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Ambulance attendances resulting from self-harm after release from prison: a prospective data linkage study.
Borschmann, Rohan; Young, Jesse T; Moran, Paul; Spittal, Matthew J; Heffernan, Ed; Mok, Katherine; Kinner, Stuart A.
Afiliación
  • Borschmann R; Centre for Adolescent Health, Murdoch Childrens Research Institute, Royal Children's Hospital, 50 Flemington Road, Melbourne, 3052, Australia. rohan.borschmann@mcri.edu.au.
  • Young JT; Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, 3010, Australia. rohan.borschmann@mcri.edu.au.
  • Moran P; Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, 3010, Australia.
  • Spittal MJ; Centre for Health Services Research, School of Population Health, The University of Western Australia, Perth, WA, 6009, Australia.
  • Heffernan E; National Drug Research Institute, Curtin University, Perth, WA, 6008, Australia.
  • Mok K; Centre for Academic Mental Health, School of Social and Community Medicine, University of Bristol, Oakfield House, Oakfield Grove, Clifton, Bristol, BS8 2BN, UK.
  • Kinner SA; Melbourne School of Population and Global Health, The University of Melbourne, Parkville, Victoria, 3010, Australia.
Soc Psychiatry Psychiatr Epidemiol ; 52(10): 1295-1305, 2017 Oct.
Article en En | MEDLINE | ID: mdl-28389689
OBJECTIVE: Incarcerated adults are at high risk of self-harm and suicide and remain so after release into the community. The aims of this study were to estimate the number of ambulance attendances due to self-harm in adults following release from prison, and to identify factors predictive of such attendances. METHODS: Baseline surveys with 1309 adults within 6 weeks of expected release from prison between 2008 and 2010 were linked prospectively with state-wide correctional, ambulance, emergency department, hospital and death records in Queensland, Australia. Associations between baseline demographic, criminal justice and mental health-related factors, and subsequent ambulance attendances resulting from self-harm, were investigated using negative binomial regression. RESULTS: During 4691 person-years of follow-up (median 3.86 years per participant), there were 2892 ambulance attendances in the community, of which 120 (3.9%) were due to self-harm. In multivariable analyses, being Indigenous [incidence rate ratio (IRR): 2.10 (95% CI 1.14-3.86)], having previously been hospitalised for psychiatric treatment [IRR: 2.65 (95% CI 1.44-4.87)], being identified by prison staff as being at risk of self-harm whilst incarcerated [IRR: 2.12 (95% CI 1.11-4.06)] and having a prior ambulance attendance due to self-harm [IRR: 3.16 (95% CI 1.31-7.61)] were associated with self-harm attendances. CONCLUSIONS: Ambulance attendances resulting from self-harm following release from prison are common and represent an opportunity for tertiary intervention for self-harm. The high prevalence of such attendances, in conjunction with the strong association with prior psychiatric problems, reinforces the importance of providing appropriate ambulance staff training in the assessment and management of self-harm, and mental health problems more broadly, in this vulnerable population.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prisioneros / Ambulancias / Conducta Autodestructiva Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Soc Psychiatry Psychiatr Epidemiol Asunto de la revista: CIENCIAS SOCIAIS / EPIDEMIOLOGIA / PSIQUIATRIA Año: 2017 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Alemania
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Prisioneros / Ambulancias / Conducta Autodestructiva Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adolescent / Adult / Female / Humans / Male País/Región como asunto: Oceania Idioma: En Revista: Soc Psychiatry Psychiatr Epidemiol Asunto de la revista: CIENCIAS SOCIAIS / EPIDEMIOLOGIA / PSIQUIATRIA Año: 2017 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Alemania