Type

Journal Article

Authors

Ella Arensman
Udo Ruelbach
Helen S. Keeley
Paul Corcoran
Ivan J Perry
Anthony P Fitzgerald

Subjects

Psychiatry

Topics
hospital departments public health risk factor deliberate self harm dsh deliberate self harm ireland suicide risk deliberate self harm registry

The incidence and repetition of hospital-treated deliberate self harm: findings from the world's first national registry (2012)

Abstract Background: Suicide is a significant public health issue with almost one million people dying by suicide each yearworldwide. Deliberate self harm (DSH) is the single most important risk factor for suicide yet few countries have reliable dataon DSH. We developed a national DSH registry in the Republic of Ireland to establish the incidence of hospital-treated DSHat 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 DSHpresentations to all 40 hospital emergency departments in the country. Data were collected by trained data registrationofficers using standard methods of case ascertainment and definition. The Registry recorded 75,119 DSH presentationsinvolving 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 annualchanges were successive 10% increases in the male rate in 2008 and 2009. There was significant variation by age with peakrates 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 previousepisodes.Conclusions: Population-based data on hospital-treated DSH represent an important index of the burden of mental illnessand suicide risk in the community. The increased DSH rate in Irish men in 2008 and 2009 coincided with the advent of theeconomic recession in Ireland. The findings underline the need for developing effective interventions to reduce DSHrepetition rates as a key priority for health systems.
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Full list of authors on original publication

Ella Arensman, Udo Ruelbach, Helen S. Keeley, Paul Corcoran, Ivan J Perry, Anthony P Fitzgerald

Experts in our system

1
Ella Arensman
University College Cork
Total Publications: 49
 
2
Helen Keeley
University College Cork
Total Publications: 22
 
3
Paul Corcoran
University College Cork
Total Publications: 67
 
4
Ivan J Perry
University College Cork
Total Publications: 188
 
5
Anthony P Fitzgerald
University College Cork
Total Publications: 73