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Predictors of self-harm and emergency department attendance for self-harm in deprived communities

McCarthy, M, Saini, P, Nathan, R and McIntyre, J (2023) Predictors of self-harm and emergency department attendance for self-harm in deprived communities. International Journal of Injury Control and Safety Promotion. ISSN 1745-7300

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Abstract

Emergency departments (EDs) are often the first point of contact for individuals following self-harm. The majority of previous research relies on hospital-based data, yet only a minority of individuals who self-harm in the community present to healthcare services. The study design is cross-sectional survey design. Data from the National Institute for Health Research Applied Research Collaboration North West Coast (NIHR ARC NWC) Household Health Survey, a community-based public health survey in North West England, was collected using stratified random sampling. Three thousand four hundred twelve people were recruited in 2018 from relatively disadvantaged areas. The sample included 1490 men and 1922 women aged 18 to 100 years (M=49.37, SD=18.91). Logistic regression analysis was employed to examine demographic, health and socioeconomic predictors of self-harm and ED attendance for self-harm. Age (18–24 years), lower financial status, depression, anxiety and physical and mental health co-morbidity was associated with significantly higher levels of self-harm. People aged 18–24 years, with physical and mental health co-morbidity and lower levels of social support had significantly higher levels of attending EDs for self-harm. Improving people’s financial situations, social connectivity, mental and physical health may help to reduce individual risk for self-harm and strain on health services.

Item Type: Article
Uncontrolled Keywords: 1106 Human Movement and Sports Sciences; 1117 Public Health and Health Services; Logistics & Transportation
Subjects: B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Psychology (from Sep 2019)
Publisher: Taylor & Francis
SWORD Depositor: A Symplectic
Date Deposited: 02 May 2023 12:05
Last Modified: 02 May 2023 12:05
DOI or ID number: 10.1080/17457300.2023.2204474
URI: https://researchonline.ljmu.ac.uk/id/eprint/19443
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