TY - JOUR
T1 - Do geographic regions with higher suicide rates also have higher rates of nonfatal intentional self-harm?
AU - Claassen, Cynthia A.
AU - Carmody, Thomas
AU - Bossarte, Robert
AU - Trivedi, Madhukar H.
AU - Elliott, Stephen
AU - Currier, Glenn W.
N1 - Copyright:
Copyright 2012 Elsevier B.V., All rights reserved.
PY - 2008/12
Y1 - 2008/12
N2 - Fatal and nonfatal intentional self-harm events in eight U.S. states were compared using emergency department, hospital, and vital statistics data. Nonfatal event rates increased by an estimated 24.20% over 6 years. Case fatality ratios varied widely, but two northeastern states' total event rates (fatal plus nonfatal) were very high (New Hampshire 206.5/100,000 person years; Massachusetts 166.7/100,000). Geographic context did not uniformly impact the likelihood of self-harm across event types. The state-level public health burden posed by such acts cannot, therefore, be accurately estimated from either mortality or morbidity data alone.
AB - Fatal and nonfatal intentional self-harm events in eight U.S. states were compared using emergency department, hospital, and vital statistics data. Nonfatal event rates increased by an estimated 24.20% over 6 years. Case fatality ratios varied widely, but two northeastern states' total event rates (fatal plus nonfatal) were very high (New Hampshire 206.5/100,000 person years; Massachusetts 166.7/100,000). Geographic context did not uniformly impact the likelihood of self-harm across event types. The state-level public health burden posed by such acts cannot, therefore, be accurately estimated from either mortality or morbidity data alone.
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U2 - 10.1521/suli.2008.38.6.637
DO - 10.1521/suli.2008.38.6.637
M3 - Article
C2 - 19152295
AN - SCOPUS:61849099480
SN - 0363-0234
VL - 38
SP - 637
EP - 649
JO - Suicide and Life-Threatening Behavior
JF - Suicide and Life-Threatening Behavior
IS - 6
ER -