Trends and repetition of non-fatal suicidal behaviour: Analyses of the Gold Coast University Hospital’s Emergency Department

Kairi Kõlves, David Crompton, Kathryn Turner, Nicolas J.C. Stapelberg, Ashar Khan, Gail Robinson, Diego de Leo

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1 Citation (Scopus)

Abstract

Objective: The aim of the current paper is to analyse time trends of non-fatal suicidal behaviour (NFSB) and its repetition at the Gold Coast in 2005–2015. Methods: Data on presentations for NFSB were obtained from the Emergency Department (ED) Information System. Potential cases were identified through keyword searches, which were further scrutinised and coded. Annual person-based age-standardised rates for NFSB were calculated. Chi-square test, Poisson regression and Cox proportional hazards regression were used. Results: There was a significant increase in the age-standardised rates of NFSB for males (incidence Rate Ratio = 1.05; 95% confidence interval (CI): 1.04–1.07) and females (iRR = 1.06; 95% CI: 1.04–1.07). Age-specific rates showed significant increases for all age groups, except 25–34 and 55+ for females. Different types of poisoning were the predominant method of NFSB (poisoning only – 61.7% of episodes), followed by cutting (23%). Within the first year after the index episode, 13.4% of subjects repeated NFSB. Multivariate Cox regression model showed that sex, age and method predicted repetition. Conclusion: The increasing trends of NFSB and relatively high repetition rates emphasise the need for preventative actions. Monitoring of NFSB at the ED level should be further extended in Australia.

Original languageEnglish
Pages (from-to)170-175
Number of pages6
JournalAustralasian Psychiatry
Volume26
Issue number2
DOIs
Publication statusPublished - 1 Apr 2018

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Ghana
Hospital Departments
Hospital Emergency Service
Poisoning
Confidence Intervals
Chi-Square Distribution
Proportional Hazards Models
Information Systems
Age Groups
Incidence

Cite this

Kõlves, Kairi ; Crompton, David ; Turner, Kathryn ; Stapelberg, Nicolas J.C. ; Khan, Ashar ; Robinson, Gail ; de Leo, Diego. / Trends and repetition of non-fatal suicidal behaviour : Analyses of the Gold Coast University Hospital’s Emergency Department. In: Australasian Psychiatry. 2018 ; Vol. 26, No. 2. pp. 170-175.
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abstract = "Objective: The aim of the current paper is to analyse time trends of non-fatal suicidal behaviour (NFSB) and its repetition at the Gold Coast in 2005–2015. Methods: Data on presentations for NFSB were obtained from the Emergency Department (ED) Information System. Potential cases were identified through keyword searches, which were further scrutinised and coded. Annual person-based age-standardised rates for NFSB were calculated. Chi-square test, Poisson regression and Cox proportional hazards regression were used. Results: There was a significant increase in the age-standardised rates of NFSB for males (incidence Rate Ratio = 1.05; 95{\%} confidence interval (CI): 1.04–1.07) and females (iRR = 1.06; 95{\%} CI: 1.04–1.07). Age-specific rates showed significant increases for all age groups, except 25–34 and 55+ for females. Different types of poisoning were the predominant method of NFSB (poisoning only – 61.7{\%} of episodes), followed by cutting (23{\%}). Within the first year after the index episode, 13.4{\%} of subjects repeated NFSB. Multivariate Cox regression model showed that sex, age and method predicted repetition. Conclusion: The increasing trends of NFSB and relatively high repetition rates emphasise the need for preventative actions. Monitoring of NFSB at the ED level should be further extended in Australia.",
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Trends and repetition of non-fatal suicidal behaviour : Analyses of the Gold Coast University Hospital’s Emergency Department. / Kõlves, Kairi; Crompton, David; Turner, Kathryn; Stapelberg, Nicolas J.C.; Khan, Ashar; Robinson, Gail; de Leo, Diego.

In: Australasian Psychiatry, Vol. 26, No. 2, 01.04.2018, p. 170-175.

Research output: Contribution to journalArticleResearchpeer-review

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