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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.

Methods

Cross-sectional analysis of 3607 people presenting to a large inner-city hospital following self-harm.

Results

People living in 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 self-discharge 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.

SUBMITTER: Carroll R 

PROVIDER: S-EPMC5702367 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature

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Publications

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

Carroll Robert R   Knipe Duleeka D   Moran Paul P   Gunnell David D  

Social psychiatry and psychiatric epidemiology 20171004 12


<h4>Purpose</h4>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.<h4>Methods</h4>Cross-sectional analysis of 3607 people presenting to a large inner-city hospital following self-harm.<h4>Results</h4>People living in the least deprived quintile were more likely to rec  ...[more]

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