Self-harm and rurality in Canada: an analysis of hospitalization data from 2015 to 2019
Self-harm and rurality in Canada: an analysis of hospitalization data from 2015 to 2019
Simple item page
Full item details
- creativework.keywords - en
- Administrative data
- Health disparities
- Rural
- Self-inflicted injury
- Suicide
- Surveillance
- Urban
- dc.contributor.author
- Mahinpey, Newsha
- Pollock, Nathaniel J.
- Liu, Li
- Contreras, Gisèle
- Thompson, Wendy
- dc.date.accepted
- 2023-03-08
- dc.date.accessioned
- 2023-06-02T12:12:17Z
- dc.date.available
- 2023-06-02T12:12:17Z
- dc.date.issued
- 2023-04
- dc.description.abstract - en
- 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.
- dc.identifier.citation
- Mahinpey, N., Pollock, N.J., Liu, L. et al. Self-harm and rurality in Canada: an analysis of hospitalization data from 2015 to 2019. Soc Psychiatry Psychiatr Epidemiol (2023). https://doi.org/10.1007/s00127-023-02463-7
- dc.identifier.uri
- https://open-science.canada.ca/handle/123456789/512
- dc.language.iso
- en
- dc.publisher
- Springer
- dc.rights - en
- Creative Commons Attribution 4.0 International (CC BY 4.0)
- dc.rights - fr
- Creative Commons Attribution 4.0 International (CC BY 4.0)
- dc.rights.uri - en
- https://creativecommons.org/licenses/by/4.0/
- dc.rights.uri - fr
- https://creativecommons.org/licenses/by/4.0/deed.fr
- dc.subject - en
- Health
- dc.subject - fr
- Santé
- dc.subject.en - en
- Health
- dc.subject.fr - fr
- Santé
- dc.title - en
- Self-harm and rurality in Canada: an analysis of hospitalization data from 2015 to 2019
- dc.type - en
- Article
- dc.type - fr
- Article
- local.article.journaltitle
- Social Psychiatry and Psychiatric Epidemiology
- local.peerreview - en
- Yes
- local.peerreview - fr
- Oui
Download(s)
Original bundle
1 - 1 of 1
Name: Self‑harmAndRuralityCanada_AnalysisHospitalizationData2015_2019.pdf
Size: 804.77 KB
Format: PDF
Collection(s)