A retrospective cohort study comparing non-fatal self-harm emergency department visits between Canadian veterans living in Ontario and matched civilians.

Authors:
Alyson L Mahar
Alyson L Mahar
Queen's University
Canada
Heidi Cramm
Heidi Cramm
Queen's University
Canada
Alice B Aiken
Alice B Aiken
School of Rehabilitation Therapy
Pittsburgh | United States
Marlo Whitehead
Marlo Whitehead
Institute for Clinical Evaluative Sciences Queen's
Homer Tien
Homer Tien
University of Toronto
Canada
Nicola T Fear
Nicola T Fear
King's College London
United Kingdom
Paul Kurdyak
Paul Kurdyak
University of Toronto
Canada

Int Rev Psychiatry 2019 Apr 17:1-9. Epub 2019 Apr 17.

d IC/ES , Toronto , Canada.

This was a retrospective cohort study linking provincial administrative databases to compare rates of non-fatal self-harm between CAF and RCMP veterans living in Ontario and age-matched civilians. This study included male veterans who registered for provincial health insurance between 2002 and 2013. A civilian comparator group was matched 4:1 on age and sex. Self-harm emergency department (ED) visits were identified from provincial ED admission records until death or December 31, 2015. Multivariable Poisson regression compared the risk of self-harm. Analyses adjusted for age, geography, income, rurality, and major physical and mental comorbidities. In total, 9514 male veterans and 38,042 age- and sex-matched civilians were included. Overall, 0.55% of veterans had at least one non-fatal self-harm ED visit, compared with 0.81% of civilians. The rate of ED self-harm visits was 40% lower in the veteran population, compared to the civilian population (RR = 0.60; 95% CI = 0.41-0.87). In both groups, psychosocial and physical comorbidities, and death by suicide were more common in those who self-harmed than those who did not. A better understanding of why veterans have a lower rate of self-harm emergency department visits and how it is related to the number of completed suicides is an important area for future consideration.

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Source
http://dx.doi.org/10.1080/09540261.2019.1580685DOI Listing
April 2019
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References

(Supplied by CrossRef)
Article in The Guardian
Durkin E et al.
The Guardian 2018

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