The incidence and repetition of hospital-treated deliberate self harm: findings from the world's first national registry

dc.contributor.authorFitzgerald, Anthony P.
dc.contributor.authorPerry, Ivan J.
dc.contributor.authorCorcoran, Paul
dc.contributor.authorKeeley, Helen S.
dc.contributor.authorRuelbach, Udo
dc.contributor.authorArensman, Ella
dc.date.accessioned2013-01-09T12:18:07Z
dc.date.available2013-01-09T12:18:07Z
dc.date.copyright2012
dc.date.issued2012-01
dc.date.updated2012-12-19T16:02:27Z
dc.description.abstractBackground: Suicide is a significant public health issue with almost one million people dying by suicide each year worldwide. Deliberate self harm (DSH) is the single most important risk factor for suicide yet few countries have reliable data on DSH. We developed a national DSH registry in the Republic of Ireland to establish the incidence of hospital-treated DSH at national level and the spectrum and pattern of presentations with DSH and repetition. Methods and Findings: Between 2003 and 2009, the Irish National Registry of Deliberate Self Harm collected data on DSH presentations to all 40 hospital emergency departments in the country. Data were collected by trained data registration officers using standard methods of case ascertainment and definition. The Registry recorded 75,119 DSH presentations involving 48,206 individuals. The total incidence rate fell from 209 (95% CI: 205–213) per 100,000 in 2003 to 184 (95% CI: 180–189) per 100,000 in 2006 and increased again to 209 (95% CI: 204–213) per 100,000 in 2009. The most notable annual changes were successive 10% increases in the male rate in 2008 and 2009. There was significant variation by age with peak rates in women in the 15–19 year age group (620 (95% CI: 605–636) per 100,000), and in men in the 20–24 age group (427 (95% CI: 416–439) per 100,000). Repetition rates varied significantly by age, method of self harm and number of previous episodes. Conclusions: Population-based data on hospital-treated DSH represent an important index of the burden of mental illness and suicide risk in the community. The increased DSH rate in Irish men in 2008 and 2009 coincided with the advent of the economic recession in Ireland. The findings underline the need for developing effective interventions to reduce DSH repetition rates as a key priority for health systems.en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationPerry IJ, Corcoran P, Fitzgerald AP, Keeley HS, Reulbach U, Arensman, E. (2012) 'The Incidence and Repetition of Hospital-Treated Deliberate Self Harm: Findings from the World's First National Registry.' PLoS ONE 7(2): e31663. doi:10.1371/journal.pone.0031663en
dc.identifier.doi10.1371/journal.pone.0031663
dc.identifier.issn1932-6203
dc.identifier.issued2en
dc.identifier.journaltitlePloS Oneen
dc.identifier.startpagee31663en
dc.identifier.urihttps://hdl.handle.net/10468/875
dc.identifier.volume7en
dc.language.isoenen
dc.publisherPLoS Oneen
dc.rights© 2012 Perry et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/en
dc.subjectDeliberate self harmen
dc.subjectDeliberate self harm registryen
dc.subjectSuicide risken
dc.subjectIrelanden
dc.titleThe incidence and repetition of hospital-treated deliberate self harm: findings from the world's first national registryen
dc.typeArticle (peer-reviewed)en
Files
Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
journal.pone.0031663.pdf
Size:
428.39 KB
Format:
Adobe Portable Document Format
Description:
Published Version
License bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
license.txt
Size:
2.71 KB
Format:
Item-specific license agreed upon to submission
Description: