The impact of rural residence on medically serious medicinal self-poisonings

General Hospital Psychiatry

Volumn 30, Issue 6, 2008, Pages 552-560

  Rhodes, Anne ^a,b,c,d   Bethell, Jennifer ^a,c   Jaakkimainen, R Liisa ^b,d,e   Thurlow, Julie ^a   Spence, Julie ^a,b   Links, Paul S ^a,b   Streiner, David L ^b,f  

^a ST MICHAEL'S HOSPITAL   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

^d INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES   (Canada)

^e SUNNYBROOK RESEARCH INSTITUTE   (Canada)

^f Kunin Lunenfeld Applied Research Unit and Department of Food and Nutrition Services and Baycrest Centre for Geriatric Care   (Canada)

Author keywords

Mental Health Services; Multilevel Regression Model; Poisoning; Rural Population; Suicide, Attempted

Indexed keywords

ADOLESCENT; ARTICLE; CANADA; CONSULTATION; CONTROLLED STUDY; DISEASE SEVERITY; EMERGENCY CARE; FEMALE; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HOSPITAL PATIENT; HOSPITALIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; MENTAL HEALTH SERVICE; PATIENT CARE; RURAL AREA; SCHOOL CHILD; SELF POISONING;

ADOLESCENT; ADULT; ALCOHOL-RELATED DISORDERS; ALCOHOLISM; ANALGESICS; CHILD; COHORT STUDIES; COMORBIDITY; CROSS-SECTIONAL STUDIES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HEALTH RESOURCES; HEALTH SURVEYS; HUMANS; MALE; MENTAL HEALTH SERVICES; MIDDLE AGED; ONTARIO; PATIENT ADMISSION; POISONING; PRESCRIPTION DRUGS; RURAL POPULATION; SELF-INJURIOUS BEHAVIOR; SUICIDE, ATTEMPTED; UTILIZATION REVIEW; YOUNG ADULT;

EID: 54349085292     PISSN: 01638343     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.genhosppsych.2008.06.012     Document Type: Article

References (56)

1. World Health Organization. Suicide Prevention (2006), World Health Organization, Geneva, Switzerland. http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/ Available from: URL
2. Hawton K., Zahl D., and Weatherall R. Suicide following deliberate self-harm: long-term follow-up of patients who presented a general hospital. Br J Psychiatry 182 (2003) 537-542
3. Judd F., Cooper A.M., Fraser C., and Davis J. Rural suicide-people or place effects?. [Review] [65 refs]. Aust N Z J Psychiatry 40 3 (2006) 208-216
4. Hirsch J. A review of the literature on rural suicide. Risk and protective factors, incidence, and prevention. Crisis 27 4 (2006) 189-199
5. Hempstead K. The geography of self-injury: spatial patterns in attempted and completed suicide. Soc Sci Med 62 12 (2006) 3186-3196
6. Rhodes A., Bethell J., Spence J., Links P., Streiner D., and Jaakkimainen R. Age-sex differences in medicinal self-poisonings: a population-based study of deliberate intent and severity. Soc Psychiatry Psychiatr Epidemiol 43 8 (2008) 642-652
7. Gunnell D., Bennewith O., Peters T., House A., and Hawton K. The epidemiology and management of self-harm amongst adults in England. J Public Health 27 1 (2004) 67-73
8. Canadian Institute for Health Information (CIHI). National Trauma Registry Analytic Bulletin: Hospitalizations due to suicide attempts and self-inflicted injury in Canada,2001-2002 (2004), CIHI, Toronto, Ontario
9. Beautrais A. Subsequent mortality in medically serious suicide attempts: a 5 year follow-up. Aust N Z J Psychiatry 37 (2003) 595-599
10. Beautrais A.L., Joyce P.R., and Mulder R.T. Youth suicide attempts: a social and demographic profile. Aust N Z J Psychiatry 32 (1998) 349-357
11. Douglas J., Cooper J., Amos T., Webb R., Guthrie E., and Applebly L. "Near-fatal" deliberate self-harm: characteristics, prevention and implications for the prevention of suicide. J Affect Disord 79 (2004) 263-268
12. Elliott A.J., Pages K.P., Russo J., Wilson L.G., and Roy-Byrne P.P. A profile of medically serious suicide attempts. J Clin Psychiatry 57 12 (1996) 567-571
13. Suss A., Homel P., Wilson T., and Shah B. Risk factors for nonfatal suicide behaviors among inner-city adolescents. Pediatr Emerg Care 20 7 (2004) 426-428
14. Power K.G., Cooke D.J., and Brooks D.N. Life stress, medical lethality, and suicidal intent. Br J Psychiatry 147 (1985) 655-659
15. Vieta E., Nieto E., Gastó C., and Cirera E. Serious suicide attempts in affective patients. J Affect Disord 24 (1992) 147-152
16. Mann J.J., Apter A., Bertolote J., Beautrais A.L., Currier D., Haas A., et al. Suicide prevention strategies. A systematic review. JAMA 294 16 (2005) 2064-2074
17. Gunnell D., Ho D., and Murray V. Medical management of deliberate drug overdose: A neglected area for suicide prevention?. Emerg Med J 21 (2004) 35-38
18. Kapur N., Cooper J., Hiroeh U., May C., Applebly L., and House A. Emergency department management and outcome for self-poisoning: a cohort study. Gen Hosp Psychiatry 26 (2004) 36-41
19. Kapur N., Turnball P., Hawton K., Simkin S., Mackway-Jones K., and Gunnell D. The hospital management of fatal self-poisoning in industrialized countries: an opportunity for suicide prevention?. Suicide Life Threat Behav 36 3 (2006) 302-312
20. Hawton K., Simkin S., Deeks J.J., Cooper J., Johnston A., Waters K., et al. UK legislation on analgesic packs: before and after study of long term effect on poisonings. BMJ 329 (2004) 1076-1079
21. Taylor R., Page A., Morrell S., Harrison J., and Carter G. Social and psychiatric influences on urban-rural differentials in Australian suicide. Suicide Life Threat Behav 35 3 (2005) 277-290
22. Caldwell T.M., Jorm A.F., and Dear K.B. Suicide and mental health in rural, remote and metropolitan areas in Australia. Med J Aust 181 7 Suppl (2004) S10-S14
23. Rost K., Zhang M., Fortney J., Smith J., and Smith Jr. G.R. Rural-urban differences in depression treatment and suicidality. Med Care 36 7 (1998) 1098-1107
24. Rost K., Adams S., Xu S., and Dong F. Rural-urban differences in hospitalization rates of primary care patients with depression. Psychiatr Serv 58 4 (2007) 503-508
25. Owens D., Wood C., Greenwood D., Hughes T., and Dennis M. Mortality and suicide after non-fatal self-poisoning: 16-year outcome study. Br J Psychiatry 187 (2005) 470-475
26. Kapur N., Murphy D., Cooper J., Bergen H., Hawton K., Simkin S., et al. Psychosocial assessment following self-harm: Results from the Multi-Centre Monitoring of Self-Harm Project. J Affect Disord 106 (2008) 285-293
27. Wilkins R. PCCF+Version 3G User's Guide (Geocodes/PCCF) Automated Geographic Coding based on the Statistics Canada Postal Code Conversion Files. Catalogue no 82F0086-XDB 2001 Available from: URL. http://data.library.ubc.ca/datalib/survey/statscan/census/1996/health2001/pccf3g.pdf
28. du Plessis V., Beshiri R., Bollman R., and Clemenson H. Definitions of rural. 61 (2002), Statistics Canada: Agricultural Division, Ottawa, Canada
29. Levin K.A., and Leyland A.H. Urban/rural inequalities in suicide in Scotland, 1981-1999. Soc Sci Med 60 12 (2005) 2877-2890
30. Middleton N., Gunnell D., Frankel S., Whitley E., and Dorling D. Urban-rural differences in suicide trends in young adults: England and Wales, 1981-1998. Soc Sci Med 57 7 (2003) 1183-1194
31. Ontario Trauma Registry. Injury deaths in Ontario (Includes 2000-2001 data) (2003), Canadian Institute for Health Information (CIHI), Ontario Trauma Registry: Injury deaths in Ontario, Includes 2000-2001 data. CIHI
32. Ontario Ministry of Health and Long-Term Care. Designated Psychiatric Facilities under the Mental Health Act (2007), Ontario Ministry of Health and Long-Term Care, Toronto, Canada. http://www.health.gov.on.ca/english/public/contact/psych/designated.html Available from: URL
33. Kleinbaum D., and Klein M. Logistic regression. a self-learning text. 2nd ed. (2002), Springer, New York
34. Hosmer D., and Lemeshow S. Special topics. In: Cressie N., Fisher N., Johnstone I., Kadane J., and Silverman B. (Eds). Applied logistic regression. 2nd ed (2000), John Wiley and Sons, Inc., New York 260-351
35. Figueiras A., Domenech-Massons J., and Cadarso C. Regression models: calculating the confidence interval of effects in the presence of interactions. Stat Med 17 18 (1998) 2099-2105
36. Raudenbush S., and Bryk A. Hiearchical linear models. Applications and data analysis. 2nd ed. (2002), Sage Publications, Thousand Oaks (Calif)
37. McCaig L., and Burt C. Poisoning-related visits to emergency departments in the United States, 1993-1996. Clin Toxicol 37 7 (1999) 817-826
38. Doshi A., Boudreaux E., Wang N., Pelletier A., and Camargo C. National study of US emergency department visits for attempted suicide and self-inflicted injury, 1997-2001. Ann Emerg Med 46 4 (2005) 369-375
39. Clarke D., Colantonio A., Rhodes A., and Escobar M. Pathways to suicidality across ethnic groups in Canadian adults: the possible role of social stress. Psychol Med (2008)
40. Wilkins R. Use of postal codes and addresses in the analysis of health data. Health Rep 5 2 (1993) 157-177
41. Pong R., and Pitblado J. Don't take "geography" for granted. Some methodological issues in measuring geographic distribution of physicians. Can J Rural Med 6 2 (2001) 103-112
42. Yip P., and Liu K. The ecological fallacy and the gender ratio of suicide in China. Br J Psychiatry 189 (2006) 465-466
43. Eddleston M., and Phillips M. Self-poisoning with pesticides. BMJ 328 (2004) 42-44
44. Bergen H., and Hawton K. Variations in time of hospital presentations for deliberate self-harm and their implications for clinical services. J Affect Disord 98 (2007) 227-237
45. Sloan C., Pong R., Sahai V., Barnett R., Ward M., and Williams J. Triage practices and procedures in Ontario's Emergency Departments (2005), Centre for Rural and Northern Health Research, Sudbury, Canada
46. Brown A., Alikhan M., Anderson G., Baker G., Croxford R., Daniel I., et al. In: Joint Initiative of the Ontario Hospital Association and the Government of Ontario (Ed). Hospital Report 2003: Emergency Department Care (2004), Hospital Report Research Collaborative, University of Toronto, Toronto, Ontario
47. Reith D., Whyte I.M., Carter G., McPherson M., and Carter N. Risk factors for suicide and other deaths following hospital treated self-poisoning in Australia. Aust N Z J Psychiatry 38 (2004) 520-525
48. Suominen K., Isometsä E.T., Suokas J., Haukka J., Achté K.A., and Lönnqvist J.K. Completed suicide after a suicide attempt: a 37-year follow-up study. Am J Psychiatry 161 (2004) 563-564
49. Strike C., Rhodes A.E., Bergmans Y., and Links P. Fragmented pathways to care: the experiences of suicidal men. Crisis 27 1 (2006) 31-38
50. Rost K., Fortney J., Fischer E., and Smith J. Use, quality, and outcomes of care for mental health: the rural perspective. Med Care Res Rev 59 3 (2002) 231-265
51. Hilty D., Marks S., Umess D., Yellowlees P., and Nesbitt T. Clinical and educational telepsychiatry applications: a review. Can J Psychiatry 49 1 (2007) 12-23
52. Jong M. Managing suicides via videoconferencing in a remote northern community in Canada. Int J Circumpolar Health 63 4 (2004) 422-428
53. The Standing Senate Committee on Social Affairs SaT. Out of the shadows at last. Transforming Mental Health, Mental Illness and Addiction Services in Canada. Canada 2007. Available from: URL:. http://www.parl.gc.ca/39/1/parlbus/commbus/senate/com-e/soci-e/rep-e/rep02may06-e.htm
54. Szanto K., Kalmar S., Hendin H., Rihmer Z., and Mann J. A suicide prevention program in a region with a very high suicide rate. Arch Gen Psychiatry 49(6):451-8, 64 8 (2007) 914-920
55. Statistics Canada. Causes of Death: Data Tables. External causes of morbidity and mortality (V01 to Y89). Statistics Canada 2004. Available from: URL:. http://www.statcan.ca/english/freepub/84-208-XIE/2007001/tbl-en.htm#20
56. Knox K., Litts D.A., Talcott G., Feig J., and Caine E. Risk of suicide and related adverse outcomes after exposure to a suicide prevention programme in the US Air Force: cohort study. BMJ 327 7428 (2003) 1376