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Social Psychiatry and Psychiatric Epidemiology

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Open Access 08-04-2023 | Suicide | Research

Self-harm and rurality in Canada: an analysis of hospitalization data from 2015 to 2019

Authors: Newsha Mahinpey, Nathaniel J. Pollock, Li Liu, Gisèle Contreras, Wendy Thompson

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 8/2023

Abstract

Purpose

The incidence of self-harm is an important indicator in suicide surveillance and a target outcome for suicide prevention. Self-harm rates vary by geographic location and rurality appears to be a risk factor. The objectives of this study were to estimate rates of self-harm hospitalization in Canada over a 5-year period by sex and age group, and examine relationships between self-harm and rurality.

Methods

Hospitalizations related to self-harm were identified in a national dataset (the Discharge Abstract Database) for all patients aged 10 years or older who were discharged from hospital between 2015 and 2019. Self-harm hospitalization rates were calculated and stratified by year, sex, age group, and level of rurality, as measured using the Index of Remoteness. A Poisson regression was fit to estimate rate ratios for the levels of rurality.

Results

Rates of self-harm hospitalization were higher for females than males across all levels of rurality and increased with each level for both sexes, except for among young males. The widest rural-to-urban disparities were observed for the 10–19 and 20–34-year old age groups. Females aged 10–19 in very remote areas had the highest self-harm hospitalization rate.

Conclusion

The rate of self-harm hospitalization in Canada varied by sex, age group, and level of rurality. Clinical and community-based interventions for self-harm, such as safety planning and increased access to mental health services, should be tailored to the differential risks across geographic contexts.

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Title: Self-harm and rurality in Canada: an analysis of hospitalization data from 2015 to 2019
Authors: Newsha Mahinpey
Nathaniel J. Pollock
Li Liu
Gisèle Contreras
Wendy Thompson
Publication date: 08-04-2023
Publisher: Springer Berlin Heidelberg
Keywords: Suicide
Suicide
Published in: Social Psychiatry and Psychiatric Epidemiology / Issue 8/2023
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI: https://doi.org/10.1007/s00127-023-02463-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Self-harm and rurality in Canada: an analysis of hospitalization data from 2015 to 2019

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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