Repeat Self-Harm Following Hospital-Presenting Intentional Drug Overdose among Young People—A National Registry Study
العنوان: | Repeat Self-Harm Following Hospital-Presenting Intentional Drug Overdose among Young People—A National Registry Study |
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المؤلفون: | Darren M. Ashcroft, Roger T. Webb, Elaine M. McMahon, Katrina Witt, Paul Corcoran, Ella Arensman, Eve Griffin, Caroline Daly |
المصدر: | International Journal of Environmental Research and Public Health Volume 17 Issue 17 International Journal of Environmental Research and Public Health, Vol 17, Iss 6159, p 6159 (2020) |
بيانات النشر: | Multidisciplinary Digital Publishing Institute, 2020. |
سنة النشر: | 2020 |
مصطلحات موضوعية: | Male, medicine.medical_specialty, Adolescent, Health, Toxicology and Mutagenesis, Psychological intervention, Poison control, lcsh:Medicine, Article, self-harm, drugs, young people, method switch, 03 medical and health sciences, symbols.namesake, Young Adult, 0302 clinical medicine, Sex Factors, Recurrence, Risk Factors, Internal medicine, Injury prevention, Medicine, Humans, 030212 general & internal medicine, Poisson regression, Registries, Young adult, Sex Distribution, Child, Proportional Hazards Models, business.industry, Incidence (epidemiology), Hazard ratio, lcsh:R, Public Health, Environmental and Occupational Health, 030227 psychiatry, Suicide, Relative risk, symbols, Female, repeat self-harm, Drug Overdose, overdose, business, Ireland, Self-Injurious Behavior |
الوصف: | Background: The incidence of hospital-presenting self-harm peaks among young people, who most often engage in intentional drug overdose (IDO). The risk of self-harm repetition is high among young people and switching methods between self-harm episodes is common. However, little is known about their patterns of repetition and switching following IDO. This study aimed to investigate repeat self-harm and method-switching following hospital-presenting IDO among young people. Methods: Data from the National Self-Harm Registry Ireland on hospital-presenting self-harm by individuals aged 10&ndash 24 years during 2009&ndash 2018 were examined. Cox proportional hazards regression models with associated hazard ratios (HRs), survival curves and Poisson regression models with risk ratios (RRs), were used to examine risk factors for repetition and method-switching. Results: During 2009&ndash 2018, 16,800 young people presented following IDO. Within 12 months, 2136 young people repeated self-harm. Factors associated with repetition included being male (HR = 1.13, 95% CI: 1.03&ndash 1.24), aged 10&ndash 17 years (HR = 1.29, 95% CI: 1.18&ndash 1.41), consuming &ge 50 tablets (HR = 1.27, 95% CI: 1.07&ndash 1.49) and taking benzodiazepines (HR = 1.67, 95% CI: 1.40&ndash 1.98) or antidepressants (HR = 1.36, 95% CI: 1.18&ndash 1.56). The cumulative risk for switching method was 2.4% (95% CI: 2.2&ndash 2.7). Method-switching was most likely to occur for males (RR = 1.36 95% CI: 1.09&ndash 1.69) and for those who took illegal drugs (RR = 1.63 95% CI: 1.19&ndash 2.25). Conclusion: Young males are at increased risk of repeat self-harm and method-switching following IDO and the type and quantity of drugs taken are further indicators of risk. Interventions targeting IDO among young people are needed that ensure that mental health assessments are undertaken and which address access to drugs. |
وصف الملف: | application/pdf |
اللغة: | English |
تدمد: | 1660-4601 |
DOI: | 10.3390/ijerph17176159 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4684b3def6dc605d43f8482f930e826f |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....4684b3def6dc605d43f8482f930e826f |
قاعدة البيانات: | OpenAIRE |
تدمد: | 16604601 |
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DOI: | 10.3390/ijerph17176159 |