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Presentations of self-harm and suicide-related ideation among the Irish Traveller indigenous population to hospital emergency departments: evidence from the National Clinical Programme for self-harm.
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Date
2023-02-17T00:00:00Z
Authors
Kavalidou, Katerina
Daly, Caroline
McTernan, Niall
Corcoran, Paul
Journal Title
Journal ISSN
Volume Title
Publisher
Springer Nature Switzerland AG
Published Version
Abstract
Purpose: Previous research has examined the suicide risk of the Irish Traveller population, but less is known about self-harm and suicidal ideation among this ethnic minority group, which are established risk factors for suicide. The aim of the current study was to compare the presentation-based self-harm and suicide-related ideation of Traveller to non-Traveller patients and describe any ethnic disparities in the aftercare of their presentation. Methods: Data were obtained from the service improvement database of an Irish dedicated national programme for the assessment of those presenting to emergency departments (EDs) due to self-harm and suicide-related ideation. Presentation data from 24 EDs were analysed and Poisson regression was used to assess the age–sex-adjusted relative risk of hospital-presenting self-harm and suicide-related ideation. Results: 24,473 presentations were recorded with 3% of the presentations made by Irish Travellers. Female Traveller patients had 3·04 (95% CI 2·51–3·68) higher risk for suicide-related ideation and 3·85 (95% CI 3·37–4·41) for self-harm, compared to white Irish female patients. Male Traveller patients had 4·46 (95% CI 3·86–5·16) higher risk for suicide-related ideation and 5·43 (95% CI 4·75–6·21) higher rates for self-harm. The highest rate ratios for self-harm were observed among older Traveller patients [male: 9·23 (95% CI 5·93–14·39); female: 6·79 (95% CI 4·37–10·57)]. A higher proportion of Traveller patients requested no next of kin involvement, compared to other ethnicities. Conclusions: Given that Irish Travellers are at higher risk of self-harm and suicide-related ideation presentations compared to other ethnic groups, EDs should be viewed as an important suicide intervention point.
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Keywords
Hospital , Ireland , Irish Traveller , Minority , Self-harm , Suicidal ideation
Citation
Kavalidou, K., Daly, C., McTernan, N. and Corcoran, P. (2023) 'Presentations of self-harm and suicide-related ideation among the Irish Traveller indigenous population to hospital emergency departments: evidence from the National Clinical Programme for self-harm', Social Psychiatry and Psychiatric Epidemiology. doi: 10.1007/s00127-023-02439-7
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Copyright
© 2023, the Authors, under exclusive licence to Springer-Verlag GmbH Germany. This is a post-peer-review, pre-copyedit version of a paper published as: Kavalidou, K., Daly, C., McTernan, N. and Corcoran, P. (2023) 'Presentations of self-harm and suicide-related ideation among the Irish Traveller indigenous population to hospital emergency departments: evidence from the National Clinical Programme for self-harm', Social Psychiatry and Psychiatric Epidemiology, doi: 10.1007/s00127-023-02439-7. The final authenticated version is available online at: https://doi.org/10.1007/s00127-023-02439-7