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Development of a Self-Harm Monitoring System for Victoria

Author

Listed:
  • Jo Robinson

    (Orygen, Parkville, VIC 3052, Australia
    Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC 3052, Australia)

  • Katrina Witt

    (Orygen, Parkville, VIC 3052, Australia
    Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC 3052, Australia)

  • Michelle Lamblin

    (Orygen, Parkville, VIC 3052, Australia
    Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC 3052, Australia)

  • Matthew J. Spittal

    (Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, VIC 3010 Australia)

  • Greg Carter

    (Centre for Brain and Mental Health Research, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia
    Calvary Mater Newcastle, Callaghan, NSW 2308, Australia)

  • Karin Verspoor

    (School of Computing and Information Systems, The University of Melbourne, Parkville, VIC 3052, Australia
    Centre for Digital Transformation of Health, The University of Melbourne, Melbourne, VIC 3000, Australia)

  • Andrew Page

    (Translational Health Research Institute, Western Sydney University, Campbelltown, NSW 2560, Australia)

  • Gowri Rajaram

    (Orygen, Parkville, VIC 3052, Australia
    Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC 3052, Australia)

  • Vlada Rozova

    (School of Computing and Information Systems, The University of Melbourne, Parkville, VIC 3052, Australia)

  • Nicole T. M. Hill

    (Orygen, Parkville, VIC 3052, Australia
    Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC 3052, Australia
    Telethon Kids Institute, Nedlands, WA 6009, Australia)

  • Jane Pirkis

    (Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, VIC 3010 Australia)

  • Caitlin Bleeker

    (Orygen, Parkville, VIC 3052, Australia
    Centre for Youth Mental Health, The University of Melbourne, Parkville, VIC 3052, Australia)

  • Alex Pleban

    (Mid-West Area Mental Health Service, Emergency Department, Sunshine Hospital, Sunshine, VIC 3021, Australia)

  • Jonathan C. Knott

    (Centre for Integrated Critical Care, Melbourne Medical School, The University of Melbourne, Parkville, VIC 3010, Australia)

Abstract

The prevention of suicide and suicide-related behaviour are key policy priorities in Australia and internationally. The World Health Organization has recommended that member states develop self-harm surveillance systems as part of their suicide prevention efforts. This is also a priority under Australia’s Fifth National Mental Health and Suicide Prevention Plan. The aim of this paper is to describe the development of a state-based self-harm monitoring system in Victoria, Australia. In this system, data on all self-harm presentations are collected from eight hospital emergency departments in Victoria. A natural language processing classifier that uses machine learning to identify episodes of self-harm is currently being developed. This uses the free-text triage case notes, together with certain structured data fields, contained within the metadata of the incoming records. Post-processing is undertaken to identify primary mechanism of injury, substances consumed (including alcohol, illicit drugs and pharmaceutical preparations) and presence of psychiatric disorders. This system will ultimately leverage routinely collected data in combination with advanced artificial intelligence methods to support robust community-wide monitoring of self-harm. Once fully operational, this system will provide accurate and timely information on all presentations to participating emergency departments for self-harm, thereby providing a useful indicator for Australia’s suicide prevention efforts.

Suggested Citation

  • Jo Robinson & Katrina Witt & Michelle Lamblin & Matthew J. Spittal & Greg Carter & Karin Verspoor & Andrew Page & Gowri Rajaram & Vlada Rozova & Nicole T. M. Hill & Jane Pirkis & Caitlin Bleeker & Ale, 2020. "Development of a Self-Harm Monitoring System for Victoria," IJERPH, MDPI, vol. 17(24), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9385-:d:462554
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    Citations

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    Cited by:

    1. Nicole T. M. Hill & Jo Robinson, 2022. "Responding to Suicide Clusters in the Community: What Do Existing Suicide Cluster Response Frameworks Recommend and How Are They Implemented?," IJERPH, MDPI, vol. 19(8), pages 1-12, April.
    2. Emily Bebbington & Rob Poole & Sudeep Pradeep Kumar & Anne Krayer & Murali Krishna & Peter Taylor & Keith Hawton & Rajesh Raman & Mohan Kakola & Madhu Srinivasarangan & Catherine Robinson, 2023. "Establishing Self-Harm Registers: The Role of Process Mapping to Improve Quality of Surveillance Data Globally," IJERPH, MDPI, vol. 20(3), pages 1-15, February.

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