Travel Distance to Hospital Is Associated With Self-Harm Hospital Presentation But Not Suicide
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2024 |
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| Enthalten in: |
Crisis - (2024) vom: 14. Feb. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Liang, Ya-Lun [VerfasserIn] |
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| Links: |
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| Themen: |
Area-level characteristics |
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| Anmerkungen: |
Date Revised 14.02.2024 published: Print-Electronic Citation Status Publisher |
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| doi: |
10.1027/0227-5910/a000945 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM368431444 |
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| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a area-level characteristics | |
| 650 | 4 | |a spatial analysis | |
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| 700 | 1 | |a Gao, Yu-Mei |e verfasserin |4 aut | |
| 700 | 1 | |a Gunnell, David |e verfasserin |4 aut | |
| 700 | 1 | |a Hsu, Chia-Yueh |e verfasserin |4 aut | |
| 700 | 1 | |a Chang, Shu-Sen |e verfasserin |4 aut | |
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