Suicide and self-inflicted injury hospitalizations in Canada (1979 to 2014/15)

Skinner, Robin; McFaull, Steven R.; Draca, Jasminka; Fréchette, M.; Kaur, Jaskiran; Pearson, Caryn; Thompson, Wendy

doi:10.24095/hpcdp.36.11.02

Cited by 34 publications

(67 citation statements)

References 25 publications

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“…This is consistent with data that show poisoning to be a primary method of suicide among females. 9,10 Overall, ED presentations due to acetaminophen overdose appeared to decline between 2011 and 2018. As a proportion of all unintentional poisonings, a significant decreasing trend was observed for both males and females; in the case of intentional acetaminophen poisonings, a significant decrease was noted among females but not males.…”

Section: Discussionmentioning

confidence: 99%

At-a-glance - Trends in emergency department visits for acetaminophen-related poisonings: 2011–2019

Kaur

McFaull

Bang

2020

Health Promot Chronic Dis Prev Can

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We examined trends in emergency department (ED) presentation rates for acetaminophenrelated poisonings across Canada. A total of 27123 cases of poisoning were seen in the electronic Canadian Hospitals Injury Reporting and Prevention Program (eCHIRPP) sentinel sites between April 2011 and February 2019; of these, 13.7% were related to acetaminophen use. A significant decreasing trend for both sexes was observed for unintentional poisonings (males: −10.3%; females: −8.0%). For intentional poisonings, there was a significant decrease among females only (−5.9%). Females have consistently displayed higher rates of ED presentations for both unintentional and intentional poisoning.

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Section: Discussionmentioning

confidence: 99%

At-a-glance - Trends in emergency department visits for acetaminophen-related poisonings: 2011–2019

Kaur

McFaull

Bang

2020

Health Promot Chronic Dis Prev Can

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“…Self-harm is a common reason for hospital presentation internationally Conner, Langley, Tomaszewski, & Conwell, 2003;Claassen et al, 2006;Finkelstein et al, 2015;Skinner et al, 2016). One in 300 presentations to the emergency department are for self-poisoning in the United States (Finkelstein et al, 2015) and at least 200,000 episodes of self-harm are treated in emergency departments annually in England (Hawton et al, 2007).…”

Section: Self-harm Is An Urgent Patient Safety Issuementioning

confidence: 99%

Patient safety and suicide prevention in mental health services: time for a new paradigm?

Quinlivan

Littlewood

Webb

et al. 2020

Journal of Mental Health

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“…To comply with the legislation and operationalize the WHO recommendations for improving data collection, PHAC developed the Canadian Suicide Surveillance Indicator Framework in 2017. The framework included suicide-related outcomes, and measures for risk factors including chronic pain and mental illness, and protective factors such as social support and sense of belonging [ 32 , 46 ]. Outcomes included incidence rates of suicide mortality, hospitalization and emergency department visits for self-injury, and prevalence rates of suicide attempts and suicidal thoughts (Fig.…”

Section: Introductionmentioning

confidence: 99%

“…The registries include demographic data and record the cause of death for all individuals who die in Canada each year. Deaths are coded by cause according to International Classification of Disease (ICD-10) system [ 46 ]. The data source for the CVSD includes death registration forms that contain information from funeral directors, and a medical certificate of cause of death from a physician or coroner.…”

Section: Introductionmentioning

confidence: 99%

“…Patients who have serious injuries or who are assessed as being at high-risk for self-harm may be voluntarily or involuntarily admitted to hospital for medical and/or psychiatric care. In Canada, the main indicator for this type of event is hospitalization due to intentional self-injury which includes intentional self-poisonings and self-inflicted injuries irrespective of suicidal intent [ 46 , 58 ].…”

Section: Introductionmentioning

confidence: 99%

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Tracking progress in suicide prevention in Indigenous communities: a challenge for public health surveillance in Canada

et al. 2018

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Indigenous peoples in Canada experience disproportionate rates of suicide compared to non-Indigenous populations. Indigenous communities and organizations have designed local and regional approaches to prevention, and the federal government has developed a national suicide prevention framework. However, public health systems continue to face challenges in monitoring the population burden of suicide and suicidal behaviour. National health data systems lack Indigenous identifiers, do not capture data from some regions, and do not routinely engage Indigenous communities in data governance. These challenges hamper efforts to detect changes in population-level outcomes and assess the impact of suicide prevention activities. Consequently, this limits the ability to achieve public health prevention goals and reduce suicide rates and rate inequities.This paper provides a critical analysis of the challenges related to suicide surveillance in Canada and assesses the strengths and limitations of existing data infrastructure for monitoring outcomes in Indigenous communities. To better understand these challenges, we discuss the policy context for suicide surveillance and examine the survey and administrative data sources that are commonly used in public health surveillance. We then review recent data on the epidemiology of suicide and suicidal behaviour among Indigenous populations, and identify challenges related to national surveillance.To enhance capacity for suicide surveillance, we propose strategies to better track progress in Indigenous suicide prevention. Specifically, we recommend establishing an independent community and scientific governing council, integrating Indigenous identifiers into population health datasets, increasing geographic coverage, improving suicide data quality, comprehensiveness, and timeliness, and developing a platform for making suicide data accessible to all stakeholders. Overall, the strategies we propose can build on the strengths of the existing national suicide surveillance system by adopting a collaborative and inclusive governance model that recognizes the stake Indigenous communities have in suicide prevention.

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Suicide and self-inflicted injury hospitalizations in Canada (1979 to 2014/15)

Abstract: Introduction: The purpose of this paper is to describe the trends and patterns of self-inflicted injuries, available from Canadian administrative data between 1979 and 2014/15, in order to inform and improve suicide prevention efforts.

Cited by 34 publications

References 25 publications

At-a-glance - Trends in emergency department visits for acetaminophen-related poisonings: 2011–2019

At-a-glance - Trends in emergency department visits for acetaminophen-related poisonings: 2011–2019

Patient safety and suicide prevention in mental health services: time for a new paradigm?

Tracking progress in suicide prevention in Indigenous communities: a challenge for public health surveillance in Canada

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