Access to this article is restricted until 12 months after publication by request of the publisher.. Restriction lift date: 2018-12-27
Self-harm among the homeless population in Ireland: a national registry-based study of incidence and associated factors
| dc.check.date | 2018-12-27 | |
| dc.check.info | Access to this article is restricted until 12 months after publication by request of the publisher. | en |
| dc.contributor.author | Barrett, Peter | |
| dc.contributor.author | Griffin, Eve | |
| dc.contributor.author | Corcoran, Paul | |
| dc.contributor.author | O'Mahony, Mary T. | |
| dc.contributor.author | Arensman, Ella | |
| dc.date.accessioned | 2018-01-04T16:07:18Z | |
| dc.date.available | 2018-01-04T16:07:18Z | |
| dc.date.issued | 2017-12-27 | |
| dc.date.updated | 2018-01-04T15:58:23Z | |
| 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.description.status | Peer reviewed | en |
| dc.description.version | Accepted Version | en |
| dc.format.mimetype | application/pdf | en |
| 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.doi | 10.1016/j.jad.2017.12.040 | |
| dc.identifier.endpage | 531 | |
| dc.identifier.issn | 0165-0327 | |
| dc.identifier.journaltitle | Journal of Affective Disorders | en |
| dc.identifier.startpage | 523 | |
| dc.identifier.uri | https://hdl.handle.net/10468/5234 | |
| dc.identifier.volume | 229 | |
| dc.language.iso | en | en |
| dc.publisher | Elsevier | en |
| dc.relation.uri | https://www.sciencedirect.com/science/article/pii/S0165032717320797 | |
| 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 |
