Suicidal Ideation and Behaviors Among Irish Travellers Presenting for Emergency Care

Tanner, Bryan; Doherty, Anne M.

doi:10.1027/0227-5910/a000769

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…The contributory role of alcohol and drugs (as a sole use or in combination) in self-harm or ideation presentations seem to be associated with the Jan-Aug 2020 timepoint. As previous studies confirm, being male, older than 20 years of age and White or Irish Traveller further predicted the use of substances in the ED presentations explored (Ceniti et al 2020;Tanner and Doherty 2021).…”

Section: Discussionsupporting

confidence: 67%

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Substance use and self-harm emergency department presentations during COVID19: evidence from a National Clinical Programme for Self-Harm

Maguire

Kavalidou

Bannan

et al. 2022

Ir. j. psychol. Med.

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Introduction: Given the evidence that drinking patterns and self-harm hospital presentations have changed during COVID-19, this study aimed to examine any change in self-harm and suicide-related ideation presentations, together with any possible contribution made by alcohol or substance misuse, to Irish Emergency Departments in 2020, compared with 2018 and 2019. Methods: A population-based cohort with self-harm and suicide-related ideation presenting to Irish hospitals derived from the National Clinical Programme for Self-Harm was analysed. Descriptive analyses were conducted based on sociodemographic variables and types of presentation for the period January to August 2020 and compared with the same period in 2018 and 2019. Binomial regression analyses were performed to investigate the independent effect of demographic characteristics and pre/during COVID-19 periods on the use of substances as contributory factors in the self-harm and suicide-related ideation presentations. Results: 12,075 presentations due to self-harm and suicide-related ideation were recorded for the periods January–August 2018–2020 across nine emergency departments. The COVID-19 year was significantly associated with substances contributing to self-harm and suicide-related ideation ED presentations (OR = 1.183; 95% CI, 1.075–1.301, p < 0.001). No changes in the demographic characteristics were found for those with self-harm or suicide-related ideation across the years. Suicide-related ideation seemed to be increased after May 2020 compared with previous years. In terms of self-harm episodes with comorbid drug and alcohol overdose and poisoning, these were significantly increased in January–August 2020, compared with previous timepoints (χ2 = 42.424, df = 6, p < 0.001). Conclusion: An increase in suicide-related ideation and substance-related self-harm presentations may indicate longer term effects of the pandemic and its relevant restrictions. Future studies might explore whether those presenting with ideation will develop a risk of suicide in post-pandemic periods.

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Section: Discussionsupporting

confidence: 67%

“…As previous studies confirm, being male, older than 20 years of age and White or Irish Traveller further predicted the use of substances in the ED presentations explored (Ceniti et al . 2020; Tanner and Doherty 2021).…”

Section: Discussionmentioning

confidence: 99%

Substance use and self-harm emergency department presentations during COVID19: evidence from a National Clinical Programme for Self-Harm

Maguire

Kavalidou

Bannan

et al. 2022

Ir. j. psychol. Med.

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Gay Travellers in Ireland: Resisting Tradition

Malešević

2023

Genders and Sexualities in the Social Sciences

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Presentations of self-harm and suicide-related ideation among the Irish Traveller indigenous population to hospital emergency departments: evidence from the National Clinical Programme for self-harm

Kavalidou

Daly

McTernan

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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Previous research has examined the suicide risk of the Irish Traveller population, but less is known about the prevalence of suicidal behaviours and thoughts of this ethnic minority group recorded at hospital level. The aim of the current study was to compare the incidence of hospital-presenting self-harm and suicide-related ideation of Travellers to non-Traveller patients and describe any ethnic disparities in the aftercare of their presentation. MethodsA population-based study was conducted for the years 2018-2019. Data were obtained from the service improvement dataset of an Irish dedicated national programme for the assessment of those presenting to emergency departments (EDs) due to self-harm and suicide-related ideation. Results 24,473 presentations were recorded with 3% of the presentations made by Irish Travellers. Female Traveller patients had 3•04 (95% CI 2•51 − 3•68) higher risk for suicide-related ideation and 3•85 (95% CI 3•37 − 4•41) for self-harm, compared to White Irish female patients. Male Traveller patients had 4•46 (95% CI 3•86 − 5•16) higher risk for suiciderelated ideation and 5•43 (95% CI 4•75 − 6•21) higher rates for self-harm presentations. The highest rate ratios for selfharm were observed among older Traveller patients [male: 9•23 (95% CI 5•93 − 14•39); female: 6•79 (95% CI 4•37 − 10•57)]. A higher proportion of Traveller patients requested no next of kin involvement, compared to other ethnicities. ConclusionGiven that Irish Travellers are at higher risk of suicide-related hospital presentations, compared to other ethnic groups in Ireland, EDs should be viewed as an important suicide intervention point.

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Suicidal Ideation and Behaviors Among Irish Travellers Presenting for Emergency Care

Cited by 4 publications

References 17 publications

Substance use and self-harm emergency department presentations during COVID19: evidence from a National Clinical Programme for Self-Harm

Substance use and self-harm emergency department presentations during COVID19: evidence from a National Clinical Programme for Self-Harm

Gay Travellers in Ireland: Resisting Tradition

Presentations of self-harm and suicide-related ideation among the Irish Traveller indigenous population to hospital emergency departments: evidence from the National Clinical Programme for self-harm

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