TY  - JOUR
PY  - 2016//
TI  - Suicidal ideation and non-fatal deliberate self-harm presentations in the Kimberley from an enhanced police-mental health service notification database
JO  - Australasian psychiatry
A1  - McHugh, Cate
A1  - Balaratnasingam, Sivasankaran
A1  - Campbell, Anita
A1  - Chapman, Murray
SP  - 35
EP  - 39
VL  - 25
IS  - 1
N2  - 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. <br><br>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. <br><br>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. <br><br>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.<br><br>© The Royal Australian and New Zealand College of Psychiatrists 2016.<p />  <p>Language: en</p>
LA  - en
SN  - 1039-8562
UR  - http://dx.doi.org/10.1177/1039856216671682
ID  - ref1
ER  -