Trend Distribution of Violent Injuries in Taiwan from 2000 to 2015

Abstract

This study aims to understand the trend distribution of violent injuries in Taiwan from 2000 to 2015. It used the data of outpatient, emergency, and hospitalization of 2 million people in the National Health Insurance sample from 2000 to 2015. We analyzed children and adolescents (hereinafter referred to as children, 0–17 years old), adults (18–64 years old), and The Elderly (over 65 years old) who suffered for the first time. The standardized rate of medical treatment for violent injuries was compared annually using the Poisson regression method. A total of 11,077 victims (7163 men, 3914 women) suffered violence during the 15 years, and the standardized rate of medical treatment for violence in adults dropped from 6.01 (1/104) in 2001 to 2.58 (1/104) in 2015. The standardized rate of medical treatment in adults over the years was higher than that in children (2.962001, 1.232015) and The Elderly (3.522001, 1.622015). The medical treatment rate of the adult generation is higher than that of the children and the elderly. The relative hazard ratio (RR) decreased from 2.38 in 2001 to 1.13 in 2014 (but the RR in 2014 was not significant). Furthermore, the rate of adult violence treatment has been decreasing every year, which shows that the government has achieved remarkable results in general violence prevention. With the accelerated aging of Taiwan’s population, it is expected that older adults exposed to the risk of violence will also increase and become more serious. Therefore, the government should continue to pay attention to this issue.

Adults Suffering from Violence Are at Risk of Poor Prognosis in Taiwan, 2000–2015

“…The human response to psychological trauma is one of the world’s most important public health problems [ 32 ]. For all injuries and violence, providing victims with high-quality emergency care can prevent deaths, reduce the number of short- and long-term disabilities, and illustrate how those affected are physically, emotionally, financially, and legally responding to the injury or violence impacting their lives [ 33 ]. Therefore, improving the organization, planning, and access to trauma care systems, including telecommunications, hospital transport, pre-hospital, and hospital care, are important strategies for minimizing death and disability due to injury and violence [ 34 ].…”

Persistent Depressive Disorder-Related Effect of Sleep Disorder on the Highest Risk of Suicide in Taiwan, 2000–2015

“…This study has several limitations worth considering. First, similarly to previous studies using the NHI research database, we were unable to assess genetic factors, environmental factors, severity, or psychological assessments in patients with SDs or to classify SD severity and duration, illness duration, or the types of previous treatments used because these data were not recorded in the NHIRD [ 52 ]. Second, there was some unexplained heterogeneity in the data, and the lack of uniform diagnostic criteria may reduce comparability between studies.…”