期刊
出版社
HOGREFE PUBLISHING CORP
DOI: 10.1027/0227-5910/a000845
关键词
self-harm; deliberate self-harm; intentional self-harm; suicide prevention; reattempt; re-presentation; sentinel surveillance
资金
- Western Sydney University Partnership Grant Scheme [80969]
- University of Wollongong
- WentWest Primary Health Network
This study found that the implementation of a self-harm reporting field in a tertiary hospital led to a twofold increase in case ascertainment of self-harm events. The highest rates of self-harm were observed among females aged 15-19 and males aged 20-24. These findings highlight the importance of accurate recording and long-term monitoring of self-harm event rates through the use of a self-harm reporting field in hospital record systems.
Background: Hospital-presenting self-harm is a strong predictor of suicide and has substantial human and health service costs. Aims: We aimed to identify changes in case ascertainment after implementation of a new self-harm reporting field at a tertiary hospital in New South Wales, and to report event rates, demographic, and clinical characteristics. Method: Self-harm events presenting to the emergency department (October 2017 to August 2020) were identified using clinical documentation and a new reporting field. Changes in the frequency of self-harm in the period after implementation of the self-harm field were assessed through Poisson regression models. Results: A twofold increase in the frequency of self-harm was detected following the implementation of the new reporting field. The annual average age-standardized event rate of self-harm was 110.4 per 100,000 (120.8 per 100,000 for females; 100.1 per 100,000 for males). The highest rates by age and sex were for females aged 15-19 years (375 per 100,000) and mates aged 20-24 years (175 per 100,000). Limitations: Self-harm identification relies on clinician coding practice, which is subject to variability and potential under-enumeration. Conclusion: These findings highlight the value of a self-harm reporting field in hospital record systems for accurate recording and tong-term monitoring of self-harm event rates.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据