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Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort

Hospital-treated self-harm rates for Aboriginal and Torres Strait Islander (Indigenous) people are at least double those for other Australians. Despite this, limited research has explored the relationship between Indigeneity and the clinical management of hospital-treated deliberate self-harm. A ret...

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Autores principales: McGill, Katie, Salem, Amir, Hanstock, Tanya L., Heard, Todd R., Garvey, Leonie, Leckning, Bernard, Whyte, Ian, Page, Andrew, Carter, Greg
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566708/
https://www.ncbi.nlm.nih.gov/pubmed/36231541
http://dx.doi.org/10.3390/ijerph191912238
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author McGill, Katie
Salem, Amir
Hanstock, Tanya L.
Heard, Todd R.
Garvey, Leonie
Leckning, Bernard
Whyte, Ian
Page, Andrew
Carter, Greg
author_facet McGill, Katie
Salem, Amir
Hanstock, Tanya L.
Heard, Todd R.
Garvey, Leonie
Leckning, Bernard
Whyte, Ian
Page, Andrew
Carter, Greg
author_sort McGill, Katie
collection PubMed
description Hospital-treated self-harm rates for Aboriginal and Torres Strait Islander (Indigenous) people are at least double those for other Australians. Despite this, limited research has explored the relationship between Indigeneity and the clinical management of hospital-treated deliberate self-harm. A retrospective clinical cohort study (2003–2012) at a regional referral centre (NSW) for deliberate self-poisoning was used to explore the magnitude and direction of the relationship between Indigeneity and discharge destination (psychiatric hospital vs. other) using a series of logistic regressions. There were 149 (4%) Indigenous and 3697 (96%) non-Indigenous deliberate self-poisoning admissions during the study period. One-third (31%) were referred to the psychiatric hospital at discharge; Indigenous 21% (n = 32) vs. non-Indigenous 32% (n = 1175). Those who identified as Indigenous were less likely to be discharged to the psychiatric hospital, OR 0.59 (0.40–0.87) at the univariate level, with little change after sequential adjustment; and AOR 0.34 (0.21–0.73) in the fully adjusted model. The Indigenous cohort had a lower likelihood of psychiatric hospital discharge even after adjustment for variables associated with discharge to the psychiatric hospital highlighting the need for further investigation of the reasons accounting for this differential pattern of clinical management and the effectiveness of differential after-care allocation.
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spelling pubmed-95667082022-10-15 Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort McGill, Katie Salem, Amir Hanstock, Tanya L. Heard, Todd R. Garvey, Leonie Leckning, Bernard Whyte, Ian Page, Andrew Carter, Greg Int J Environ Res Public Health Article Hospital-treated self-harm rates for Aboriginal and Torres Strait Islander (Indigenous) people are at least double those for other Australians. Despite this, limited research has explored the relationship between Indigeneity and the clinical management of hospital-treated deliberate self-harm. A retrospective clinical cohort study (2003–2012) at a regional referral centre (NSW) for deliberate self-poisoning was used to explore the magnitude and direction of the relationship between Indigeneity and discharge destination (psychiatric hospital vs. other) using a series of logistic regressions. There were 149 (4%) Indigenous and 3697 (96%) non-Indigenous deliberate self-poisoning admissions during the study period. One-third (31%) were referred to the psychiatric hospital at discharge; Indigenous 21% (n = 32) vs. non-Indigenous 32% (n = 1175). Those who identified as Indigenous were less likely to be discharged to the psychiatric hospital, OR 0.59 (0.40–0.87) at the univariate level, with little change after sequential adjustment; and AOR 0.34 (0.21–0.73) in the fully adjusted model. The Indigenous cohort had a lower likelihood of psychiatric hospital discharge even after adjustment for variables associated with discharge to the psychiatric hospital highlighting the need for further investigation of the reasons accounting for this differential pattern of clinical management and the effectiveness of differential after-care allocation. MDPI 2022-09-27 /pmc/articles/PMC9566708/ /pubmed/36231541 http://dx.doi.org/10.3390/ijerph191912238 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/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 (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
McGill, Katie
Salem, Amir
Hanstock, Tanya L.
Heard, Todd R.
Garvey, Leonie
Leckning, Bernard
Whyte, Ian
Page, Andrew
Carter, Greg
Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort
title Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort
title_full Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort
title_fullStr Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort
title_full_unstemmed Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort
title_short Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort
title_sort indigeneity and likelihood of discharge to psychiatric hospital in an australian deliberate self-poisoning hospital-treated cohort
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9566708/
https://www.ncbi.nlm.nih.gov/pubmed/36231541
http://dx.doi.org/10.3390/ijerph191912238
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