The association between self-harm and area-level characteristics in Northern Ireland: an ecological study

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dc.contributor.author Griffin, Eve
dc.contributor.author Bonner, Brendan
dc.contributor.author Dillon, Christina B
dc.contributor.author O'Hagan, Denise
dc.contributor.author Corcoran, Paul
dc.date.accessioned 2019-10-15T09:17:59Z
dc.date.available 2019-10-15T09:17:59Z
dc.date.issued 2019-03-08
dc.identifier.citation Griffin, E., Bonner, B., Dillon, C. B., O'Hagan, D. and Corcoran, P. (2019) 'The association between self-harm and area-level characteristics in Northern Ireland: an ecological study', European Journal of Public Health, 29(5), pp. 948-953. doi: 10.1093/eurpub/ckz021 en
dc.identifier.volume 29 en
dc.identifier.issued 5 en
dc.identifier.startpage 948 en
dc.identifier.endpage 953 en
dc.identifier.issn 1101-1262
dc.identifier.uri http://hdl.handle.net/10468/8773
dc.identifier.doi 10.1093/eurpub/ckz021 en
dc.description.abstract Background: Factors contributing to suicidal behaviour are complex and multi-faceted. This study took an ecological approach to examine the association between area-level factors and rates of self-harm in Northern Ireland. Methods: Data on self-harm presentations to emergency departments (EDs) were obtained from the Northern Ireland Self-harm Registry. The study included residents of Northern Ireland aged 16–64 years. Deprivation was measured using the Northern Ireland Multiple Deprivation Measure 2017. Population density and social fragmentation were calculated using measures from the 2011 census. Associations between area-level factors and self-harm rates were explored using negative binomial regression. Results: Between 2013 and 2015, 14 477 individuals aged 16–64 years presented to EDs in Northern Ireland following self-harm. The rate of self-harm was 472 per 100 000 and was higher for male residents (478 vs. 467). Self-harm rates were highest in urban areas—680 per 100 000 in Belfast City and 751 per 100 000 in Derry City. Rates of self-harm in Northern Ireland were more than four times higher in the most deprived areas. A positive association with rates of self-harm held for the deprivation domains of employment, crime, education, health and income. There was a moderate association with population density. Some gender differences emerged, with associations with male rates of self-harm more pronounced. Conclusion: These findings indicate that self-harm rates are highest for those residing in highly deprived areas, where unemployment, crime and low level of education are challenges. Community interventions tailored to meet the needs of specific areas may be effective in reducing suicidal behaviour. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Oxford University Press en
dc.rights © 2019, the Authors. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. This is a pre-copyedited, author-produced version of an article accepted for publication in European Journal of Public Health following peer review. The version of record [Griffin, E., Bonner, B., Dillon, C. B., O'Hagan, D. and Corcoran, P. (2019) 'The association between self-harm and area-level characteristics in Northern Ireland: an ecological study', European Journal of Public Health, 29(5), pp. 948-953. doi: 10.1093/eurpub/ckz021] is available online at: https://doi.org/10.1093/eurpub/ckz021 en
dc.subject Self-harm en
dc.subject Deprivation en
dc.title The association between self-harm and area-level characteristics in Northern Ireland: an ecological study en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Eve Griffin, Public Health, University College Cork, Cork, Ireland. +353-21-490-3000 Email: evegriffin@ucc.ie en
dc.internal.availability Full text available en
dc.date.updated 2019-10-15T08:55:04Z
dc.description.version Accepted Version en
dc.internal.rssid 499906397
dc.contributor.funder Public Health Agency en
dc.description.status Peer reviewed en
dc.identifier.journaltitle European Journal of Public Health en
dc.internal.copyrightchecked Yes
dc.internal.licenseacceptance Yes en
dc.internal.IRISemailaddress evegriffin@ucc.ie en
dc.identifier.eissn 1464-360X


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