The paradox of public holidays: Hospital-treated self-harm and associated factors

Show simple item record

dc.contributor.author Griffin, Eve
dc.contributor.author Dillon, Christina B.
dc.contributor.author O'Regan, Grace
dc.contributor.author Corcoran, Paul
dc.contributor.author Perry, Ivan J.
dc.contributor.author Arensman, Ella
dc.date.accessioned 2018-01-03T11:43:40Z
dc.date.available 2018-01-03T11:43:40Z
dc.date.issued 2017-04-25
dc.identifier.citation Griffin, E., Dillon, C. B., O'Regan, G., Corcoran, P., Perry, I. J. and Arensman, E. (2017) 'The paradox of public holidays: Hospital-treated self-harm and associated factors', Journal of Affective Disorders, 218, pp. 30-34. doi:10.1016/j.jad.2017.04.058 en
dc.identifier.volume 218 en
dc.identifier.startpage 30 en
dc.identifier.endpage 34 en
dc.identifier.issn 0165-0327
dc.identifier.uri http://hdl.handle.net/10468/5214
dc.identifier.doi 10.1016/j.jad.2017.04.058
dc.description.abstract Recent research on the patterns of self-harm around public holidays is lacking. This study used national data to examine the patterns of hospital-treated self-harm during public holidays, and to examine associated factors. Data on self-harm presentations to all emergency departments were obtained from the National Self-Harm Registry Ireland. The association between self-harm presentations and public holidays was examined using univariate and multivariate Poisson regression analyses. A total of 104,371 presentations of self-harm were recorded between 2007 and 2015. The mean number of self-harm presentations was 32 on public holidays. St. Patrick's Day had the highest number of presentations compared to all other public holidays, with a daily mean of 44 presentations. Across all years, self-harm presentations during public holidays had a 24% increased risk of involving alcohol consumption compared to all other days and this effect was most pronounced during the Christmas period. The association with alcohol remained significant at a multivariate level. Presentations on public holidays were more likely to attend out of normal working hours. An increase in male presentations involving self-cutting was observed on public holidays and there was an over-representation of males presenting for the first time. It is likely that extent of alcohol involvement in self-harm presentations reported here is an underestimate, as it was dependent on the information being recorded by the attending clinician. Public holidays are associated with an elevated number of self-harm presentations to hospital, with presentations to hospital involving alcohol significantly increased on these days. Hospital resources should be targeted to address increases during public holidays, including during out-of-hours. Involvement of alcohol may delay delivery of care to these patients in emergency settings. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Elsevier B.V. en
dc.rights © 2017, Elsevier B.V. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license. en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/ en
dc.subject Self-harm en
dc.subject Public holidays en
dc.subject Alcohol consumption en
dc.subject Mental health en
dc.title The paradox of public holidays: Hospital-treated self-harm and associated factors en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Ella Arensman, Epidemiology & Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: earensman@ucc.ie en
dc.internal.availability Full text available en
dc.check.info Access to this article is restricted until 12 months after publication by request of the publisher. en
dc.check.date 2018-04-25
dc.date.updated 2017-12-19T12:50:53Z
dc.description.version Accepted Version en
dc.internal.rssid 419943747
dc.description.status Peer reviewed en
dc.identifier.journaltitle Journal of Affective Disorders en
dc.internal.copyrightchecked Yes en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress EArensman@ucc.ie en


Files in this item

This item appears in the following Collection(s)

Show simple item record

© 2017, Elsevier B.V. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license. Except where otherwise noted, this item's license is described as © 2017, Elsevier B.V. All rights reserved. This manuscript version is made available under the CC-BY-NC-ND 4.0 license.
This website uses cookies. By using this website, you consent to the use of cookies in accordance with the UCC Privacy and Cookies Statement. For more information about cookies and how you can disable them, visit our Privacy and Cookies statement