Recommended next care following hospital-treated self-harm: Patterns and trends over time

PloS One
Ella ArensmanIvan J Perry

Abstract

The specific objectives of this study were to examine variation in the care of self-harm patients in hospital settings and to identify the factors that predict recommended next care following self-harm. Data on consecutive presentations to Irish emergency departments (EDs) involving self-harm from the National Self-Harm Registry Ireland from 2004 to 2012 were utilised. Univariate and multivariate regression analyses were performed to assess the associations between patients' clinical and demographic characteristics, and recommended next care received. Across the study period a total 101,904 self-harm presentations were made to hospital EDs, involving 63,457 individuals. Over the course of the study there was a declining number of presentations resulting in patient admission following attendance with self-harm. Recommended next care varied according to hospital location, with general admission rates ranging from 11% to 61% across administrative health regions. Multinomial logistic regression identified that the factor which most strongly affected next care was the presenting hospital. Being male, older age, method, repeat self-harm, time of attendance and residence of the patient were all identified as influencing care received....Continue Reading

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Citations

Jan 28, 2020·Journal of Mental Health·Leah QuinlivanNav Kapur
Jun 25, 2020·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Grace CullyElla Arensman

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