Characteristics of small areas with high rates of hospital-treated self-harm: deprived, fragmented and urban or just close to hospital? A national registry study.

Hdl Handle:
http://hdl.handle.net/10147/333815
Title:
Characteristics of small areas with high rates of hospital-treated self-harm: deprived, fragmented and urban or just close to hospital? A national registry study.
Authors:
O'Farrell, I B; Corcoran, P; Perry, I J
Affiliation:
Department of Epidemiology & Public Health, University College Cork, Cork, Republic of Ireland.
Citation:
Characteristics of small areas with high rates of hospital-treated self-harm: deprived, fragmented and urban or just close to hospital? A national registry study. 2014: J Epidemiol Community Health
Publisher:
Journal of epidemiology and community health
Journal:
Journal of epidemiology and community health
Issue Date:
15-Oct-2014
URI:
http://hdl.handle.net/10147/333815
DOI:
10.1136/jech-2014-204587
PubMed ID:
25320248
Abstract:
Previous research has shown an inconsistent relationship between the spatial distribution of hospital treated self-harm and area-level factors such as deprivation and social fragmentation. However, many of these studies have been confined to urban centres, with few focusing on rural settings and even fewer studies carried out at a national level. Furthermore, no previous research has investigated if travel time to hospital services can explain the area-level variation in the incidence of hospital treated self-harm.; From 2009 to 2011, the Irish National Registry of Deliberate Self Harm collected data on self-harm presentations to all hospital emergency departments in the country. The Registry uses standard methods of case ascertainment and also geocodes patient addresses to small area geographical level. Negative binomial regression was used to explore the ecological relationship between area-level self-harm rates and various area-level factors.; Deprivation, social fragmentation and population density had a positive linear association with self-harm, with deprivation having the strongest independent effect. Furthermore, self-harm incidence was found to be elevated in areas that had shorter journey times to hospital. However, while this association became attenuated after controlling for other area-level factors it still remained statistically significant. A subgroup analysis examining the effect of travel time on specific methods of self-harm, found that this effect was most marked for self-harm acts involving minor self-cutting.; Self-harm incidence was influenced by proximity to hospital services, population density and social fragmentation; however, the strongest area-level predictor of self-harm was deprivation.
Item Type:
Article
Language:
en
Description:
From 2009 to 2011, the Irish National Registry of Deliberate Self Harm collected data on self-harm presentations to all hospital emergency departments in the country. The Registry uses standard methods of case ascertainment and also geocodes patient addresses to small area geographical level. Negative binomial regression was used to explore the ecological relationship between area-level self-harm rates and various area-level factors.
Keywords:
SELF-HARM
Local subject classification:
DATA REGISTRIES
ISSN:
1470-2738

Full metadata record

DC FieldValue Language
dc.contributor.authorO'Farrell, I Ben_GB
dc.contributor.authorCorcoran, Pen_GB
dc.contributor.authorPerry, I Jen_GB
dc.date.accessioned2014-11-07T12:23:48Z-
dc.date.available2014-11-07T12:23:48Z-
dc.date.issued2014-10-15-
dc.identifier.citationCharacteristics of small areas with high rates of hospital-treated self-harm: deprived, fragmented and urban or just close to hospital? A national registry study. 2014: J Epidemiol Community Healthen_GB
dc.identifier.issn1470-2738-
dc.identifier.pmid25320248-
dc.identifier.doi10.1136/jech-2014-204587-
dc.identifier.urihttp://hdl.handle.net/10147/333815-
dc.descriptionFrom 2009 to 2011, the Irish National Registry of Deliberate Self Harm collected data on self-harm presentations to all hospital emergency departments in the country. The Registry uses standard methods of case ascertainment and also geocodes patient addresses to small area geographical level. Negative binomial regression was used to explore the ecological relationship between area-level self-harm rates and various area-level factors.en_GB
dc.description.abstractPrevious research has shown an inconsistent relationship between the spatial distribution of hospital treated self-harm and area-level factors such as deprivation and social fragmentation. However, many of these studies have been confined to urban centres, with few focusing on rural settings and even fewer studies carried out at a national level. Furthermore, no previous research has investigated if travel time to hospital services can explain the area-level variation in the incidence of hospital treated self-harm.-
dc.description.abstractFrom 2009 to 2011, the Irish National Registry of Deliberate Self Harm collected data on self-harm presentations to all hospital emergency departments in the country. The Registry uses standard methods of case ascertainment and also geocodes patient addresses to small area geographical level. Negative binomial regression was used to explore the ecological relationship between area-level self-harm rates and various area-level factors.-
dc.description.abstractDeprivation, social fragmentation and population density had a positive linear association with self-harm, with deprivation having the strongest independent effect. Furthermore, self-harm incidence was found to be elevated in areas that had shorter journey times to hospital. However, while this association became attenuated after controlling for other area-level factors it still remained statistically significant. A subgroup analysis examining the effect of travel time on specific methods of self-harm, found that this effect was most marked for self-harm acts involving minor self-cutting.-
dc.description.abstractSelf-harm incidence was influenced by proximity to hospital services, population density and social fragmentation; however, the strongest area-level predictor of self-harm was deprivation.-
dc.languageENG-
dc.language.isoenen
dc.publisherJournal of epidemiology and community healthen_GB
dc.rightsArchived with thanks to Journal of epidemiology and community healthen_GB
dc.subjectSELF-HARMen_GB
dc.subject.otherDATA REGISTRIESen_GB
dc.titleCharacteristics of small areas with high rates of hospital-treated self-harm: deprived, fragmented and urban or just close to hospital? A national registry study.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Epidemiology & Public Health, University College Cork, Cork, Republic of Ireland.en_GB
dc.identifier.journalJournal of epidemiology and community healthen_GB

Related articles on PubMed

All Items in Lenus, The Irish Health Repository are protected by copyright, with all rights reserved, unless otherwise indicated.