Presentations of self-harm and suicide-related ideation among the Irish Traveller indigenous population to hospital emergency departments: evidence from the National Clinical Programme for self-harm.

Kavalidou, Katerina; Daly, Caroline; McTernan, Niall; Corcoran, Paul

Access to this article is restricted until 12 months after publication by request of the publisher. Restriction lift date: 2024-02-17

Presentations of self-harm and suicide-related ideation among the Irish Traveller indigenous population to hospital emergency departments: evidence from the National Clinical Programme for self-harm.

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dc.check.date	2024-02-17	en
dc.check.info	Access to this article is restricted until 12 months after publication by request of the publisher	en
dc.contributor.author	Kavalidou, Katerina	en
dc.contributor.author	Daly, Caroline	en
dc.contributor.author	McTernan, Niall	en
dc.contributor.author	Corcoran, Paul	en
dc.date.accessioned	2023-04-28T11:17:57Z
dc.date.available	2023-04-28T11:17:57Z
dc.date.issued	2023-02-17T00:00:00Z	en
dc.description.abstract	Purpose: Previous research has examined the suicide risk of the Irish Traveller population, but less is known about self-harm and suicidal ideation among this ethnic minority group, which are established risk factors for suicide. The aim of the current study was to compare the presentation-based self-harm and suicide-related ideation of Traveller to non-Traveller patients and describe any ethnic disparities in the aftercare of their presentation. Methods: Data were obtained from the service improvement database of an Irish dedicated national programme for the assessment of those presenting to emergency departments (EDs) due to self-harm and suicide-related ideation. Presentation data from 24 EDs were analysed and Poisson regression was used to assess the age–sex-adjusted relative risk of hospital-presenting self-harm and suicide-related ideation. Results: 24,473 presentations were recorded with 3% of the presentations made by Irish Travellers. Female Traveller patients had 3·04 (95% CI 2·51–3·68) higher risk for suicide-related ideation and 3·85 (95% CI 3·37–4·41) for self-harm, compared to white Irish female patients. Male Traveller patients had 4·46 (95% CI 3·86–5·16) higher risk for suicide-related ideation and 5·43 (95% CI 4·75–6·21) higher rates for self-harm. The highest rate ratios for self-harm were observed among older Traveller patients [male: 9·23 (95% CI 5·93–14·39); female: 6·79 (95% CI 4·37–10·57)]. A higher proportion of Traveller patients requested no next of kin involvement, compared to other ethnicities. Conclusions: Given that Irish Travellers are at higher risk of self-harm and suicide-related ideation presentations compared to other ethnic groups, EDs should be viewed as an important suicide intervention point.	en
dc.description.status	Peer reviewed	en
dc.description.version	Accepted Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.citation	Kavalidou, K., Daly, C., McTernan, N. and Corcoran, P. (2023) 'Presentations of self-harm and suicide-related ideation among the Irish Traveller indigenous population to hospital emergency departments: evidence from the National Clinical Programme for self-harm', Social Psychiatry and Psychiatric Epidemiology. doi: 10.1007/s00127-023-02439-7	en
dc.identifier.doi	10.1007/s00127-023-02439-7	en
dc.identifier.eissn	1433-9285	en
dc.identifier.issn	0933-7954	en
dc.identifier.journaltitle	Social Psychiatry and Psychiatric Epidemiology	en
dc.identifier.uri	https://hdl.handle.net/10468/14413
dc.language.iso	en	en
dc.publisher	Springer Nature Switzerland AG	en
dc.rights	© 2023, the Authors, under exclusive licence to Springer-Verlag GmbH Germany. This is a post-peer-review, pre-copyedit version of a paper published as: Kavalidou, K., Daly, C., McTernan, N. and Corcoran, P. (2023) 'Presentations of self-harm and suicide-related ideation among the Irish Traveller indigenous population to hospital emergency departments: evidence from the National Clinical Programme for self-harm', Social Psychiatry and Psychiatric Epidemiology, doi: 10.1007/s00127-023-02439-7. The final authenticated version is available online at: https://doi.org/10.1007/s00127-023-02439-7	en
dc.subject	Hospital	en
dc.subject	Ireland	en
dc.subject	Irish Traveller	en
dc.subject	Minority	en
dc.subject	Self-harm	en
dc.subject	Suicidal ideation	en
dc.title	Presentations of self-harm and suicide-related ideation among the Irish Traveller indigenous population to hospital emergency departments: evidence from the National Clinical Programme for self-harm.	en
dc.type	Article (peer-reviewed)	en