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Suicidal ideation and non-fatal deliberate self-harm presentations in the Kimberley from an enhanced police-mental
Cate McHugh1, Sivasankaran Balaratnasingam2, Anita Campbell3
1Psychiatry Registrar, Kimberley Population Health Unit, Australia; Brain and Mind Centre, University of Sydney, Sydney, NSW, Australia.
Objectives:
To determine the rate of presentations for suicidal ideation and deliberate self-harm in the Kimberley region of Western Australia, characterized in terms of age, gender, rates of repetition and engagement with community mental health services.
Methods:
An observational study of health service presentations over 12 months.
Setting:
10 sites across the region with police services were included, capturing the overwhelming majority of self-harm presentations in the region.
Participants:
all Indigenous presentations were analyzed. Of the 433 individuals who presented, 361 were Indigenous.
Main Outcome Measures:
suicidal phenomena, including suicidal ideation and any type of deliberate self-harm regardless of intent.
Results:
Analysis suggests a broadly similar age and sex stratification of self-harm in this population compared with international reports. The rates, however, are 5-20 times higher than those reported in non-Indigenous populations in Australia and abroad, depending on whether the comparison rate is calculated from population surveys or hospital presentations.
Conclusions:
Prevalence of suicidal phenomena is very high and is likely to be much higher than estimated by this hospital based study. Such high prevalence suggests that a population level intervention is required in addition to interventions involving clinical services.
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