دورية أكاديمية
Suicides in Aboriginal and non-Aboriginal people following hospital admission for suicidal ideation and self-harm: A retrospective cohort data linkage study from the Northern Territory
| العنوان: | Suicides in Aboriginal and non-Aboriginal people following hospital admission for suicidal ideation and self-harm: A retrospective cohort data linkage study from the Northern Territory |
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| المؤلفون: | Leckning, B, Borschmann, R, Guthridge, S, Silburn, SR, Hirvonen, T, Robinson, GW |
| المصدر: | urn:ISSN:0004-8674 ; urn:ISSN:1440-1614 ; Australian and New Zealand Journal of Psychiatry, 57, 3, 391-400 |
| بيانات النشر: | SAGE |
| سنة النشر: | 2023 |
| المجموعة: | UNSW Sydney (The University of New South Wales): UNSWorks |
| مصطلحات موضوعية: | Mental Health, Behavioral and Social Science, Prevention, Suicide Prevention, Clinical Research, Suicide, 7.1 Individual care needs, 7 Management of diseases and conditions, 3 Good Health and Well Being, Humans, Male, Suicidal Ideation, Retrospective Studies, Northern Territory, Self-Injurious Behavior, Hospitals, Australia, Indigenous, self-harm, anzsrc-for: 11 Medical and Health Sciences, anzsrc-for: 17 Psychology and Cognitive Sciences |
| الوصف: | Purpose: This study aimed to explore risk factors for suicide in Aboriginal and non-Aboriginal people following hospital admission for suicidal ideation and self-harm in the Northern Territory, Australia to help clarify opportunities for improved care and intervention for these population groups. Methods: Individuals with at least one hospital admission involving suicidal ideation and/or self-harm between 1 July 2001 and 31 December 2013 were retrospectively recruited and followed up using linked mortality records to 31 December 2014. Survival analyses stratified by Indigenous status identified socio-demographic and clinical characteristics from index hospital admissions associated with suicide. Results: Just over half of the 4391 cohort members identified as Aboriginal (n = 2304; 52.4%). By 2014, 281 deaths were observed comprising 68 suicides, representing a 2.6% and 2.0% probability of suicide for Aboriginal and non-Aboriginal people, respectively. After adjusting for other characteristics, a higher risk of suicide was associated with male sex (Aboriginal adjusted hazard ratio: 4.14; 95% confidence interval: [1.76, 9.75]; non-Aboriginal adjusted hazard ratio: 5.96; 95% confidence interval: [1.98, 17.88]) and repeat hospital admissions involving self-harm (Aboriginal adjusted hazard ratio: 1.37; 95% confidence interval: [1.21, 1.55]; non-Aboriginal adjusted hazard ratio: 1.29; 95% confidence interval: [1.10, 1.51]). Severe mental disorders were associated with a four times higher risk of suicide (adjusted hazard ratio: 4.23; 95% confidence interval: [1.93, 9.27]) in Aboriginal people only. Conclusion: The findings highlight non-clinical risk factors for suicide that suggest the need for comprehensive psychosocial assessment tailored to Aboriginal and non-Aboriginal people hospitalised with suicidal ideation or self-harm. Implementing appropriate management and aftercare within a broader public health framework is needed to support recovery and reduce long-term suicide risk in the community, especially for ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | unknown |
| العلاقة: | http://hdl.handle.net/1959.4/unsworks_81246Test; https://unsworks.unsw.edu.au/bitstreams/22f55467-84ed-4d99-812e-9afb89b3cbc4/downloadTest; https://doi.org/10.1177/00048674221099822Test |
| DOI: | 10.1177/00048674221099822 |
| الإتاحة: | https://doi.org/10.1177/00048674221099822Test http://hdl.handle.net/1959.4/unsworks_81246Test https://unsworks.unsw.edu.au/bitstreams/22f55467-84ed-4d99-812e-9afb89b3cbc4/downloadTest |
| حقوق: | open access ; https://purl.org/coar/access_right/c_abf2Test ; CC BY-NC ; https://creativecommons.org/licenses/by-nc/4.0Test/ ; free_to_read |
| رقم الانضمام: | edsbas.C0CFF7E7 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1177/00048674221099822 |
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