Association between unintentional injuries and self-harm among adolescent emergency department patients

Phillips, D. Melessa; Lidón‐Moyano, Cristina; Cerdá, Magdalena; Gruenewald, Paul J.; Goldman‐Mellor, Sidra

doi:10.1016/j.genhosppsych.2020.03.008

Cited by 3 publications

(1 citation statement)

References 27 publications

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“…Another critical limitation related to the vague nature of some of the variables in this analysis is the failure of the survey to include items assessing intentionality to inflict harm/injury on self or another person. Recent evidence suggests, for example, that drug poisoning (as a subtype of unintentional self-injury) has a strong risk association with self-harm among adolescents [45], while some injurious outcomes among adolescents are likely to be intentional and self-inflicted [16,17]. Although a complex aspect of violence behaviour and injurious acts, intentionality has been identified by the WHO and leading researchers as an important element in the study of injury and violencerelated behaviours [38].…”

Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Self-reported injuries and correlates among school-going adolescents in three countries in Western sub-Saharan Africa

Asante

Onyeaka

Kugbey³

et al. 2022

BMC Public Health

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Background Unintentional injuries among adolescents constitute a significant public health problem globally. Injured adolescents may face negative outcomes ranging from poor academic performance to short- and long-term physical and psychosocial health struggles, and even death. The aim of this study was to estimate the prevalence and describe the correlates and most frequent causes of injuries among school-going adolescents in three West African countries – Benin, Ghana, and Liberia. Methods We analysed self-reported data provided by 8,912 school-going adolescents who participated in the Global School-based Student Health Survey in Ghana (2012), Benin (2016), and Liberia (2017). Students responded to questions on sociodemographic factors, family involvement factors, mental health factors, school environment factors and injury behaviours. Results The overall 12-month prevalence estimate of serious injuries in adolescents was 40.9% (Benin = 27.3%; Ghana = 46.1%; Liberia = 49.2%). The most frequently reported injury type was a broken bone or dislocated joint (33% in Benin), cuts or stab wounds (31.7% in Ghana), and non-specified injuries (35.2% in Liberia). Prevalence of serious injuries was higher among males and increased with age. In the multivariable logistic regression analysis, interpersonal aggression outside the family context (bullying victimisation, engaging in physical fights, and having been physically attacked) emerged as key correlates of increased odds of serious injuries. Conclusion The relatively higher prevalence estimates of serious injury reported in this study underscore the need for the included countries to develop interventions aimed at reducing and preventing physical injuries among adolescents.

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Section: Strengths and Limitations Of The Studymentioning

confidence: 99%

Self-reported injuries and correlates among school-going adolescents in three countries in Western sub-Saharan Africa

Asante

Onyeaka

Kugbey³

et al. 2022

BMC Public Health

View full text Add to dashboard Cite

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Associations between unintentional injuries and deliberate self-harm behaviors of children and adolescents: A school-based cross-sectional survey

Lu,

Ye,

Lou

et al. 2024

General Hospital Psychiatry

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Emergency Department Visits Among Adolescents for Intentional Assault, Firearm, Poison, and Self-Harm Injuries Before and During the COVID-19 Pandemic in the United States

Kapukotuwa,

Grigsby,

Shen

2024

Cureus

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Purpose This study aimed to examine changes in adolescent emergency department (ED) visits for firearm, poison, self-harm, and intentional assault injuries before and during the COVID-19 pandemic and to identify sociodemographic factors influencing these variations. Methods Utilizing the Nationwide Emergency Department Sample (NEDS), the study analyzes data for intentional self-harm, poison-related, intentional assaults, and firearm injuries from 2019 to 2021 in adolescents aged 10 to 18 years. A difference-in-differences analysis was conducted to investigate the potential impacts of COVID-19 on injury-associated ED visits, accounting for adjustments related to year, patient factors, and hospital characteristics. Results There was a substantial decline in the number of all ED visits from pre-COVID to during the COVID, but we observed increases in the volume of ED visits for firearm-related injuries (13,248 to 20,611; p-value < 0.0001), poison-related injuries (147,812 to 213,753; p-Value < 0.0001), and intentional self-harm-related injuries (153,297 to 229,591; p-value < 0.0001). Conversely, intentional assault-related injuries decreased (167,614 to 154,940; p-value < 0.0001). During the COVID-19 pandemic, ED visits for intentional self-harm increased by 15% (95% CI = 1.09-1.21), intentional assault by 6% (95% CI = 1.02-1.09), and poison-related injuries by 17% (95% CI = 1.11-1.21) compared to pre-pandemic levels. Racial disparities were observed, with Black individuals having lower odds of self-harm (aOR = 0.63) and poison-related visits (aOR = 0.69) but higher odds of assault-related visits (aOR = 1.40) compared to Whites. Hispanic individuals had fewer ED visits across all injury types, while Native Americans had higher odds across all injury types. Disparities between Black and White individuals in assault-related visits narrowed during the pandemic (aOR = 1.40 to 0.94), but disparities for Native Americans in assault-related injuries widened. Insurance status influenced ED visits, with Medicaid recipients having higher odds of self-harm (aOR = 1.11) but lower odds of assault visits (aOR = 0.82) compared to those with private insurance. Uninsured adolescents had lower odds of self-harm (aOR = 0.85) and poison-related visits (aOR = 0.95), but higher odds of assault-related visits (aOR = 1.17). Gender disparities persisted, with females having higher odds of self-harm (aOR = 1.66) and poison-related visits (aOR = 1.42) but lower odds of assault-related visits (aOR = 0.91) compared to males, with these disparities widening for self-harm and poison-related visits during the pandemic. Conclusions The findings underscore the heightened vulnerability of adolescents to certain injuries during the COVID-19 pandemic. Targeted interventions and policies to support mental health, firearm safety measures, and strategies to prevent poisoning are recommended. Addressing socioeconomic disparities is necessary t...

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Association between unintentional injuries and self-harm among adolescent emergency department patients

Cited by 3 publications

References 27 publications

Self-reported injuries and correlates among school-going adolescents in three countries in Western sub-Saharan Africa

Self-reported injuries and correlates among school-going adolescents in three countries in Western sub-Saharan Africa

Associations between unintentional injuries and deliberate self-harm behaviors of children and adolescents: A school-based cross-sectional survey

Emergency Department Visits Among Adolescents for Intentional Assault, Firearm, Poison, and Self-Harm Injuries Before and During the COVID-19 Pandemic in the United States

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