@article{ref1,
title="Travel distance to hospital is associated with self-harm hospital presentation but not suicide",
journal="Crisis",
year="2024",
author="Liang, Ya-Lun and Lin, Chien-Yu and Gao, Yu-Mei and Gunnell, David and Hsu, Chia-Yueh and Chang, Shu-Sen",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Travel distance to hospital emergency departments (EDs) may be a more influential factor in the spatial variation in hospital-presenting self-harm than for suicide deaths. Aims: We investigated the associations of travel distance to the nearest ED with self-harm hospital presentations and suicides in a large city in Taiwan. <br><br>METHOD: Data for self-harm and suicide were extracted from Taiwan's National Suicide Surveillance System (2012-2016). <br><br>RESULTS: Adjusted analyses using Bayesian hierarchical models showed that a longer travel distance to the nearest hospital ED was associated with lower self-harm hospital presentation rates but not suicide rates. Limitations: This is an ecological study; the area-level associations could not be directly implied at the individual level. <br><br>CONCLUSION: Living in remote neighborhoods could be a barrier to seeking medical help after self-harm, and this has implications for suicide, surveillance, prevention and intervention strategies.<p /> <p>Language: en</p>",
language="en",
issn="0227-5910",
doi="10.1027/0227-5910/a000945",
url="http://dx.doi.org/10.1027/0227-5910/a000945"
}