The incidence and repetition of hospital-treated deliberate self harm: findings from the world's first national registry

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dc.contributor.author Fitzgerald, Anthony P.
dc.contributor.author Perry, Ivan J.
dc.contributor.author Corcoran, Paul
dc.contributor.author Keeley, Helen S.
dc.contributor.author Ruelbach, Udo
dc.contributor.author Arensman, Ella
dc.date.accessioned 2013-01-09T12:18:07Z
dc.date.available 2013-01-09T12:18:07Z
dc.date.copyright 2012
dc.date.issued 2012-01
dc.identifier.citation Perry IJ, Corcoran P, Fitzgerald AP, Keeley HS, Reulbach U, Arensman, E. (2012) 'The Incidence and Repetition of Hospital-Treated Deliberate Self Harm: Findings from the World's First National Registry.' PLoS ONE 7(2): e31663. doi:10.1371/journal.pone.0031663 en
dc.identifier.volume 7 en
dc.identifier.issued 2 en
dc.identifier.startpage e31663 en
dc.identifier.issn 1932-6203
dc.identifier.uri http://hdl.handle.net/10468/875
dc.identifier.doi 10.1371/journal.pone.0031663
dc.description.abstract Background: Suicide is a significant public health issue with almost one million people dying by suicide each year worldwide. Deliberate self harm (DSH) is the single most important risk factor for suicide yet few countries have reliable data on DSH. We developed a national DSH registry in the Republic of Ireland to establish the incidence of hospital-treated DSH at national level and the spectrum and pattern of presentations with DSH and repetition. Methods and Findings: Between 2003 and 2009, the Irish National Registry of Deliberate Self Harm collected data on DSH presentations to all 40 hospital emergency departments in the country. Data were collected by trained data registration officers using standard methods of case ascertainment and definition. The Registry recorded 75,119 DSH presentations involving 48,206 individuals. The total incidence rate fell from 209 (95% CI: 205–213) per 100,000 in 2003 to 184 (95% CI: 180–189) per 100,000 in 2006 and increased again to 209 (95% CI: 204–213) per 100,000 in 2009. The most notable annual changes were successive 10% increases in the male rate in 2008 and 2009. There was significant variation by age with peak rates in women in the 15–19 year age group (620 (95% CI: 605–636) per 100,000), and in men in the 20–24 age group (427 (95% CI: 416–439) per 100,000). Repetition rates varied significantly by age, method of self harm and number of previous episodes. Conclusions: Population-based data on hospital-treated DSH represent an important index of the burden of mental illness and suicide risk in the community. The increased DSH rate in Irish men in 2008 and 2009 coincided with the advent of the economic recession in Ireland. The findings underline the need for developing effective interventions to reduce DSH repetition rates as a key priority for health systems. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher PLoS One en
dc.rights © 2012 Perry et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. en
dc.rights.uri http://creativecommons.org/licenses/by/3.0/ en
dc.subject Deliberate self harm en
dc.subject Deliberate self harm registry en
dc.subject Suicide risk en
dc.subject Ireland en
dc.title The incidence and repetition of hospital-treated deliberate self harm: findings from the world's first national registry en
dc.type Article (peer-reviewed) en
dc.internal.authorurl http://publish.ucc.ie/researchprofiles/C010/tfitzgerald en
dc.internal.authorcontactother Tony Fitzgerald, Epidemiology & Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: t.fitzgerald@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2012-12-19T16:02:27Z
dc.description.version Accepted Version en
dc.internal.rssid 128111769
dc.description.status Peer reviewed en
dc.identifier.journaltitle PloS One en
dc.internal.copyrightchecked Yes. CORA - ROMEO - Published version permitted. en
dc.internal.licenseacceptance Yes en
dc.internal.placepublication Cambridge en
dc.internal.IRISemailaddress t.fitzgerald@ucc.ie en


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© 2012 Perry et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Except where otherwise noted, this item's license is described as © 2012 Perry et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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