Determining intent behind poisoning suicides

Aflaki, Kayvan; Ray, Joel G.

doi:10.1503/cmaj.78591

Cited by 1 publication

(1 citation statement)

References 3 publications

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“…Another limitation was the difficulty of ascertaining injury intent, which may have resulted in misclassifications of those who presented to the hospital [ 73 ]. This may have led to an underestimation of self-harm in the population, particularly for self-harm by poisoning, where the intent of an overdose may be difficult to determine [ 74 ]. To minimize the effects of the pandemic on our results, DAD data collected after March 31, 2020 were not included in this study.…”

Section: Discussionmentioning

confidence: 99%

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

Mahinpey

Pollock

Liu

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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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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Section: Discussionmentioning

confidence: 99%