Travel Distance to Hospital Is Associated With Self-Harm Hospital Presentation But Not Suicide.
Crisis
; 45(4): 308-313, 2024 Jul.
Article
em En
| MEDLINE
| ID: mdl-38353037
ABSTRACT
Background:
Travel distance to hospital emergency departments (EDs) may be a more influential factor in the spatial variation in hospital-presenting self-harm than for suicide deaths.Aims:
We investigated the associations of travel distance to the nearest ED with self-harm hospital presentations and suicides in a large city in Taiwan.Method:
Data for self-harm and suicide were extracted from Taiwan's National Suicide Surveillance System (2012-2016).Results:
Adjusted analyses using Bayesian hierarchical models showed that a longer travel distance to the nearest hospital ED was associated with lower self-harm hospital presentation rates but not suicide rates.Limitations:
This is an ecological study; the area-level associations could not be directly implied at the individual level.Conclusion:
Living in remote neighborhoods could be a barrier to seeking medical help after self-harm, and this has implications for suicide, surveillance, prevention and intervention strategies.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Suicídio
/
Comportamento Autodestrutivo
/
Serviço Hospitalar de Emergência
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Taiwan