Evidence map›Paper›PMID 39609682›Full record

ArticleBMC psychiatry2024

Self-harm hospitalizations and neighbourhood level material and social deprivation in Canada: an ecological study.

Li Liu, Nathaniel J Pollock, Gisèle Contreras, Yuan Xu, Wendy Thompson

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Li LiuCentre for Surveillance and Applied Research, Public Health Agency of Canada, 785 Carling Avenue, Ottawa, ON, K1S 5H4, Canada. li.liu@phac-aspc.gc.ca.ORCID http://orcid.org/0000-0001-9251-0603
Nathaniel J PollockCentre for Surveillance and Applied Research, Public Health Agency of Canada, 785 Carling Avenue, Ottawa, ON, K1S 5H4, Canada.ORCID http://orcid.org/0000-0001-5699-7661
Gisèle ContrerasCentre for Surveillance and Applied Research, Public Health Agency of Canada, 785 Carling Avenue, Ottawa, ON, K1S 5H4, Canada.ORCID http://orcid.org/0000-0003-2788-1533
Yuan XuCentre for Surveillance and Applied Research, Public Health Agency of Canada, 785 Carling Avenue, Ottawa, ON, K1S 5H4, Canada.ORCID http://orcid.org/0009-0002-2747-2633
Wendy ThompsonCentre for Surveillance and Applied Research, Public Health Agency of Canada, 785 Carling Avenue, Ottawa, ON, K1S 5H4, Canada.ORCID http://orcid.org/0000-0002-0177-998X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSocio-economic status is associated with self-harm at the individual and area level. In Canada, there is limited evidence on the relationship between area-level markers of socio-economic status and self-harm. The objective of this study was to assess the impact of small area-level material and social deprivation on rates of hospitalization due to self-harm.

methodsAdministrative data on hospitalizations from two databases in Canada (Discharge Abstract Database and Ontario Mental Health Reporting System) for the period April 1, 2015 to March 31, 2022, were analyzed. Rates of self-harm hospitalization and percentage of repeated admissions were estimated across quintiles of material and social deprivation. Rate ratios were computed to evaluate disparities. The rates were stratified by sex and age group; the percentage of repeated admissions were stratified by sex.

resultsIn total, the study included 109,398 hospitalizations due to self-harm. Populations in more deprived areas had higher rates of self-harm hospitalizations than those in less deprived areas. The rate ratios for people who lived in the most deprived areas over the least deprived areas were 1.48 (95% CI: 1.38-1.58) and 1.71 (95% CI: 1.60-1.82) for material and social deprivation, separately. The largest disparity was among people aged 25-44 years for material and 45-64 years for social deprivation. Percentages of repeated self-harm hospitalizations were significantly higher in more deprived areas compared to less deprived areas for social deprivation, and among males but not females for material deprivation.

conclusionsBoth material and social deprivation were associated with self-harm hospitalization and repeated admissions; the disparity varied by subgroup and the deprivation components. This study demonstrated a need to consider interventions at the neighbourhood level and address both community and population-level conditions of social and material need.

Indexed as

HospitalizationSelf-Injurious BehaviorAdolescentAdultAgedCanadaFemaleHumansMaleMiddle AgedNeighborhood CharacteristicsOntarioResidence CharacteristicsSocial ClassSocial DeprivationSocioeconomic FactorsHealth careMaterial deprivationNeighbourhoodSelf-harmSocial deprivationSocio-economic statusSuicide

Identifiers

PMID39609682
PMCPMC11606135

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.