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

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dc.contributor.authorGriffin, Eve
dc.contributor.authorArensman, Ella
dc.contributor.authorPerry, Ivan J.
dc.contributor.authorBonner, Brendan
dc.contributor.authorO'Hagan, Denise
dc.contributor.authorDaly, Caroline
dc.contributor.authorCorcoran, Paul
dc.contributor.funderPublic Health Agencyen
dc.contributor.funderHealth Service Executive, Irelanden
dc.date.accessioned2018-08-21T13:50:52Z
dc.date.available2018-08-21T13:50:52Z
dc.date.issued2017-05-12
dc.date.updated2018-08-21T13:38:19Z
dc.description.abstractBackground: 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.sponsorshipHealth 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.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationGriffin, 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/fdx049en
dc.identifier.doi10.1093/pubmed/fdx049
dc.identifier.endpage163en
dc.identifier.issn1741-3842
dc.identifier.journaltitleJournal of Public Healthen
dc.identifier.startpage157en
dc.identifier.urihttps://hdl.handle.net/10468/6630
dc.identifier.volume40en
dc.language.isoenen
dc.publisherOxford University Press (OUP)en
dc.relation.urihttp://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/fdx049en
dc.subjectAlcoholen
dc.subjectEmergency careen
dc.subjectMental healthen
dc.subjectEthanolen
dc.subjectIrelanden
dc.subjectNorthern irelanden
dc.subjectSelf-injurious behavioren
dc.subjectSelf-harmen
dc.titleThe involvement of alcohol in hospital-treated self-harm and associated factors: findings from two national registriesen
dc.typeArticle (peer-reviewed)en
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