ArticleThe Lancet regional health. Western Pacific2023
Associations between workers' compensation and self-harm: A retrospective case-series study of hospital admissions data.
Article in The Lancet regional health. Western Pacific, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Workplace Injury Compensation and Mental Health and Self-Harm Outcomes: A Systematic Review.New solutions : a journal of environmental and occupational health policy : NS · 2024Pooled it
- Regional musculoskeletal pain in workers-is the traditional medical model increasing disability?British medical bulletin · 2026Review
- Factors Associated with Negative Experiences and Mental Ill Health During a Workers' Compensation Claim: A Mixed Methods Study.Journal of occupational rehabilitation · 2026Article
- Earlier Orthopaedic Surgeon Evaluation of Workers' Compensation Associated With Higher Return to Full Duty After Shoulder Arthroscopy.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Article
- Childhood cognitive ability and self-harm and suicide in later life.SSM - population health · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: While workers' compensation schemes aim to assist and support injured workers, there is some evidence that the process of pursuing a compensation claim may be extremely stressful for workers. This research aimed to compare hospital admissions for self-harm among workers' compensation claimants and non-claimants. Methods: A retrospective case-series design, this study used hospital admissions data for 42,567 patients (2011-2018) to estimate rates of hospital admission for intentional self-harm and 'self-harm and probable self-harm' (due to intentional self-harm, poisoning, or undetermined intent) and compare these between workers' compensation claimants and non-claimants. Rates were stratified by gender and calculated for each age group. Findings: For males, there was no observable difference between claimants and non-claimants for admission due to intentional self-harm. For female claimants, the incidence rate for admission for intentional self-harm was higher than non-claimants (rate ratio (RR) 2.4, 95%CI 1.8-3.2, risk difference (RD) 47.7 per 100,000 person-years). For the combined category of 'self-harm and probable self-harm', the incidence rate was elevated in both male (RR 5.8, 95%CI 5.0-6.6, RD 167.7 per 100,000 person-years) and female workers' compensation claimants (RR 3.4, 95%CI 2.8-4.2, RD 114.8 per 100,000 person-years) relative to non-claimants. Interpretation: Female workers' compensation claimants appear to have elevated rates of admission for intentional self-harm and 'self-harm and probable self-harm' compared to non-claimants. Male claimants appear to have increased rates of hospital admission for 'self-harm and probable self-harm'. This suggests that the process of pursuing workers' compensation may be associated with increased risk of self-harm, and highlights a need for further research. Funding: Suicide Prevention Australia Innovation Grant.
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