TY  - JOUR
PY  - 2018//
TI  - Intentional self-harm and assault hospitalisations and treatment cost of children in Australia over a 10-year period
JO  - Australian and New Zealand journal of public health
A1  - Mitchell, Rebecca J.
A1  - Seah, Rebecca
A1  - Ting, Hsuen P.
A1  - Curtis, Kate
A1  - Foster, Kim
SP  - 240
EP  - 246
VL  - 42
IS  - 3
N2  - OBJECTIVE: To examine the magnitude, 10-year temporal trends and treatment cost of intentional injury hospitalisations of children aged ≤16 years in Australia. <br><br>METHOD: A retrospective examination of linked hospitalisation and mortality data for children aged ≤16 years during 1 July 2001 to 30 June 2012 with self-harm or assault injuries. Negative binomial regression examined temporal trends. <br><br>RESULTS: There were 18,223 self-harm and 13,877 assault hospitalisations, with a treatment cost of $64 million and $60.6 million, respectively. The self-harm hospitalisation rate was 59.8 per 100,000 population (95%CI 58.96-60.71) with no annual decrease. The assault hospitalisation rate was 29.9 per 100,000 population (95%CI 29.39-30.39) with a 4.2% annual decrease (95%CI -6.14- -2.31, p<0.0001). Poisoning was the most common method of self-harm. Other maltreatment syndromes were common for children ≤5 years of age. Assault by bodily force was common for children aged 6-16 years. <br><br>CONCLUSIONS: Health professionals can play a key role in identifying and preventing the recurrence of intentional injury. Psychosocial care and access to support services are essential for self-harmers. Parental education interventions to reduce assaults of children and training in conflict de-escalation to reduce child peer-assaults are recommended. Implications for public health: Australia needs a whole-of-government and community approach to prevent intentional injury.<br><br>© 2018 The Authors.<p />  <p>Language: en</p>
LA  - en
SN  - 1326-0200
UR  - http://dx.doi.org/10.1111/1753-6405.12782
ID  - ref1
ER  -