TY  - JOUR
PY  - 2019//
TI  - Unrecognised self-injury mortality (SIM) trends among racial/ethnic minorities and women in the USA
JO  - Injury prevention
A1  - Rockett, Ian R. H.
A1  - Caine, Eric D.
A1  - Connery, Hilary S.
A1  - Nolte, Kurt B.
A1  - Nestadt, Paul S.
A1  - Nelson, Lewis S.
A1  - Jia, Haomiao
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - AIM: To assess whether an enhanced category combining suicides with nonsuicide drug self-intoxication fatalities more effectively captures the burden of self-injury mortality (SIM) in the USA among US non-Hispanic black and Hispanic populations and women irrespective of race/ethnicity. <br><br>METHODS: This observational study used deidentified national mortality data for 2008-2017 from the CDC's <i>Web-based Injury Statistics Query and Reporting System</i>. SIM comprised suicides by any method and age at death plus estimated nonsuicide drug self-intoxication deaths at age ≥15 years. Measures were crude SIM and suicide rates; SIM-to-suicide rate ratios; and indices of premature mortality. <br><br>RESULTS: While the suicide rate increased by 29% for blacks, 36% for Hispanics and 25% for non-Hispanic whites between 2008 and 2017, corresponding SIM rate increases were larger at 109%, 69% and 55% (p<0.0001). SIM:suicide rate ratio gaps were widest among blacks but similar for the other two groups. Gaps were wider for females than males, especially black females whose ratios measured ≥3.71 across the observation period versus <3.00 for white and Hispanic counterparts. Total lost years of life for Hispanic, white and black SIM decedents in 2017 were projected to be 42.6, 37.1 and 32.4, respectively. <br><br>CONCLUSION: Application of SIM exposed substantial excess burdens from substance poisoning relative to suicide for minorities, particularly non-Hispanic blacks and for women generally. <br><br>RESULTS underscored the need to define, develop, implement and evaluate comprehensive strategies to address common antecedents of self-injurious behaviours.<br><br>© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.<p />  <p>Language: en</p>
LA  - en
SN  - 1353-8047
UR  - http://dx.doi.org/10.1136/injuryprev-2019-043371
ID  - ref1
ER  -