The involvement of alcohol in hospital-treated self-harm and associated factors: findings from two national registries

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dc.contributor.author Griffin, Eve
dc.contributor.author Arensman, Ella
dc.contributor.author Perry, Ivan J.
dc.contributor.author Bonner, Brendan
dc.contributor.author O'Hagan, Denise
dc.contributor.author Daly, Caroline
dc.contributor.author Corcoran, Paul
dc.date.accessioned 2018-08-21T13:50:52Z
dc.date.available 2018-08-21T13:50:52Z
dc.date.issued 2017-05-12
dc.identifier.citation Griffin, E., Arensman, E., Perry, I. J., Bonner, B., O’Hagan, D., Daly, C. and Corcoran, P. (2018) 'The involvement of alcohol in hospital-treated self-harm and associated factors: findings from two national registries', Journal of Public Health, 40(2), pp. e157-e163. doi: 10.1093/pubmed/fdx049 en
dc.identifier.volume 40 en
dc.identifier.startpage 157 en
dc.identifier.endpage 163 en
dc.identifier.issn 1741-3842
dc.identifier.uri http://hdl.handle.net/10468/6630
dc.identifier.doi 10.1093/pubmed/fdx049
dc.description.abstract Background: Alcohol is often involved in hospital-treated self-harm. Therefore it is important to establish the role of alcohol in self-harm as well as to identify associated factors, in order to best inform service provision. Methods: Data on self-harm presentations to hospital emergency departments in Ireland and Northern Ireland from April 2012 to December 2013 were analysed. We calculated the prevalence of alcohol consumption in self-harm. Using Poisson regression models, we identified the factors associated with having consumed alcohol at the time of a self-harm act. Results: Alcohol was present in 43% of all self-harm acts, and more common in Northern Ireland (50 versus 37%). The factors associated with alcohol being involved were being male, aged between 25 and 64 years, and having engaged in a drug overdose or attempted drowning. Presentations made out-of-hours were more likely to have alcohol present and this was more pronounced for females. Patients with alcohol on board were also more likely to leave without having been seen by a clinician. Conclusions: This study has highlighted the prevalence of alcohol in self-harm presentations, and has identified factors associated with presentations involving alcohol. Appropriate out-of-hours services in emergency departments for self-harm presentations could reduce the proportion of presentations leaving without being seen by a clinician and facilitate improved outcomes for patients. en
dc.description.sponsorship Health Service Executive, Ireland (National Office for Suicide Prevention, funders of the National Self-Harm Registry Ireland); Public Health Agency (funders of the Northern Ireland Registry of Self-Harm) en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Oxford University Press (OUP) en
dc.relation.uri http://academic.oup.com/jpubhealth/article/40/2/e157/3819202
dc.rights © The Author 2017. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Journal of Public Health following peer review. The version of record is available online at: http://dx.doi.org/10.1093/pubmed/fdx049 en
dc.subject Alcohol en
dc.subject Emergency care en
dc.subject Mental health en
dc.subject Ethanol en
dc.subject Ireland en
dc.subject Northern ireland en
dc.subject Self-injurious behavior en
dc.subject Self-harm en
dc.title The involvement of alcohol in hospital-treated self-harm and associated factors: findings from two national registries en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Eve Griffin, Applied Psychology, University College Cork, Cork, Ireland. +353-21-490-3000 Email: e.griffin@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2018-08-21T13:38:19Z
dc.description.version Accepted Version en
dc.internal.rssid 448120937
dc.internal.wokid WOS:000439714500014
dc.contributor.funder Public Health Agency en
dc.contributor.funder Health Service Executive, Ireland en
dc.description.status Peer reviewed en
dc.identifier.journaltitle Journal of Public Health en
dc.internal.copyrightchecked No !!CORA!! en
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress e.griffin@ucc.ie en


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