ArticleSocial psychiatry and psychiatric epidemiology2023
Self-harm and rurality in Canada: an analysis of hospitalization data from 2015 to 2019.
Article in Social psychiatry and psychiatric epidemiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Using Digital Mental Health and Measurement-Based Care With Youth Experiencing Suicidal Thoughts and Behaviors: Qualitative Study of Clinician Barriers and Facilitators.JMIR human factors · 2026Article
- Repeat self-harm hospitalizations in Canada: a survival analysis.Injury epidemiology · 2025Article
- Associations between physical activities and self-harm behaviour in depression across the genotype: findings from the UK biobank.BJPsych open · 2025Article
- Global burden and trends of self-harm from 1990 to 2021, with predictions to 2050.Frontiers in public health · 2025Article
- Mental health and addiction concerns in northern Ontario: A cross-sectional study of sociodemographic predictors, access barriers, and service needs.PLOS mental health · 2025Article
- Self-harm hospitalizations and neighbourhood level material and social deprivation in Canada: an ecological study.BMC psychiatry · 2024Article
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5 authors.
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Abstract
purposeThe incidence of self-harm is an important indicator in suicide surveillance and a target outcome for suicide prevention. Self-harm rates vary by geographic location and rurality appears to be a risk factor. The objectives of this study were to estimate rates of self-harm hospitalization in Canada over a 5-year period by sex and age group, and examine relationships between self-harm and rurality.
methodsHospitalizations related to self-harm were identified in a national dataset (the Discharge Abstract Database) for all patients aged 10 years or older who were discharged from hospital between 2015 and 2019. Self-harm hospitalization rates were calculated and stratified by year, sex, age group, and level of rurality, as measured using the Index of Remoteness. A Poisson regression was fit to estimate rate ratios for the levels of rurality.
resultsRates of self-harm hospitalization were higher for females than males across all levels of rurality and increased with each level for both sexes, except for among young males. The widest rural-to-urban disparities were observed for the 10-19 and 20-34-year old age groups. Females aged 10-19 in very remote areas had the highest self-harm hospitalization rate.
conclusionThe rate of self-harm hospitalization in Canada varied by sex, age group, and level of rurality. Clinical and community-based interventions for self-harm, such as safety planning and increased access to mental health services, should be tailored to the differential risks across geographic contexts.
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