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Socioeconomic deprivation and the clinical management of self-harm: a small area analysis

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Socioeconomic deprivation and the clinical management of self-harm : a small area analysis. / Carroll, Robert; Knipe, Dee; Moran, Paul; Gunnell, David.

In: Social Psychiatry and Psychiatric Epidemiology, Vol. 52, No. 12, 12.2017, p. 1475–1481.

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Carroll, Robert ; Knipe, Dee ; Moran, Paul ; Gunnell, David. / Socioeconomic deprivation and the clinical management of self-harm : a small area analysis. In: Social Psychiatry and Psychiatric Epidemiology. 2017 ; Vol. 52, No. 12. pp. 1475–1481.

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@article{628c2b16f1e449019fdc219d60122369,
title = "Socioeconomic deprivation and the clinical management of self-harm: a small area analysis",
abstract = "Purpose: Socioeconomic deprivation is associated with increased rates of self-harm but its association with levels of clinical care has not previously been explored. The aim of the current study was to investigate socioeconomic differences in the clinical management of people who self-harm.Method: Cross-sectional analysis of 3607 people presenting to a large inner-city hospital following self-harm.Results: People from the least deprived quintile were more likely to receive a psychosocial assessment (most vs. least deprived: 63.51{\%} vs. 70.14{\%}). This effect persisted in our fully adjusted model (OR 1.45, CI 1.15-1.82, p=0.002). Mediation analysis suggested this association was in large part explained by higher rates of selfdischarge in people presenting from areas of higher deprivation.Conclusions: Compared to those from more deprived areas, people from less deprived areas are more likely to receive a psychosocial assessment when presenting to hospital following self-harm. The occurrence of higher rates of self-discharge from emergency departments among those from more deprived areas may explain the association.",
author = "Robert Carroll and Dee Knipe and Paul Moran and David Gunnell",
year = "2017",
month = "12",
doi = "10.1007/s00127-017-1438-1",
language = "English",
volume = "52",
pages = "1475–1481",
journal = "Social Psychiatry and Psychiatric Epidemiology",
issn = "0933-7954",
publisher = "Springer Verlag",
number = "12",

}

RIS - suitable for import to EndNote

TY - JOUR

T1 - Socioeconomic deprivation and the clinical management of self-harm

T2 - a small area analysis

AU - Carroll, Robert

AU - Knipe, Dee

AU - Moran, Paul

AU - Gunnell, David

PY - 2017/12

Y1 - 2017/12

N2 - Purpose: Socioeconomic deprivation is associated with increased rates of self-harm but its association with levels of clinical care has not previously been explored. The aim of the current study was to investigate socioeconomic differences in the clinical management of people who self-harm.Method: Cross-sectional analysis of 3607 people presenting to a large inner-city hospital following self-harm.Results: People from the least deprived quintile were more likely to receive a psychosocial assessment (most vs. least deprived: 63.51% vs. 70.14%). This effect persisted in our fully adjusted model (OR 1.45, CI 1.15-1.82, p=0.002). Mediation analysis suggested this association was in large part explained by higher rates of selfdischarge in people presenting from areas of higher deprivation.Conclusions: Compared to those from more deprived areas, people from less deprived areas are more likely to receive a psychosocial assessment when presenting to hospital following self-harm. The occurrence of higher rates of self-discharge from emergency departments among those from more deprived areas may explain the association.

AB - Purpose: Socioeconomic deprivation is associated with increased rates of self-harm but its association with levels of clinical care has not previously been explored. The aim of the current study was to investigate socioeconomic differences in the clinical management of people who self-harm.Method: Cross-sectional analysis of 3607 people presenting to a large inner-city hospital following self-harm.Results: People from the least deprived quintile were more likely to receive a psychosocial assessment (most vs. least deprived: 63.51% vs. 70.14%). This effect persisted in our fully adjusted model (OR 1.45, CI 1.15-1.82, p=0.002). Mediation analysis suggested this association was in large part explained by higher rates of selfdischarge in people presenting from areas of higher deprivation.Conclusions: Compared to those from more deprived areas, people from less deprived areas are more likely to receive a psychosocial assessment when presenting to hospital following self-harm. The occurrence of higher rates of self-discharge from emergency departments among those from more deprived areas may explain the association.

U2 - 10.1007/s00127-017-1438-1

DO - 10.1007/s00127-017-1438-1

M3 - Article

VL - 52

SP - 1475

EP - 1481

JO - Social Psychiatry and Psychiatric Epidemiology

JF - Social Psychiatry and Psychiatric Epidemiology

SN - 0933-7954

IS - 12

ER -