represented the lived experience of adolescents with a history of self-harm; Then, similar and close concepts were placed in 15 major classes and 5 main categories,which are: 1- Individual characteristics (extraversion, Neuroticism, openness to experience) 2- Effective family factors (family, living environment) 3- maturity-related characteristics (cognitive characteristics, emotional characteristics) 4- Clinical disorders (behavior, mood disorders, intermittent explosive disorders, anxiety disorders and clinical pattern of personality) 5- Emotions related to self-harm (feeling before committing suicide, feeling after committing suicide). Conclusion: self-harming behavior has different functions for each person and recognizing these functions can help therapists in diagnosing treatment and how to deal with people with the disease. Some of these functions are: emotion regulation, Escape from suicide, Draw attention, ask grith, show courage, escape from routine life

THE PRINCIPLE OF COMPLICITY IN INTENTIONAL SELF-INFLICTED INJURY AS A NEGATIVE PREMISE FOR THE OBJECTIVE ATTRIBUTION OF AN EFFECT FROM THE PERSPECTIVE OF CRIMES AGAINST LIFE AND HEALTH IN POLISH AND GERMAN CRIMINAL LAW

The subject of the present article is the principle of complicity in intentional self-inflicted injury as a negative premise for objective attribution of an effect from the perspective of crimes against life and health in Polish and German criminal law. First, the problem of negative prerequisites for objective attribution of an effect is briefly discussed, which is an extremely interesting issue both from the perspective of dogmatics and the practice of criminal law. Then the article brings closer the criterion of the principle of victim autonomy by means of examples taken from the German doctrine and jurisprudence in the area of crimes against life and health and analyses them from the perspective of the Polish Penal Code. The whole allows to get acquainted with the discussed premise and to understand both its theoretical essence and a somewhat illustrative exemplification

The 2021 Joseph St Geme, Jr, Leadership Award Address: The Role of Structural Racism in Injuries to Children and Adolescents.

The 2021 Joseph St Geme, Jr, Leadership Award Address: The Role of Structural Racism in Injuries to Children and Adolescents.

INTERNATIONAL LEGAL ASPECTS OF ECONOMIC RESPONSIBILITIES OF STATES

The subject of the article is international legal aspects of economic responsibility of states. The aim of the article is to find an answer to the problematic issues of economic responsibility of states and its international legal aspects. Different concepts of economic responsibility are analyzed due to the lack of a unified approach to it both in economics and in related branches of law. It is noted that the institution of economic responsibility is designed to stabilize the relations of socio-economic development, the interests of participants in social exchange and to achieve the goals of sustainable development. From the international legal point of view of understanding economic responsibility, the state bears two types of responsibility – material (economic) and non-material (political). And international legal responsibility of the state is considered as an institution of the law of international responsibility. It is from this point of view the economic responsibility of the state is considered by international lawyers and specialists in the field of international relations. The methodology of the article is based on the fact that there are three basic mechanisms of liability – derivative of property rights, contracts, and torts. Contract law deals with breaches of duty, tort law deals with accidental or intentional injury to persons or property, and property law deals with misappropriation or interference with property rights. It is concluded that the state is the same economic entity in terms of economics as all equal economic entities. However, the applicability of the means of economic responsibility in the international legal aspect is complicated by the immunity of the state with regard to its property. Therefore, there are signs of liability not for all property, but only for that which has certain signs of applicability – use for commercial purposes, connection with the subject matter of the claim. In the aspect of economic responsibility, there is a distinction between immunity from jurisdiction and immunity from enforcement. The problem of differentiation of commercial and state property is outlined, attention is focused on the existence of certain categories of state property, the public nature of which is not in doubt and which are not considered possible for economic (property) responsibility for the conduct of diplomatic and consular activities of their missions, consulates, special missions, etc., whose immunity is enshrined in the Vienna Convention on Diplomatic Relations of 1961; military property, as well as property used for military purposes; property that is part of the cultural heritage of a foreign state or part of its archives, as well as property that is part of an exhibition of items of scientific, cultural or historical significance. It is also concluded that economic responsibility in international law is not always associated with the negative consequences of unlawful behavior, because it can also be applied as a result of lawful behavior, leading to the infliction of harm to other subjects. Thus, the economic responsibility of the state is on the verge of regulation of public and private law. This is its peculiarity and complexity of its application to the state.