Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/138988
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Self-harm and suicidal ideation among young people is more often recorded by child protection than health services in an Australian population cohort |
Author: | O’Hare, K. Watkeys, O. Dean, K. Tzoumakis, S. Whitten, T. Harris, F. Laurens, K.R. Carr, V.J. Green, M.J. |
Citation: | Australian and New Zealand Journal of Psychiatry, 2023; 57(12):1527-1537 |
Publisher: | SAGE Publications |
Issue Date: | 2023 |
ISSN: | 0004-8674 1440-1614 |
Statement of Responsibility: | Kirstie O, Hare, Oliver Watkeys, Kimberlie Dean, Stacy Tzoumakis, Tyson Whitten, Felicity Harris, Kristin R Laurens, Vaughan J Carr and Melissa J Green |
Abstract: | Objective: We investigated patterns of service contact for self-harm and suicidal ideation recorded by a range of human service agencies – including health, police and child protection – with specific focus on overlap and sequences of contacts, age of first contact and demographic and intergenerational characteristics associated with different service responses to self-harm. Methods: Participants were 91,597 adolescents for whom multi-agency linked data were available in a longitudinal study of a population cohort in New South Wales, Australia. Self-harm and suicide-related incidents from birth to 18 years of age were derived from emergency department, inpatient hospital admission, mental health ambulatory, child protection and police administrative records. Descriptive statistics and binomial logistic regression were used to examine patterns of service contacts. Results: Child protection services recorded the largest proportion of youth with reported self-harm and suicidal ideation, in which the age of first contact for self-harm was younger relative to other incidents of self-harm recorded by other agencies. Nearly 40% of youth with a health service contact for self-harm also had contact with child protection and/or police services for self-harm. Girls were more likely to access health services for self-harm than boys, but not child protection or police services. Conclusion: Suicide prevention is not solely the responsibility of health services; police and child protection services also respond to a significant proportion of self-harm and suicide-related incidents. High rates of overlap among different services responding to self-harm suggest the need for cross-agency strategies to prevent suicide in young people. |
Keywords: | child welfare emergency department mental health services self-harming behaviour Suicidal thoughts |
Description: | First published online June 6, 2023 |
Rights: | © The Author(s) 2023. Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Article reuse guidelines: sagepub.com/journals-permissions journals.sagepub.com/home/anp |
DOI: | 10.1177/00048674231179652 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1148055 http://purl.org/au-research/grants/nhmrc/1175408 http://purl.org/au-research/grants/arc/FT170100294 http://purl.org/au-research/grants/arc/DE210100113 |
Published version: | http://dx.doi.org/10.1177/00048674231179652 |
Appears in Collections: | Gender Studies and Social Analysis publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
hdl_138988.pdf | Published version | 427.01 kB | Adobe PDF | View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.