Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

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Self-Harm in Ireland: An update from the National Registry of Deliberate Self Harm Dr Eve Griffin, NSRF Information Evening, 28 th November 2013

description

The National Suicide Research Foundation recently held an Information Evening in the River Lee Hotel, Cork, entitled; "What's New in Suicide and Self-harm Research in Ireland?". Dr. Eve Griffin, Manager of the National Registry of Deliberate Self-Harm at the NSRF, discussed some new updates on self-harm research in Ireland, with findings from 2012 including; -More women presenting to Emergency Departments than men -Nearly three-quarters of presentations to Emergency Departments involving drugs -Alcohol present in 38% of all cases For more information, contact: [email protected] +353 (0)21 420 5551 www.nsrf.ie

Transcript of Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

Page 1: Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

Self-Harm in Ireland:

An update from the National Registry of

Deliberate Self Harm

Dr Eve Griffin,

NSRF Information Evening,

28th November 2013

Page 2: Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

Suicide

Approx.

550

Deliberate

self harm

medically treated

Approx. 12,000

“Hidden” cases of

Deliberate self harm

Approx. 60,000

Suicide and medically treated deliberate self harm:

The tip of the ‘Iceberg’

National Registry of Deliberate

Self Harm

Page 3: Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

What is self-harm?

It is a non-fatal act

It is deliberately initiated

The individual knows it may cause physical harm to her or

himself and may cause death

It includes suicide attempts but there may be other intentions

involved

Page 4: Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

Registry Objectives

Establish the extent of hospital-

treated self-harm in Ireland

Monitor trends over time and by area

In 2012, there were 12,010 presentations

Page 5: Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

Trends in rate of self-harm

0

25

50

75

100

125

150

175

200

225

250

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Ag

e-s

tan

da

rdis

ed

rate

pe

r 1

00

,00

0

Women Men

+20%

+6%

+12%

Page 6: Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

0

100

200

300

400

500

600

700

10-1

4

15-1

9

20-2

4

25

-29

30

-34

35-3

9

40-4

4

45-4

9

50-5

4

55-5

9

60-6

4

65-6

9

70-7

4

75-7

9

80-8

4

85

+

Rate

per

100,0

00

Age group Men Women

Incidence rate by age and gender

Page 7: Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

Key Outcomes

More women present to an ED with self-harm than men

15-19 year-old females and 20-24 year-old males

Almost three-quarters of presentations involved drug overdose (69%)

Inpatient admission was the next stage of care in 38% of all cases

15% of people presented more than once during the year

Page 8: Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

Methods of self-harm by gender

Alcohol was involved in 38% of all cases (42% in men, 36% in women)

Drug overdose only

Self-cutting only

Overdose & self-cutting

Attempted hanging only

Attempted drowning only

Other

Men Women

Page 9: Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

Who is the information relevant for?

Registry

Hospitals

National Office for Suicide

Prevention

Politicians

Professional Health Care

Workers

Academia

International agencies

Page 10: Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

Actions arising from the Registry

The implementation of self-harm specialist nurses in hospital EDs as part of

the National Mental Health Programme (2013-2014)

The implementation of Dialectical Behavioral Therapy at national level

(2013-2015)

The implementation of guidelines for assessment and management of self-

harm patients presenting to Irish EDs (2013-2014)

Restricting access to benzodiazepines (NOSP working group)

Page 11: Self harm in Ireland - An update from the National Registry of Deliberate Self-harm Dr. Eve Griffin

More information?

[email protected]

+21 420 5551

www.nsrf.ie