dc.contributor.author |
Barrett, Peter |
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dc.contributor.author |
Griffin, Eve |
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dc.contributor.author |
Corcoran, Paul |
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dc.contributor.author |
O'Mahony, Mary T. |
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dc.contributor.author |
Arensman, Ella |
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dc.date.accessioned |
2018-01-04T16:07:18Z |
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dc.date.available |
2018-01-04T16:07:18Z |
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dc.date.issued |
2017-12-27 |
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dc.identifier.citation |
Barrett, P., Griffin, E., Corcoran, P., O’Mahony, M. T. and Arensman, E. 'Self-harm among the homeless population in Ireland: a national registry-based study of incidence and associated factors', Journal of Affective Disorders, 229, pp. 523-531. doi: 10.1016/j.jad.2017.12.040 |
en |
dc.identifier.volume |
229 |
|
dc.identifier.startpage |
523 |
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dc.identifier.endpage |
531 |
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dc.identifier.issn |
0165-0327 |
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dc.identifier.uri |
http://hdl.handle.net/10468/5234 |
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dc.identifier.doi |
10.1016/j.jad.2017.12.040 |
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dc.description.abstract |
Background: Self-harm is a strong predictor of future suicide, but little is known about self-harm among the homeless population. The study aim was to estimate the incidence of self-harm among the homeless population and to assess factors associated with self-harm. Methods: Data on self-harm presentations to 34 hospital emergency departments in Ireland were collected by the National Self-Harm Registry Ireland (NSHRI). Index presentations between 2010 and 2014 were included for the homeless and fixed residence populations. Incidence rates of self-harm were calculated using NSHRI data and census estimates. Factors associated with self-harm and repeated self-harm were analysed by multivariable-adjusted logistic regression. Results: The age-standardised incidence rate of self-harm was 30 times higher among the homeless (5,572 presentations per 100,000) compared with those with a fixed residence (187 presentations per 100,000). Homeless people had significantly higher odds of being male (OR 1.86, 95%CI 1.56–2.23), presenting with self-cutting (vs. overdose, OR 2.15, 95%CI 1.74–2.66) and having psychiatric admission (vs. general admission, OR 2.43, 95%CI 1.66–3.57). Homeless people had higher odds of self-harm repetition within 12 months (vs. fixed residence, OR 1.46, 95%CI 1.21–1.77). The odds of repetition were significantly increased among homeless who engaged in self-cutting (vs. overdose, OR 1.76, 95%CI 1.17–2.65) and did not receive psychiatric review at index presentation (vs. reviewed, OR 1.54, 95%CI 1.05–2.26). Limitations: The study only reflects self-harm presenting to hospital, and assumes no change in homelessness status after index presentation. Residual confounding may affect the results. Conclusion: There is a disproportionate burden of self-harm among the homeless. Targeted preventive actions are warranted. |
en |
dc.format.mimetype |
application/pdf |
en |
dc.language.iso |
en |
en |
dc.publisher |
Elsevier |
en |
dc.relation.uri |
https://www.sciencedirect.com/science/article/pii/S0165032717320797 |
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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 |
Homeless |
en |
dc.subject |
Overdose |
en |
dc.subject |
Self-cutting |
en |
dc.subject |
Incidence |
en |
dc.subject |
Epidemiology |
en |
dc.title |
Self-harm among the homeless population in Ireland: a national registry-based study of incidence 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 |
2018-12-27 |
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dc.date.updated |
2018-01-04T15:58:23Z |
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dc.description.version |
Accepted Version |
en |
dc.internal.rssid |
420480087 |
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dc.description.status |
Peer reviewed |
en |
dc.identifier.journaltitle |
Journal of Affective Disorders |
en |
dc.internal.copyrightchecked |
No !!CORA!! |
en |
dc.internal.licenseacceptance |
Yes |
en |
dc.internal.IRISemailaddress |
earensman@ucc.ie |
en |