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Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort

Author

Listed:
  • Katie McGill

    (School of Medicine and Public Health, University of Newcastle, Newcastle, NSW 2308, Australia
    Healthy Minds, Hunter Medical Research Institute, Newcastle, NSW 2308, Australia
    Mental Health-Research, Evaluation and Dissemination (MH-READ), Hunter New England Local Health District, Newcastle, NSW 2298, Australia)

  • Amir Salem

    (School of Psychological Sciences, University of Newcastle, Newcastle, NSW 2308, Australia)

  • Tanya L. Hanstock

    (School of Psychological Sciences, University of Newcastle, Newcastle, NSW 2308, Australia)

  • Todd R. Heard

    (School of Medicine and Public Health, University of Newcastle, Newcastle, NSW 2308, Australia
    Healthy Minds, Hunter Medical Research Institute, Newcastle, NSW 2308, Australia
    Wiyillin Ta Child and Adolescent Mental Health Service, Hunter New England Local Health District, Newcastle, NSW 2300, Australia)

  • Leonie Garvey

    (Aboriginal Health, Hunter New England Local Health District, Wallsend, NSW 2287, Australia)

  • Bernard Leckning

    (Black Dog Institute, University of New South Wales, Sydney, NSW 1466, Australia
    Menzies School of Health Research, Charles Darwin University, Darwin, NT 0811, Australia)

  • Ian Whyte

    (School of Medicine and Public Health, University of Newcastle, Newcastle, NSW 2308, Australia
    Calvary Mater Newcastle, Newcastle, NSW 2298, Australia)

  • Andrew Page

    (Translational Health Research Institute, Western Sydney University, Penrith, NSW 2751, Australia)

  • Greg Carter

    (Healthy Minds, Hunter Medical Research Institute, Newcastle, NSW 2308, Australia
    Calvary Mater Newcastle, Newcastle, NSW 2298, Australia)

Abstract

Hospital-treated self-harm rates for Aboriginal and Torres Strait Islander (Indigenous) people are at least double those for other Australians. Despite this, limited research has explored the relationship between Indigeneity and the clinical management of hospital-treated deliberate self-harm. A retrospective clinical cohort study (2003–2012) at a regional referral centre (NSW) for deliberate self-poisoning was used to explore the magnitude and direction of the relationship between Indigeneity and discharge destination (psychiatric hospital vs. other) using a series of logistic regressions. There were 149 (4%) Indigenous and 3697 (96%) non-Indigenous deliberate self-poisoning admissions during the study period. One-third (31%) were referred to the psychiatric hospital at discharge; Indigenous 21% ( n = 32) vs. non-Indigenous 32% ( n = 1175). Those who identified as Indigenous were less likely to be discharged to the psychiatric hospital, OR 0.59 (0.40–0.87) at the univariate level, with little change after sequential adjustment; and AOR 0.34 (0.21–0.73) in the fully adjusted model. The Indigenous cohort had a lower likelihood of psychiatric hospital discharge even after adjustment for variables associated with discharge to the psychiatric hospital highlighting the need for further investigation of the reasons accounting for this differential pattern of clinical management and the effectiveness of differential after-care allocation.

Suggested Citation

  • Katie McGill & Amir Salem & Tanya L. Hanstock & Todd R. Heard & Leonie Garvey & Bernard Leckning & Ian Whyte & Andrew Page & Greg Carter, 2022. "Indigeneity and Likelihood of Discharge to Psychiatric Hospital in an Australian Deliberate Self-Poisoning Hospital-Treated Cohort," IJERPH, MDPI, vol. 19(19), pages 1-16, September.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12238-:d:926383
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    References listed on IDEAS

    as
    1. Robert Carroll & Chris Metcalfe & David Gunnell, 2014. "Hospital Presenting Self-Harm and Risk of Fatal and Non-Fatal Repetition: Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-9, February.
    2. Joanne M. Dickson & Kate Cruise & Clare A. McCall & Peter J. Taylor, 2019. "A Systematic Review of the Antecedents and Prevalence of Suicide, Self-Harm and Suicide Ideation in Australian Aboriginal and Torres Strait Islander Youth," IJERPH, MDPI, vol. 16(17), pages 1-26, August.
    3. Anna-Sapfo Malaspinas & Michael C. Westaway & Craig Muller & Vitor C. Sousa & Oscar Lao & Isabel Alves & Anders Bergström & Georgios Athanasiadis & Jade Y. Cheng & Jacob E. Crawford & Tim H. Heupink &, 2016. "A genomic history of Aboriginal Australia," Nature, Nature, vol. 538(7624), pages 207-214, October.
    Full references (including those not matched with items on IDEAS)

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