Cargando…

Socio-Demographic and Mental Health Profile of Admitted Cases of Self-Inflicted Harm in the US Population

Self-inflicted harm (SIH) has a substantial lifetime prevalence, it is associated with tremendous costs, and its rate is increasing on a national scale. To examine the characteristics of those admitted for SIH in the US and to investigate the factors that potentially modify the methods used for SIH....

Descripción completa

Detalles Bibliográficos
Autores principales: Hanuscin, Chris, Zahmatkesh, Golara, Shirazi, Anaheed, Pan, Deyu, Teklehaimanot, Senait, Bazargan-Hejazi, Shahrzad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5800176/
https://www.ncbi.nlm.nih.gov/pubmed/29304027
http://dx.doi.org/10.3390/ijerph15010077
_version_ 1783298159055732736
author Hanuscin, Chris
Zahmatkesh, Golara
Shirazi, Anaheed
Pan, Deyu
Teklehaimanot, Senait
Bazargan-Hejazi, Shahrzad
author_facet Hanuscin, Chris
Zahmatkesh, Golara
Shirazi, Anaheed
Pan, Deyu
Teklehaimanot, Senait
Bazargan-Hejazi, Shahrzad
author_sort Hanuscin, Chris
collection PubMed
description Self-inflicted harm (SIH) has a substantial lifetime prevalence, it is associated with tremendous costs, and its rate is increasing on a national scale. To examine the characteristics of those admitted for SIH in the US and to investigate the factors that potentially modify the methods used for SIH. This was a retrospective analysis of admitted cases of SIH including suicide attempts between 2007 and 2012 using the National Trauma Data Bank. We included a total of 204,633 cases admitted for SIH. Our participants were 75.1% males. Those aged 15–24 (21%), 25–34 (22%), 35–44 (19%), 45–54 (19%), and 55–64 (10%) years comprised the largest age groups among our cases—70.8%, 11.5%, 11.1%, and 6.6% were, respectively, Caucasians, Hispanics, Blacks, and Asian/Others. Analyses of the SIH methods revealed that Blacks were less likely to self-poison [Odds Ratio (OR): 0.78] compared to Whites, whereas individuals with psychiatric disorders or substance abuse carried 2.5 and 2.0-fold higher risk, respectively. Blacks were also less likely to use anoxic methods (OR: 0.69), whereas patients with psychiatric disorders or substance abuse carried 1.5-fold higher risk. Being Black, Hispanic, and Asian (OR: 0.58, 0.55, and 0.55, respectively) as well as having psychiatric disorders (OR: 0.80) were associated with lower risks of using firearms, whereas its risk was increased with increasing age. Blacks (OR: 0.77) were less likely to cut or pierce in contrast to Hispanics (OR: 1.4), Asians/Others (OR: 1.29), and those with psychiatric disorders (2.5-fold higher risk) or drug abuse (2-fold higher risk). Blacks (OR: 1.11), Hispanics (OR: 1.13), and Asians/Others (OR: 1.57) were more likely to jump from high places, whereas those with substance abuse were less likely (OR: 0.77). Among patients admitted for SIH, males, those aged 15–64 years, and Whites comprised the largest sex, age, and racial/ethnic groups, respectively. We also found that several factors including race/ethnicity, gender, age, and having concurrent psychiatric or drug abuse disorders can potentially influence the methods used for SIH.
format Online
Article
Text
id pubmed-5800176
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-58001762018-02-06 Socio-Demographic and Mental Health Profile of Admitted Cases of Self-Inflicted Harm in the US Population Hanuscin, Chris Zahmatkesh, Golara Shirazi, Anaheed Pan, Deyu Teklehaimanot, Senait Bazargan-Hejazi, Shahrzad Int J Environ Res Public Health Article Self-inflicted harm (SIH) has a substantial lifetime prevalence, it is associated with tremendous costs, and its rate is increasing on a national scale. To examine the characteristics of those admitted for SIH in the US and to investigate the factors that potentially modify the methods used for SIH. This was a retrospective analysis of admitted cases of SIH including suicide attempts between 2007 and 2012 using the National Trauma Data Bank. We included a total of 204,633 cases admitted for SIH. Our participants were 75.1% males. Those aged 15–24 (21%), 25–34 (22%), 35–44 (19%), 45–54 (19%), and 55–64 (10%) years comprised the largest age groups among our cases—70.8%, 11.5%, 11.1%, and 6.6% were, respectively, Caucasians, Hispanics, Blacks, and Asian/Others. Analyses of the SIH methods revealed that Blacks were less likely to self-poison [Odds Ratio (OR): 0.78] compared to Whites, whereas individuals with psychiatric disorders or substance abuse carried 2.5 and 2.0-fold higher risk, respectively. Blacks were also less likely to use anoxic methods (OR: 0.69), whereas patients with psychiatric disorders or substance abuse carried 1.5-fold higher risk. Being Black, Hispanic, and Asian (OR: 0.58, 0.55, and 0.55, respectively) as well as having psychiatric disorders (OR: 0.80) were associated with lower risks of using firearms, whereas its risk was increased with increasing age. Blacks (OR: 0.77) were less likely to cut or pierce in contrast to Hispanics (OR: 1.4), Asians/Others (OR: 1.29), and those with psychiatric disorders (2.5-fold higher risk) or drug abuse (2-fold higher risk). Blacks (OR: 1.11), Hispanics (OR: 1.13), and Asians/Others (OR: 1.57) were more likely to jump from high places, whereas those with substance abuse were less likely (OR: 0.77). Among patients admitted for SIH, males, those aged 15–64 years, and Whites comprised the largest sex, age, and racial/ethnic groups, respectively. We also found that several factors including race/ethnicity, gender, age, and having concurrent psychiatric or drug abuse disorders can potentially influence the methods used for SIH. MDPI 2018-01-05 2018-01 /pmc/articles/PMC5800176/ /pubmed/29304027 http://dx.doi.org/10.3390/ijerph15010077 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hanuscin, Chris
Zahmatkesh, Golara
Shirazi, Anaheed
Pan, Deyu
Teklehaimanot, Senait
Bazargan-Hejazi, Shahrzad
Socio-Demographic and Mental Health Profile of Admitted Cases of Self-Inflicted Harm in the US Population
title Socio-Demographic and Mental Health Profile of Admitted Cases of Self-Inflicted Harm in the US Population
title_full Socio-Demographic and Mental Health Profile of Admitted Cases of Self-Inflicted Harm in the US Population
title_fullStr Socio-Demographic and Mental Health Profile of Admitted Cases of Self-Inflicted Harm in the US Population
title_full_unstemmed Socio-Demographic and Mental Health Profile of Admitted Cases of Self-Inflicted Harm in the US Population
title_short Socio-Demographic and Mental Health Profile of Admitted Cases of Self-Inflicted Harm in the US Population
title_sort socio-demographic and mental health profile of admitted cases of self-inflicted harm in the us population
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5800176/
https://www.ncbi.nlm.nih.gov/pubmed/29304027
http://dx.doi.org/10.3390/ijerph15010077
work_keys_str_mv AT hanuscinchris sociodemographicandmentalhealthprofileofadmittedcasesofselfinflictedharmintheuspopulation
AT zahmatkeshgolara sociodemographicandmentalhealthprofileofadmittedcasesofselfinflictedharmintheuspopulation
AT shirazianaheed sociodemographicandmentalhealthprofileofadmittedcasesofselfinflictedharmintheuspopulation
AT pandeyu sociodemographicandmentalhealthprofileofadmittedcasesofselfinflictedharmintheuspopulation
AT teklehaimanotsenait sociodemographicandmentalhealthprofileofadmittedcasesofselfinflictedharmintheuspopulation
AT bazarganhejazishahrzad sociodemographicandmentalhealthprofileofadmittedcasesofselfinflictedharmintheuspopulation