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Crisis. 2016 Jun;36(2):83-90. doi: 10.1027/0227-5910/a000301. Epub 2015 Jan 12.

Hospital-Treated Deliberate Self-Harm in the Western Area of Northern Ireland.

Crisis

Paul Corcoran, Eve Griffin, Amanda O'Carroll, Linda Cassidy, Brendan Bonner

Affiliations

  1. National Suicide Research Foundation, University College Cork, Ireland Departments of Epidemiology & Public Health and of Obstetrics & Gynaecology, University College Cork, Ireland
  2. National Suicide Research Foundation, University College Cork, Ireland
  3. Public Health Agency, Derry, Northern Ireland

PMID: 25582830 DOI: 10.1027/0227-5910/a000301

Abstract

Background: The Northern Ireland Registry of Deliberate Self-Harm was established as an outcome of the Northern Ireland Suicide Prevention Strategy and Action Plan - Protect Life, beginning in the Western Health and Social Care Trust area. Aims: The study aimed to establish the incidence of hospital-treated deliberate self-harm in the Western Area of Northern Ireland, and to explore the profile of such presentations. Method: Deliberate self-harm presentations made to the three hospital emergency departments operating in the area during the period 2007-2012 were recorded. Results: There were 8,175 deliberate self-harm presentations by 4,733 individuals. Respectively, the total, male, and female age-standardized incidence rate was 342, 320, and 366 per 100,000 population. City council residents had a far higher self-harm rate. The peak rate for women was among 15-19-year-olds (837 per 100,000) and for men was among 20-24-year-olds (809 per 100,000). Risk of repetition was higher in 35-44-year-old patients if self-cutting was involved, but was most strongly associated with the number of previous self-harm presentations. Conclusion: The incidence of hospital-treated self-harm in Northern Ireland is far higher than in the Republic of Ireland and more comparable to that in England.

Keywords: self-harm; suicidal behavior

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