The Incidence and Repetition of Hospital-Treated Deliberate Self Harm: Findings from the World's First National Registry
The Incidence and Repetition of Hospital-Treated Deliberate Self Harm: Findings from the World's First National Registry
复制标题
DOI：
10.1371/journal.pone.0031663
复制
发表时间：
2012-02-20
期刊：
影响因子：
3.7
通讯作者：
Arensman, Ella
中科院分区：
文献类型：
--
作者：
Perry, Ivan J.;Corcoran, Paul;Arensman, Ella
自杀是一个重大的公共卫生问题，全世界每年有近100万人死于自杀。故意自残（DSH）是自杀的最重要的风险因素，但很少有国家有关于DSH的可靠数据。我们开发了一个国家的DSH注册在共和国的爱尔兰，以建立在国家一级的医院治疗的DSH的发病率和频谱和模式的演示文稿与DSH和repetition.Methods和调查结果：在2003年和2009年之间，爱尔兰国家注册故意自我伤害收集数据DSH介绍所有40家医院急诊科在该国。由经过培训的数据登记官员使用病例确定和定义的标准方法收集数据。登记处记录了75，119次DSH介绍，涉及48，206人。总发病率从2003年的209/100，000（95% CI：205-213）降至2006年的184/100，000（95% CI：180-189），2009年再次增至209/100，000（95% CI：204-213）。最显著的年度变化是2008年和2009年男性比率连续增加10%。不同年龄组之间存在显著差异，15-19岁年龄组的女性发病率最高（每100 000人中有620人（95% CI：605-636）），20-24岁年龄组的男性发病率最高（每100 000人中有427人（95% CI：416-439））。重复率变化显着的年龄，自我伤害的方法和以前的epissions.Conclusions的数量：以人口为基础的数据在医院治疗的DSH代表的精神疾病和自杀风险的负担在社区的一个重要指标。2008年和2009年爱尔兰男性DSH率的增加恰逢爱尔兰经济衰退的到来。研究结果强调，有必要制定有效的干预措施，以减少DSH重复率作为卫生系统的一个关键优先事项。
Background: 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.