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Australas Psychiatry · Feb 2017
Observational StudySuicidal ideation and non-fatal deliberate self-harm presentations in the Kimberley from an enhanced police-mental health service notification database.
- Cate McHugh, Sivasankaran Balaratnasingam, Anita Campbell, and Murray Chapman.
- Psychiatry Registrar, Kimberley Population Health Unit, Australia; Brain and Mind Centre, University of Sydney, Sydney, NSW, Australia.
- Australas Psychiatry. 2017 Feb 1; 25 (1): 35-39.
ObjectivesTo determine the rate of presentations for suicidal ideation and deliberate self-harm in the Kimberley region of Western Australia, characterized in terms of age, gender, rates of repetition and engagement with community mental health services.MethodsAn observational study of health service presentations over 12 months.Setting10 sites across the region with police services were included, capturing the overwhelming majority of self-harm presentations in the region.Participantsall Indigenous presentations were analyzed. Of the 433 individuals who presented, 361 were Indigenous.Main Outcome Measuressuicidal phenomena, including suicidal ideation and any type of deliberate self-harm regardless of intent.ResultsAnalysis suggests a broadly similar age and sex stratification of self-harm in this population compared with international reports. The rates, however, are 5-20 times higher than those reported in non-Indigenous populations in Australia and abroad, depending on whether the comparison rate is calculated from population surveys or hospital presentations.ConclusionsPrevalence of suicidal phenomena is very high and is likely to be much higher than estimated by this hospital based study. Such high prevalence suggests that a population level intervention is required in addition to interventions involving clinical services.
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