Home > The paradox of public holidays: Hospital-treated self-harm and associated factors.

Griffin, Eve and Dillon, Christina B and O'Regan, Grace and Corcoran, Paul and Perry, Ivan J and Arensman, Ella (2017) The paradox of public holidays: Hospital-treated self-harm and associated factors. Journal of Affective Disorders , 218 , pp. 30-34.

URL: http://www.nsrf.ie/wp-content/uploads/2017/Griffin...

BACKGROUND: Recent research on the patterns of self-harm around public holidays is lacking. This study used national data to examine the patterns of hospital-treated self-harm during public holidays, and to examine associated factors.

METHODS: Data on self-harm presentations to all emergency departments were obtained from the National Self-Harm Registry Ireland. The association between self-harm presentations and public holidays was examined using univariate and multivariate Poisson regression analyses.

RESULTS: A total of 104,371 presentations of self-harm were recorded between 2007 and 2015. The mean number of self-harm presentations was 32 on public holidays. St. Patrick's Day had the highest number of presentations compared to all other public holidays, with a daily mean of 44 presentations. Across all years, self-harm presentations during public holidays had a 24% increased risk of involving alcohol consumption compared to all other days and this effect was most pronounced during the Christmas period. The association with alcohol remained significant at a multivariate level. Presentations on public holidays were more likely to attend out of normal working hours. An increase in male presentations involving self-cutting was observed on public holidays and there was an over-representation of males presenting for the first time.

LIMITATIONS: It is likely that extent of alcohol involvement in self-harm presentations reported here is an underestimate, as it was dependent on the information being recorded by the attending clinician.

CONCLUSIONS: Public holidays are associated with an elevated number of self-harm presentations to hospital, with presentations to hospital involving alcohol significantly increased on these days. Hospital resources should be targeted to address increases during public holidays, including during out-of-hours. Involvement of alcohol may delay delivery of care to these patients in emergency settings.


Item Type:Article
Date:25 April 2017
Page Range:pp. 30-34
Publisher:Elsevier
Volume:218
EndNote:View
Related URLs:
Subjects:A Substance use, abuse, and dependence > Prevalence > Substance use behaviour > Alcohol consumption
B Substances > Alcohol
F Concepts in psychology > Specific attitude and behaviour > self-destructive behaviour
F Concepts in psychology > Specific attitude and behaviour > self-destructive behaviour > suicidal behaviour / suicide
G Health and disease > Substance use disorder > Drug use > Drug intoxication > Poisoning (overdose)
J Health care, prevention and rehabilitation > Health care programme or facility > Hospital
L Social psychology and related concepts > Social context > Social event
L Social psychology and related concepts > Temporal context (time)
VA Geographic area > Europe > Ireland

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