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

dc.contributor.authorGriffin, Eve
dc.contributor.authorBonner, Brendan
dc.contributor.authorDillon, Christina B
dc.contributor.authorO'Hagan, Denise
dc.contributor.authorCorcoran, Paul
dc.contributor.funderPublic Health Agencyen
dc.date.accessioned2019-10-15T09:17:59Z
dc.date.available2019-10-15T09:17:59Z
dc.date.issued2019-03-08
dc.date.updated2019-10-15T08:55:04Z
dc.description.abstractBackground: 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.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationGriffin, 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/ckz021en
dc.identifier.doi10.1093/eurpub/ckz021en
dc.identifier.eissn1464-360X
dc.identifier.endpage953en
dc.identifier.issn1101-1262
dc.identifier.issued5en
dc.identifier.journaltitleEuropean Journal of Public Healthen
dc.identifier.startpage948en
dc.identifier.urihttps://hdl.handle.net/10468/8773
dc.identifier.volume29en
dc.language.isoenen
dc.publisherOxford University Pressen
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/ckz021en
dc.subjectSelf-harmen
dc.subjectDeprivationen
dc.titleThe association between self-harm and area-level characteristics in Northern Ireland: an ecological studyen
dc.typeArticle (peer-reviewed)en
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